A kitchen table with a stack of bills on it
The 4 members of the Rodriguez family

BACK

Surprise insurance spike

The

Rodriguez

Family

Without full-time employment and the benefits that come with it, the Rodriguez family relies on subsidies from the NY State of Health marketplace. Maria and Carlos had not been following the news closely and were unaware that Congress had failed to extend enhanced tax credits. Consequently, they were blindsided by their first bill: instead of the $500 they had budgeted, the same plan now cost $850.

Struggling to manage this $350 monthly increase, they were torn between their absolute need for coverage—especially for Mateo—and their financial limits. To make ends meet, Maria considered taking on more shifts or even a second job cleaning houses. They even weighed the difficult decision of halting the $200 they sent home monthly to family in Puerto Rico. The entire situation was incredibly stressful.

Healthcare Dominoes

Healthcare Dominoes

Economic

Need to make cuts to pay for coverage

Economic

Need to make cuts to pay for coverage

Health

Parents don’t pick up prescription drugs for themselves & avoid routine care

Health

Parents don’t pick up prescription drugs for themselves & avoid routine care

Daily living

Limit car use - more food from the corner store

Daily living

Limit car use - more food from the corner store

Getting WellConnected

A younger health service worker
A younger health service worker

Maria's friend Rosa suggested Maria look into Medicaid for the kids. Someone at the local community center had helped her, she said. After work, Maria stopped by and was introduced to Jesse. 

Jesse has been working at the community center for five years and like Maria moved to the US from Puerto Rico about 10 years ago.  

Jesse initially helped the family lower monthly health plan costs by enrolling the children in Medicaid. After listening to Maria’s struggles and concerns about both Mateo’s condition and their family health, Jesse used WellConnected to connect Maria to an asthma educator that could do a home assessment, as well as provide support.

She also provided Maria with the name of a local food pantry, where she could pick up a bag of seasonal fruits and vegetables, no questions asked. By moving the kids onto Medicaid and keeping coverage just for the two adults, the family saved $100 a month on insurance — and even more on groceries.” 

The best thing is that Maria met Jesse, who she can now call on when she has future needs.  

Impact summary

Impact summary

Economic

Cost: $1,250/mo.

Cost: $1,250/mo.

ACA premiums

ACA premiums

Cost: $775/mo.

Cost: $775/mo.

$475 saved each month

$475 saved each month

Health

Skipping care

Skipping care

No prescriptions, no check-ups

No prescriptions, no check-ups

Family care plan

Family care plan

Secure coverage & wellbeing

Secure coverage & wellbeing

Daily living

Corner store food

Corner store food

Affordable but lower quality

Affordable but lower quality

Pantry & fresh produce

Pantry & fresh produce

Free, no questions asked

Free, no questions asked

Community connection

Limited support system

Limited support system

Family goes it alone

Family goes it alone

Jesse as navigator

Jesse as navigator

A trusted community contact

A trusted community contact

Family personas and images are AI-generated composites representing common situations the WellConnected service supports. Not depictions of real individuals.