Donna’s Story

Mar 2, 2020 | Client Stories

Donna (not her real name) called our office in tears in late August 2018 because she had lost her Medicaid coverage. Donna was worried because she wasn’t able to afford her prescriptions without her insurance and felt the stress of it all might cause her to relapse on alcohol. Donna was referred internally to Kim, our Health Coverage Guide, for help with the insurance coverage issues. She was referred externally to Alcoholics Anonymous, her social support system, and declined further substance use referrals.

Kim worked as a liaison between Connect for Health Colorado, the Peak online system, and Donna. It turned out that there had been a system error and that Donna’s income and household size was incorrectly recorded. Due to the timing of this error, she did experience a lapse in coverage and was referred to Chrissy for care coordination services. Chrissy collaborated with the local pharmacy to receive a cash discounted rate on Donna’s monthly prescriptions. Chrissy then provided Donna with pharmacy vouchers as direct financial assistance to receive her medications while her insurance issues were being sorted out.

Through Kim’s efforts, calls, follow up, and outreach to both Donna and the Connect for Health Colorado helpdesk, the system error was resolved after a two-month long process. Donna was approved and is once again eligible for Medicaid. She remains in contact with Chrissy for further care coordination support should she need it.

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ACHES & PAINS Programs: You need healthcare and support. We can help with the aches & pains of getting it. We offer vouchers for physical, dental, and mental health services, prescriptions, and other support like gas and hotels for health appointments.
Patient Navigator Program: You feel overwhelmed and confused by the healthcare system. We can help you navigate it. Maneuvering through the healthcare system is challenging. You don’t have to do it alone! Take the stress out of navigating the health system and call us. Our team meets you where you are in Grand and Jackson counties to get you the right care, at the right time, and the right place.
Health Coverage Guide: You need health insurance. We can help you make sense of it. Our Certified Health Coverage Guide assists you in understanding your insurance options based on your individual situation. Our Health Coverage Guide meets you where convenient for you in Grand and Jackson counties and can help you enroll in a health coverage plan and financial assistance.

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