Member Health Equity Questionnaire

Providing excellent and equitable health care begins with understanding personal and social information about those we serve.

Your responses to this questionnaire will be added to your secure member profile and kept confidential. Thank you!



*Required











Have questions? We’re here to help.
Talk to a Member Service representative 8 am–8 pm, Monday-Friday.

Generations Advantage Current Members:
207-828-7811
(TTY: 711)

US Family Health Plan Current Members:
207-828-7814
(TTY: 711)