Share your story.

Do you or someone you are assisting have Medicaid?*
- I have Medicaid coverage
- I had Medicaid coverage in the past
- A family member has Medicaid coverage
- I'm assisting someone who has Medicaid coverage
- None of the above
Which insurance company provides this coverage?*
- Passport Health Plan
- Aetna Better Health
- WellCare of Kentucky
- Anthem Medicaid
- Humana CareSource
- A 1915c waiver that provides Home and Community Based Services directly through the state
- I'm not sure
Are you or the person you're assisting covered by traditional Medicaid or Medicaid expansion?*
- Traditional Medicaid
- Expanded Medicaid
- I'm not sure
Have you had a problem with your Medicaid coverage?*
Select all that apply
- Enrolling in Medicaid
- Applying for a "good cause exemption" or "medically frail" status
- Understanding letters or notices about your Medicaid coverage
- Seeing a provider or getting needed care
- Filling a prescription
- Being charged copays
- Paying premiums
- Using the MyRewards account
- Losing coverage or being "locked out"
- Reporting work, volunteer, training or education activities
- Reporting a change in eligibility (such as income, household size, or work status)
- Updating your address
- Calling the DCBS hotline or going to a DCBS office for assistance
- Losing dental, vision, and transportation benefits
- None of these issues apply
Why did you or the person you're assisting lose coverage?
- No longer eligible for Medicaid because income or household size changed
- Penalized for not reporting work, volunteer, training or education activities
- Penalized for not reporting a change in eligibility, such as income, household size, or work status
- Penalized for not re-enrolling on time
- Penalized for not paying premium
- I'm not sure
Have you or the person you're assisting been turned away from a provider's office, hospital, or pharmacy for not paying a copay?*
- Yes
- No
Tell us more about the problem(s) you or the person you're assisting have experienced.
Have you or the person you're assisting tried to fix the problem(s) you've had? Tell us how.
Please tell us your thoughts on Medicaid.
Tell us a little more about yourself or the person you're assisting.
This helps us determine if problems are happening more frequently in certain parts of the state or for people in specific circumstances, for example. We'll report any troubling trends to the state that emerge from this survey.
Do any of the following issues apply to you or the person you're assisting?
- Don't have a car or other reliable transportation
- No reliable childcare
- No reliable internet access
- Don’t own a computer or smartphone
- Have limited minutes for making calls to DCBS
- Work hours and income fluctuate from month-to-month
- Can't find stable work
- Don’t have enough money to pay premiums or co-pays
- Don’t have a bank account
- English is second language
- Trouble reading or understanding letters and notices
- Felony record
- Refugee
- Disabled
- Retired
- Homeless
- Couch surf with family or friends
- Victim of domestic or intimate partner violence
- Other
- None of these issues apply
Income and household size
- 1 person household making $12,490 or less
- 2 person household making $16,910 or less
- 3 person household making $21,330 or less
- 4 person household making $25,750 or less
- 5 person household making $30,170 or less
- 6 person household making $34,590 or less
- 7 person household making $39,010 or less
- 8+ person household making $43,430 or less
- None of the above
Age
Zip Code*
Ethnicity
Check all that apply
- Caucasian / White
- African American / Black
- Hispanic / Latino
- Asian
- Native Hawaiian or Pacific Islander
- American Indian or Alaska Native
Would you like to share your story with policymakers or the media?*
- Yes, please share with both
- Yes, please share with policymakers only
- Yes, please share with media only
- No
May we contact you for more information about your story?*
- Yes
- No
Name
Contact information (phone number, email, or mailing address)
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Comments
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Tell us a little more about yourself or the person you're assisting.