When one of our patients contacted me to tell me about his loss of the Commonwealth Care coverage that he'd had for about three months, I was surprised, to say the least. It was the middle of the month, so it wasn't a technical coverage cut-off; he had paid his premium, was undergoing treatment with the Visiting Nurses Association (VNA) and getting medication from the pharmacy. You can imagine his surprise, among other emotions, when the VNA and the pharmacy told him that his coverage was no longer active and they couldn't help him.