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Amanda Higgins, EBS in Dodge County, recently helped a client who was initially referred to her for help with insurance issues. The client is not eligible for premium-free Part A and had a Marketplace plan with a high deductible. Moreover, she was facing bills of over $90,000 after receiving out-of-network care for a stroke. Amanda helped the client apply for financial assistance, which resulted in a significant percentage of the bills being written off. Amanda then helped the client set up a payment plan for the remainder of the amount owed. In addition, Amanda counseled the client about choosing a 2024 Marketplace plan that would be a better fit for her care needs, and the client met with an agent to enroll in a plan for next year. Finally, although the client was over the asset limit for Medicaid, thanks to Amanda's assistance, the client is now receiving $171/month in FoodShare.
11/30/2023
Story #130
Brittany Boyer, EBS of Marathon and Wood counties, recently helped a client obtain FoodShare, MAPP, and SLMB benefits. The client met all eligibility requirements, however, he was having difficulty providing verifications for his Veterans pension and his child support obligation from another state. Brittany assisted the client to the extent she was able, but ran against roadblocks both with the VA and with the out-of-state court. Brittany wrote a letter to IM citing that it must help a client with hard-to-obtain verifications, and cannot deny a benefit when information is difficult to prove (MEH 20.5). IM agreed with Brittany's letter and awarded the benefits to the client.
9/29/2023
Story #110