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I. for each plan reported Mark one box for each persor. 90. I s coverod by thot port of Sociol k c u r i y Medicare A i c h poys for doctor visits h o t i s the Medicore plon for which he or C l n d. D 6 5 or ovcr- Ask 9a O U n d. 65-00 to next person 0 6 5 or over- Aek 9a - - r - - - - -I----- No.-1 r CHECK ITEM Check questions 22a-22d and 23c on pages 4 and 5 of the Fosdic Questionnaire. Doctor visits or for hospital or surgical core ofter o certoin omount hos been poid by the family 0 x 0...
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