Growing up, Shayne had access to health coverage through Medicaid. When she turned 18, her health coverage ended. She went the next 15 years without any health insurance. Shayne struggled with drug addiction for many years, and was unable to afford health insurance that covered treatment programs. She never went to the doctor when she didn’t have health coverage. At 33, she got pregnant. She knew she needed help. When Shayne went to a Department of Social and Health Services local community services office to apply for food assistance, the caseworker helped her sign up for Washington Apple Health (Medicaid) coverage through wahealthplanfinder.org. They also helped her look at options for treatment. Apple Health covered her treatment completely, and still pays for her ongoing recovery support. Medicaid is often the only option for individuals who need life-saving treatment for substance use disorder. Shayne has been sober since. Her daughter, Ripley, is five years old now.