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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
Jodi Kautzer, EBS in Calumet County, assisted a 61-year-old client with her recently deceased husband's outstanding medical bills of almost $12,000. Jodi was doing a benefits checkup for the client when she mentioned that she was feeling stressed about her recently deceased husband's medical bills that were about to go into collections. Jodi contacted her BSSA first to see if it was okay to help in this instance since EBS are typically not able to work with the estates of clients who are deceased. Jodi's BSSA gave permission to assist in this limited circumstance. Jodi discovered that the spouse was eligible for Medicaid at the time services were rendered, but the provider had not billed Medicaid. Instead, the provider was just going to send the bill to collections. Jodi worked the medical provider to verify Medicaid eligibility and advocated to have the outstanding bills correctly billed to Medicaid. Almost $12,000 in medical bills ended up being covered in full.
Monetary Impact = $12,000
2/22/2023
Story #60