Images of Obamacare in Floyd County, Ky.

Pharmacy technician Kasey Adkins points out the home of a patient to a colleague while delivering prescriptions to patients in Floyd County, Ky.

Homes are seen nestled in the hills in Floyd County, Ky. The remote mountain community is a high-stakes testing ground for the Affordable Care Act, with more to gain than most places and more stumbling blocks.

The remote mountain community of Prestonsburg in Floyd County, Ky.

Eula Hall, 86, works from her office at the clinic in Grethel, Ky., that she founded in the 1970s for poor residents with nowhere else to get care. Hall remains uncertain about the implications of Obamacare.

Mobile homes are seen nestled in the hills in Floyd County, Ky.

Mary Murphy is seen by Dr. Rasiah Narendrakumar for a sore throat at Eula Hall Health Center in Grethel, Ky. A blood clot festered in Murphy?s leg for 15 years because she couldn?t afford to fix it.

Kynect Kentucky Health Insurance Program kynector Arvella Wilson works out of a small office at the Mountain Comprehensive Care Center in Martin, Ky. A kynector's role is to assist Kentucky residents and small businesses with comparing insurance options and completing enrollment.

Kynect Kentucky Health Insurance Program kynector Arvella Wilson helps Brett Rogers, 24, of Prestonburg, Ky., with enrollment. Rogers had previously attempted to enroll online but ran into technical issues.

Melinda Watson, 40, works in a Subway restaurant in Prestonsburg, Ky. She hasn’t been able to afford insurance because she has epilepsy. The ACA’s policy on pre-existing conditions should have solved that problem, but now she’s afraid her Subway hours will be cut back, and she’ll have to get a second job.

Dr. Heather Whitt, a dentist, right, discusses prices for potential dental procedures with Anita Slone at Eula Hall Health Center in Grethel, Ky.