Share Your Story

---

Lend your voice. Become a Champion for Medicare Choices by sharing YOUR story.

You can help protect the health care benefits of more than 10 million American seniors by sharing a story about how Medicare Advantage affects you. Continue making a difference by telling your friends, family, caretaker and physician to join the efforts.

You can Share Your Story with us in many ways:

Share your story with us

*

First Name:

*

Last Name:

*

Email:

*

Phone:

Tell us in writing why your Medicare health plan coverage is important to you.

Or tell us by uploading a photo or video. (Maximum upload file size is 100MB)

* denotes a required field.

By submitting this form, I agree to the following:

I grant America's Health Insurance Plans (AHIP) the right and permission to use, in whole or in part, my name, address, story, image, voice and other information about my personal experience with Medicare Advantage, in any way, including, on and in the Internet, web sites, print, radio, television or any other media and by distributing it to the media, members of Congress, or any other entity or person in the United States and throughout the world. I understand that my story may include my medical information and other personal information. I also understand that minor editorial changes may be made to my story, but that no material changes will be made to my story without my permission. I also agree to accept potential inquiries from the media. I understand that if I no longer want to grant AHIP permission to use my name, address, story and information about my personal experience with Medicare Advantage, I can contact AHIP at info@medicarechoices.org.