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Submitted URL: https://default.salsalabs.org/Tf6f6c9dd-15b6-418c-9293-8b755e8f9432/7d37f2b1-78bb-40da-bacf-f3661e63e3fe
Effective URL: https://www.medicare.gov/forms-help-resources/medicare-you-handbook/download-medicare-you-in-different-formats?eType=Emai...
Submission: On October 14 via manual from IN — Scanned from DE
Effective URL: https://www.medicare.gov/forms-help-resources/medicare-you-handbook/download-medicare-you-in-different-formats?eType=Emai...
Submission: On October 14 via manual from IN — Scanned from DE
Form analysis 4 forms found in the DOM
GET /search/medicare
<form action="/search/medicare" method="get" id="search-block-form" accept-charset="UTF-8" role="search" class="search-form search-block-form" aria-hidden="true">
<div class="js-form-item form-item js-form-type-search form-type-search js-form-item-keys form-item-keys form-no-label">
<label for="edit-keys" class="m-evo-label ds-c-label visually-hidden"><span>Search</span></label>
<input title="Enter the terms you wish to search for." placeholder="Search Medicare" aria-label="Search Medicare" class="sl-search-input form-search" data-drupal-selector="edit-keys" type="search" id="edit-keys" name="keys" value="" size="15"
maxlength="128">
</div>
<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions">
<input class="search-form__submit button js-form-submit form-submit ds-c-button ds-c-button--primary" data-drupal-selector="edit-submit" type="submit" id="edit-submit" value="Search">
</div>
</form>/coverage?coverage_search=
<form class="m-evo--coverage-search-form " action="/coverage?coverage_search=">
<label for="coverage-search-term" class="ds-u-visibility--screen-reader">Type your test, item, or service</label>
<div class="m-evo--coverage-search-form__content ds-u-display--flex ds-u-flex-direction--row">
<input autocomplete="off" id="coverage-search-term" class="ds-c-field" name="term" required="" placeholder="Type your test, item, or service here" type="text">
<div class="m-evo--coverage-search-form__error ds-c-field__error-message" role="alert"></div>
<input type="submit" name="submit" class="ds-c-button ds-c-button--primary-alt" value="Go">
</div>
</form><form novalidate="">
<input name="e" type="email" required="" id="prefix-emailInput" aria-labelledby="prefix-overlay-label" placeholder="">
<div id="prefix-consent-outer">
<input name="consent" type="checkbox" id="prefix-consentPolicyInput"> <label for="prefix-consentPolicyInput" id="prefix-consentPolicyLabel">By checking this box, you consent to our
<a href="https://www.medicare.gov/privacy-policy" target="_blank" rel="noopener noreferrer">data privacy policy</a>.</label>
</div>
<input type="submit" value="Next Step" id="prefix-submitButton">
</form><form id="prefix-formStepForm" novalidate="">
<label for="q_74299" style="text-transform: uppercase;">Please tell us which best describes you</label>
<div id="prefix-questions"><select name="q_74299" class="prefix-questionId" id="prefix-q_74299" disabled="">
<option value="228746">I currently have Medicare</option>
<option value="228747">I will have Medicare soon (in less than 3 years) </option>
<option value="228748">I am a caregiver for someone who has Medicare</option>
<option value="228749">Other </option>
</select></div>
<label for="q_65497" style="text-transform: uppercase;">Select your state</label>
<div id="prefix-questions"><select name="q_65497" id="prefix-q_65497" class="prefix-questionId" disabled="">
<option value="" selected="" disabled="">Select your state</option>
<option value="193817">Alabama</option>
<option value="193818">Alaska</option>
<option value="193819">Arizona</option>
<option value="193820">Arkansas</option>
<option value="193821">California</option>
<option value="193822">Colorado</option>
<option value="193823">Connecticut</option>
<option value="193824">Delaware</option>
<option value="193825">District of Columbia</option>
<option value="193826">Florida</option>
<option value="193827">Georgia</option>
<option value="193828">Hawaii</option>
<option value="193829">Idaho</option>
<option value="193830">Illinois</option>
<option value="193831">Indiana</option>
<option value="193832">Iowa</option>
<option value="193833">Kansas</option>
<option value="193834">Kentucky</option>
<option value="193835">Louisiana</option>
<option value="193836">Maine</option>
<option value="193837">Maryland</option>
<option value="193838">Massachusetts</option>
<option value="193839">Michigan</option>
<option value="193840">Minnesota</option>
<option value="193841">Mississippi</option>
<option value="193842">Missouri</option>
<option value="193843">Montana</option>
<option value="193844">Nebraska</option>
<option value="193845">Nevada</option>
<option value="193846">New Hampshire</option>
<option value="193847">New Jersey</option>
<option value="193848">New Mexico</option>
<option value="193849">New York</option>
<option value="193850">North Carolina</option>
<option value="193851">North Dakota</option>
<option value="193852">Ohio</option>
<option value="193853">Oklahoma</option>
<option value="193854">Oregon</option>
<option value="193855">Pennsylvania</option>
<option value="193856">Rhode Island</option>
<option value="193857">South Carolina</option>
<option value="193858">South Dakota</option>
<option value="193859">Tennessee</option>
<option value="193860">Texas</option>
<option value="193861">Utah</option>
<option value="193862">Vermont</option>
<option value="193863">Virginia</option>
<option value="193864">Washington</option>
<option value="193865">West Virginia</option>
<option value="193866">Wisconsin</option>
<option value="193867">Wyoming</option>
<option value="193868">Puerto Rico</option>
<option value="193869">U.S. Virgin Islands</option>
<option value="193870">American Samoa</option>
<option value="193871">Guam</option>
<option value="193872">Northern Mariana Islands</option>
<option value="239669">Other</option>
</select></div>
<input type="submit" value="Continue" id="prefix-formStep-submitButton">
</form>Text Content
Skip to main content An official website of the United States government Here's how you know Here's how you know Cambiar a Español Official websites use .gov A .gov website belongs to an official government organization in the United States. Secure .gov websites use HTTPS A lock ( lockA locked padlock ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites. Menu * BasicsBasicsBasicsCaret Icon * Health & Drug PlansHealth & Drug PlansHealth & Drug PlansCaret Icon * Providers & ServicesProviders & ServicesProviders & ServicesCaret Icon * Log in * Home * Forms, help, & resources * Download "Medicare & You" in different formats Search Search Print this page. DOWNLOAD "MEDICARE & YOU" IN DIFFERENT FORMATS Your online connection to the "Medicare & You" handbook. PDF Medicare & You in English, print [PDF, 3322 KB](this looks like the paper handbook you get in the mail) Medicare & You Spanish [PDF, 3322 KB] Medicare & You Chinese [PDF, 6510 KB] Medicare & You Korean [PDF, 5315 KB] Medicare & You Vietnamese [PDF, 5004 KB] -------------------------------------------------------------------------------- LARGE PRINT PDF Medicare & You in large print, English [PDF, 2005 KB] Medicare & You in large print, Spanish [PDF, 2005 KB] -------------------------------------------------------------------------------- EBOOK Download one of these versions to read on your Kindle, iPad, Nook, Sony eReader, and all other eReaders. 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Follow us on Facebook & Twitter GET INFORMATION THAT’S SPECIFIC TO YOU Please tell us which best describes you I currently have Medicare I will have Medicare soon (in less than 3 years) I am a caregiver for someone who has Medicare Other Select your state Select your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico U.S. Virgin Islands American Samoa Guam Northern Mariana Islands Other