NUESTRO BIENESTAR CONTEST
CMS 50th Anniversary Stories
For 50 years, Medicare and Medicaid have been changing the lives of Americans by providing the peace of mind that comes with health care that’s there when you need it. These programs save lives, help people live longer, and keep families strong.
The Centers for Medicare and Medicaid Services is looking for stories about how these programs have changed the lives of Americans across the nation.
Nuestro Bienestar is working with CMS to collect your stories. Nuestro Bienestar is asking those in the community that have direct access to Medicare/Medicaid recipients to assist us in the collection of these stories. Using the submission form and release of information found below, please submit via email to: firstname.lastname@example.org.
Starting in the September newsletter, we will pick five stories to be published each month and who will receive a $100 gift card to Amazon. The contest will last until December 2015. In order to have stories to pick from we need you to start submitting stories as soon as possible!
Submissions must be complete and have both the Share Your Story Form as well as the Release of Information attached to qualify.
Entries must be submitted by the end of each month in order to qualify for the monthly drawing (08/31, 09/30, 10/31, 11/30, 12/31)
Name, agency and contact information of the individual submitting the story must be clearly presented
Release of Information:
Form CMS-20006: https://www.cms.gov/Outreach-and-Education/Look-Up-Topics/50th-Anniversary/Model-Release-Form.pdf
SHARE YOUR STORY
We want to hear from our beneficiaries. Tell us how your Medicare and Medicaid coverage has improved your life.
4 Steps to Share Your Story
1. TELL US. Whether you've just enrolled in coverage or you've been a beneficiary for years, we're interested in hearing your story. Tell us how your Medicare or Medicaid coverage has impacted your life or the life of someone in your family.
Download Share your Story Form
2. SHOW US. While this is optional, we love it when we can put a face with a name! If possible, include a photo with your story. Send along a photo of you with your family or a photo of you leading a healthy and active lifestyle. Please include as an electronic attachment.
3. GIVE US PERMISSION. By sharing your story, you give consent to the Center for Medicare and Medicaid Services permission to share your story publicly solely for the purposes of carrying out the CMS mission. Please also fill out the release form (Form CMS-20006).
4. Send US YOUR DOCUMENTS. Send all documents to us at email@example.com.