So what is “Advocacy” anyway?
Advocacy can mean 100 different things to as many people, but at Young & Healthy it always takes on a very practical meaning.
Jason, age 24 (an age that some might consider “young and invincible”), learned he was young but not invincible. Stage three leukemia has a way of dismissing such a notion very quickly.
In addition to the fears associated with cancer, Jason’s medication costs were $860.00 per week! So, what do you do when your finances just do not allow you to expend that kind of money? Answer: You do nothing, including taking your like saving medication.
Luckily, a social worker at Huntington Hospital referred Jason to Young & Healthy. Our insurance advocate uncovered “every rock” until he found an insurance plan that could better align with Jason’s needs. Now, Jason has an insurance plan with $100.00 premiums and a $5.00 prescription plan, which is much more affordable.
Perhaps our insurance ADVOCATE gave Jason another shot at feeling invincible!
What Goes Around, Comes Around…But in a Good Way
Several years ago at our Mobile Dental Clinic, we met a young USC dental student named Kimberly. Kimberly was a shining star among the dental students who worked at the clinic. Fast forward several years and Dr. Kimberly Kum is now a part of the USC Dental School faculty and supervises the dental students at our clinic! Better yet, when she set up shop for her own dental practice, she eagerly became a volunteer dentist for Young & Healthy. Dr. Kum treats two Young & Healthy kids per month for us.
Sometimes we don’t even realize that we are planting the seeds of volunteerism. We are so lucky to have Dr. Kum as a part of our team!
Time is of the Essence
When you wake up because your tooth is throbbing–time stands still. Sixteen-year-old Selena told her mom right away and her mom’s heart sank. Her mother, Lupe, was immediately concerned, not only because her daughter was in pain, but because they had just lost their insurance when they moved into L.A. County.
Lupe called Young & Healthy by 10:00 am and by 1:00 pm Selena was sitting in a dental chair on the same day. By 1:30 pm the dentist called saying that Selena would need a root canal and a crown. Within two days she had an appointment with an oral surgeon and a crown was ordered.
Sometimes the speed of service makes all the difference. Most important, get a child out of pain, THEN tackle the insurance issues. First things first.
Having Insurance Does Not Always Translate to Access to Care
Randy, a single dad, recently and unexpectedly lost his job. The instant decline in his income qualified he and his daughter for a different kind of insurance—Medi-Cal. Young & Healthy assisted in signing them up for the Medi-Cal insurance. A few months later, Randy returned to Young & Healthy for help in accessing a cardiologist. Even though Randy was fully insured with Medi-Cal, finding a cardiologist that would take the Medi-Cal was no easy task. This was one of those times where having insurance doesn’t always mean having access to care.
A full year from Randy’s initial contact with Young & Healthy, he returned to our office to thank the case management team for helping him to finally get to a cardiologist. As it turned out, Randy had had a silent heart attack, but was now recovering well and under a doctor’s care. It was no small miracle that his daughter still has a dad.
Once again, Young & Healthy’s compassionate help and coordination assisted a client who otherwise was trapped with insurance, but without access to care when it really mattered. Our staff was relieved to know that Randy received the care he needed, and in what may have been the nick of time.
The Ups & Downs of Income…and Care
Sometimes our clients have fluctuating incomes, which means they have fluctuating access to healthcare.
Sophia was disqualified from Medi-Cal because she made too much money. The social worker from the hospital referred her to us for help in adjusting her insurance.
We found that Sophia was eligible for a plan through Covered California and she qualified for a “stipend” to help cover the costs. Unfortunately, within six months, Sophia’s income plummeted and she could no longer afford the premiums through Covered California. Back she went to Medi-Cal and back to Young & Healthy for help in navigating the quagmire of insurance changes and paperwork.
As a community, we are getting better at helping families understand WHY insurance is so important, but it still isn’t easy for them to pursue it.