He Built a Daycare From Scratch, Then a Single Insurance Change Wiped Out His Prescription Budget

Have you ever watched someone hold a family together with both hands — working, planning, quietly going without — and wondered what happens the day…

He Built a Daycare From Scratch, Then a Single Insurance Change Wiped Out His Prescription Budget
He Built a Daycare From Scratch, Then a Single Insurance Change Wiped Out His Prescription Budget

Have you ever watched someone hold a family together with both hands — working, planning, quietly going without — and wondered what happens the day they simply run out of hands? That question sat with me for weeks after a mutual friend introduced me to Curtis Reeves at a neighborhood barbecue in north Phoenix last February.

My friend pulled me aside near the grill. “You need to talk to this guy,” she said. “He’s been dealing with something that would break most people, and he hasn’t told anyone.” Curtis was standing near the cooler, laughing easily, refilling someone else’s cup. He didn’t look like a man in crisis. That, I would learn, is exactly the problem.

A Business Built on Thin Margins and Long Hours

When I sat down with Curtis Reeves the following Tuesday at his daycare center — Little Roots Learning Center, a modest, cheerful space in a strip of commercial buildings off Camelback Road — he was already forty-five minutes into his workday at 6:15 a.m. He’s 60 years old, remarried, and raising a blended family of four children between the ages of 14 and 22. Two are his from a previous marriage. Two are his wife Diane’s.

Curtis opened Little Roots in 2014 after nearly a decade working as a classroom aide for the Phoenix Unified School District. The center runs on enrollment fees, a thin operating margin, and Curtis’s own physical labor. For years, his income was supplemented by overtime shifts he picked up on weekends at a logistics warehouse — work he described as “my insurance policy against the unexpected.”

$680
Monthly overtime income lost in fall 2025

$340
Monthly prescription costs after January 2026 insurance change

The overtime ended in October 2025. The warehouse restructured its weekend operations and eliminated the part-time shift slots that workers like Curtis depended on. “It wasn’t dramatic,” Curtis told me. “No fight, no argument. They just sent a text saying the Saturday shifts were done. And I sat in my truck for a minute thinking, okay, where does that $680 come from now?”

It was a gap he hadn’t fully closed before the second blow landed.

When the Insurance Plan Changed Everything

In January 2026, the small-group health insurance plan Curtis carried through his business was discontinued by his insurer. He was moved to a replacement plan — same carrier, substantially different formulary. Three of his four ongoing prescriptions were reclassified to higher tiers.

Curtis takes metformin for type 2 diabetes, lisinopril for blood pressure, and a branded statin his doctor prescribed after a concerning lipid panel in 2024. Under his old plan, his combined monthly cost for all three was approximately $47 after coverage. Under the new plan, that number became $340.

KEY TAKEAWAY
When an insurer changes a plan’s drug formulary, existing patients can see out-of-pocket prescription costs increase by hundreds of dollars per month — even if they keep the same medications and the same carrier. According to KFF’s research on marketplace drug cost-sharing, tier reclassification is one of the most common drivers of sudden out-of-pocket increases.

“I opened the pharmacy receipt and I actually laughed,” Curtis said. “Because what else do you do? I laughed and then I drove home and I didn’t tell Diane right away. I just sat on it for a few days trying to figure out if I’d made a mistake somewhere.”

He hadn’t made a mistake. The plan had simply changed around him.

“I’m not the guy who complains. I’ve always figured things out. But this time I looked at the numbers and I couldn’t figure out where the figured-out part was supposed to come from.”
— Curtis Reeves, daycare owner, Phoenix, AZ

A Credit Score That Still Carries Old Scars

The prescription crisis landed on top of a financial foundation that was already uneven. Curtis was candid with me about a period between 2018 and 2020 when the daycare nearly collapsed. Enrollment dropped sharply after a competing center opened two blocks away, and Curtis fell behind on two credit cards and a business line of credit. By mid-2019, his credit score had fallen to 581.

He spent the next four years rebuilding — paying down balances methodically, keeping utilization low, not applying for new credit. By early 2025, he had climbed back to 694. Not excellent, but workable. Enough, he thought, to refinance his business lease equipment if he ever needed breathing room.

⚠ IMPORTANT
A credit score below 670 can significantly limit access to affordable credit products, including personal loans and business financing. Even scores in the low-to-mid 600s often trigger higher interest rates or outright denials from traditional lenders — a compounding problem when unexpected costs hit a household budget.

The new prescription costs were now threatening that progress. Curtis told me he had quietly missed a credit card minimum payment in February — the first missed payment in nearly three years — because he had prioritized medications over the statement balance. “I know what that does,” he said, his voice even. “I’ve seen what that does. I just didn’t have another move that month.”

He wasn’t angry about it. That steadiness — the absence of self-pity — was the thing about Curtis that stayed with me longest after our conversation.

The Turning Point: Learning to Ask

What changed for Curtis wasn’t a windfall or a policy fix. It was, as he described it, “finally deciding to be as resourceful about my own stuff as I am about everyone else’s.”

In late February 2026, a billing coordinator at his doctor’s office mentioned the manufacturer patient assistance program for the branded statin. Curtis had no idea the program existed. Within three weeks of applying, he was approved — reducing that one medication’s monthly cost from $247 to $0 for the calendar year.

How Curtis Addressed the Prescription Gap
1
Asked his doctor’s office directly — A billing coordinator flagged a manufacturer assistance program for his branded statin.

2
Requested a formulary exception — His insurer’s appeals process allowed his doctor to submit a prior authorization request to lower the tier classification on one drug.

3
Switched pharmacy for generics — Moved metformin and lisinopril to a national discount pharmacy program, cutting those two costs to roughly $18 combined per month.

4
Began researching Medicare timeline — At 60, Curtis is five years from Medicare eligibility. He started documenting his conditions for future enrollment planning.

The combination brought his monthly prescription spending from $340 down to approximately $93 — still higher than before, but no longer the rupture it had been. “It shouldn’t have taken me three months and a stranger at the front desk to figure that out,” Curtis told me. “That bothers me. Not for me — for the people who never get told.”

What the Numbers Look Like Now

When I asked Curtis to walk me through his current monthly picture, he pulled out a small notebook — handwritten, organized by category. It was the most methodical budget I’d seen from someone who described himself as “not a numbers person.”

Budget Category Before (Oct 2025) After Changes (Apr 2026)
Monthly take-home (est.) $4,850 $4,170
Prescriptions $47/mo $93/mo (down from $340)
Health insurance premium $512/mo $561/mo
Credit card debt payment $210/mo $210/mo (one missed in Feb)
Monthly buffer / savings ~$380 ~$90

The buffer is thin. Curtis knows it. “Ninety dollars,” he said, closing the notebook. “That’s what’s between us and the next thing. I keep telling myself it’s temporary. I just have to make sure it actually is.”

He’s also thinking about the longer horizon. At 60, he’s five years away from Medicare eligibility. According to Medicare.gov, most people become eligible at 65, and the enrollment windows carry consequences if missed. Curtis told me he’s already started a folder — documentation of his diagnoses, his current providers, his coverage history — because he doesn’t want to be caught unprepared again.

“I used to think planning that far ahead was something rich people did. Now I think it’s the only way regular people survive. You have to see it coming before it hits you.”
— Curtis Reeves

The Thing He Won’t Say Out Loud

Near the end of our conversation, one of the daycare’s younger teachers knocked on the door to ask Curtis a question about supply ordering. He handled it in under two minutes — calm, specific, generous with his time. When she left, he watched the door for a moment.

“I’ve got six employees here who depend on this place staying open,” he said. “I’ve got four kids who think everything is fine. And I’ve got Diane, who I tell some of it to, but not all of it. Because she worries, and worrying doesn’t help the numbers.”

That sentence — worrying doesn’t help the numbers — felt like a window into how Curtis has survived every difficult stretch: by translating fear into function. The question I left with was whether that discipline, applied long enough, eventually becomes its own kind of cost.

As I walked out through the daycare’s front room — past the alphabet wall and the plastic bins of building blocks — Curtis was already back at his desk, phone to his ear, solving the next thing. He waved without looking up. I don’t think he expected the wave to be returned. That’s the part I keep thinking about.

Related: She’s 62, Paying $847 a Month for Health Insurance, and Counting Down to Medicare — But the Math Isn’t Adding Up

Related: A Denver Nurse Thought He Made Too Much for Tax Relief — What He Found Out Rewrote His Family’s Budget

Frequently Asked Questions

What can you do if your insurance changes your prescription drug formulary?

When an insurer reclassifies a drug to a higher cost-sharing tier, patients can request a formulary exception or prior authorization through their insurer’s appeals process. Manufacturer patient assistance programs are also available for many branded medications, often reducing costs to $0 for qualifying patients.
How much can a formulary change increase monthly prescription costs?

According to KFF research on marketplace drug cost-sharing, tier reclassifications can increase out-of-pocket costs by hundreds of dollars per month. In Curtis Reeves’s case, his monthly prescription bill jumped from $47 to $340 after a single plan change in January 2026.
When does Medicare coverage start?

According to Medicare.gov, most Americans become eligible for Medicare at age 65. There are specific enrollment windows, and missing them can result in permanent premium penalties. Curtis Reeves, currently 60, began organizing his medical documentation in 2026 to prepare for enrollment in 2031.
Can one missed credit card payment seriously damage a rebuilt credit score?

Yes. A single missed payment can lower a credit score by 50-100 points depending on the account history. Curtis Reeves, who had rebuilt his score from 581 to 694 over four years, missed one payment in February 2026 after his prescription costs suddenly rose to $340 per month.
What are pharmaceutical patient assistance programs and who qualifies?

Many drug manufacturers offer patient assistance programs (PAPs) providing branded medications at little or no cost, typically based on income and current insurance status. Curtis Reeves qualified for one such program that reduced his branded statin cost from $247 to $0 per month after applying in February 2026.

302 articles

Sloane Avery Wren

Senior Benefits Writer covering Social Security, Medicare, and retirement policy. M.P.P. University of Michigan. Former CBPP researcher. NSSA Certified.

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