Medical Bill Checklist | Medical Bill Map

Your state

Your name (optional)

What you already have

Bills and statements

Every bill from the hospital, doctors, the lab and the ambulanceAn itemized bill that lists every charge (ask for one in writing)Explanations of benefits (EOB) from your insuranceYour good faith estimate, if you got oneEvery letter from a collector, with the dates you got them

Coverage

Your insurance card and any denial or appeal lettersMedicaid, Marketplace or Medicare notices

Income and household

Proof of income (see the list for your state below)A list of who lives in your householdPhoto ID

The hospital's policy

The hospital's financial assistance policy, plain-language summary and application

Keep a record

A notebook of calls: date, name of the person and what was saidCopies of every letter you send, and proof of mailing

Other formats

Checklist: what to gather

Checklist: what to gather

What you already have

Your checklist