Table 5.

Financial Challenges During the COVID-19 Pandemic

Themes	Exemplar Quotes From Participants’ Interviews
General financial challenges due to the COVID-19 pandemic
Maintaining health insurance due to job losses.	“… so, like with my Medicaid with health insurance, that kind of financial thing because of the cost of my health insurance right now, it is. It's currently my state has a Medicaid program. It's free. But I don't know, it's going to start costing money. And if I don't have a job, how many of you will pay for that? So that's something that's up in the works. It's in the works right now trying to figure out how to keep my coverage. Beyond its coverage only goes until the end of June. I want to kind of know what my options are between June 30. And when I go back to August third the month of July, basically, yeah.” - Transplant Patient 2
Losing employment.	“The loss of the job and not being able to pursue one. I have worked since I was 16 years old. And I have never, even with my transplant, I was out of work for about 5 wk and was back. So, this has been frustrating in that sense.” - Transplant Patient 112
Due to actions taken to prevent exposure to COVID-19
Being unable to work.	“I was an executive chef for a Hilton. I couldn't be at work on advice of my kidney coordinators because it's an international travel.” - Transplant Patient 13 “I cannot go outside to work, because my job is like deliveries, and I have to, like, see a lot of people. And then I have to, you know, take their car to park. And then I have to send, I have to hand my machine to them and bring it back. I cannot do that, you know, because it's really hard to be careful … Yeah. I cannot go work.” - Transplant Patient 88
Being unable to seek home repair support and childcare support.	I wish I could get a handyman in to do all that stuff. But I don't want a guy in. I don't want anybody in my house.” - Transplant Patient 10 “And again, because I have a partner who I live with, and we are coparents, we can split childcare duty, because I can't send my son who's 3 to daycare, even after the daycare is reopened, because, you know, he's already, there's already been a COVID positive at his daycare. I mean, he hasn't been since March. But like childcare is really hard.” - Transplant Patient 1022

Abbreviation: COVID-19, coronavirus disease 2019.