Share Your Story!

Do you have health insurance now?
If you have health insurance, how has it helped you get the services you need?
If you do NOT have health insurance, how has it made it harder to get the services you need?
Have you ever been confused about whether you are eligible for health insurance?
Have you ever had problems getting the care you need?
Have you ever delayed seeing or decided not to go to the doctor or hospital because you were worried about cost?
What is your biggest concern related to health insurance?

Your Story

Can we publish your story online?

Yes

If yes, can we include any of the following information?

First name

Your town/city

Thank you for sharing your story! Please provide your contact information below - we will be in touch to make any clarifications and talk more about how we can use your story. Your contact information will be kept confidential.

Name

First Name

Last Name

ZIP code

Email Address

Phone