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Send Us Your Medical Bills

Do you have a medical bill that is exorbitant, baffling, infuriating, or all of the above? Send it to us and tell us about your experience.

Each month we select one bill submitted by our readers for KFF Health News to investigate and report what’s behind those numbers, asking providers, insurers, and experts for explanations.

You are welcome to black out personal information on your bill when submitting it through our form below. Please make sure you save a copy of your original bill without redactions; to feature your “Bill of the Month,” we’d like to speak to you about your experience and review your unredacted bill.

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Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

About You

Your name(Required)
Where do you live?(Required)
We want our journalism to include people from different backgrounds. If you’d like, please share your race or ethnicity.

How Can We Reach You?

The next step is for a reporter to reach out to you to find out more about your story.
Please let us know how best to reach out; we will use email if no alternative is selected.
Your email address(Required)

Your Billing Experience

Your health insurance
Please select the option(s) that best describes your coverage, if any. Select all that apply.
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Do you have a copy of your bill(s) you are willing to share?(Required)