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ABC met Rebecca and Brian in the hospital after their newborn son was admitted into a Madison Neo-Natal Intensive Care Unit. Shortly thereafter, their son was diagnosed with Cystic Fibrosis, a diagnosis they had now received for each of their four children. Both Rebecca and Brian worked full-time in their home town of Jefferson, WI, but the health insurance offered through Rebecca’s job didn’t cover the extensive medical services the children required. Brian’s insurance came with a $10,000 deductible, which was the cost of one month’s worth of medication for the children. The family applied for Medicaid coverage through the State, but received a denial.
ABC successfully challenged the insurance denial by proving the state had incorrectly calculated the household income and misapplied the Medicaid deductible rule. ABC then collaborated with the family’s doctor, durable medical equipment provider and pharmacy to ensure the children received the care, breathing devices, pharmaceuticals and enzymes prescribed by their doctor.
Brian wrote an email to the staff attorney that stated “you will never know what your help means to us. You saved our family. We are forever indebted to you.”