Shortly after Boulder JFS care management client Marcia Dorheim celebrated her 65th birthday in July, she ran into an unexpected surprise. When she went
to the pharmacy to pick up her monthly medications she found out she was no longer enrolled in Colorado’s Medicaid program nor had she been transferred
to the Medicare program after her birthday. A medication that previously cost $2.50 on Medicaid was now $107! Marcia turned to Boulder JFS Care Manager
Jodi Ansell to help her find out why she had been dropped from Medicaid, and more importantly, to help her obtain her needed medications as soon as
Because Marcia was at risk of having a seizure without her medications, Jodi immediately arranged for a JFS fund to pay for the drug. When Jodi went to the pharmacy to pick up the medicine for Marcia and explained the situation, the pharmacy ran the prescription through their discount program and the cost was reduced to $35.
After Marcia got her medication, Jodi went to work on finding out why Marcia had been dropped by Medicaid. It turns out that when Marcia turned 65 and applied for Medicare, she had not signed up for Medicare Part D, the prescription plan. Not only that, but the Social Security department had a couple of different names for Marcia, including her given name and her married name. This further complicated the situation. These are common issues people face as they navigate their way through Medicare. Fortunately, Jodi knew exactly what to do. She contacted the Boulder County Medicare counselor and together they were able to help Marcia with all the necessary paperwork to ensure she would receive her prescriptions through Medicare, as well as complete her name change paperwork with the Social Security Administration.
Photo: Boulder JFS client Marcia Dorheim with Care Manager Jodi Ansell.