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Prairie du Sac, Wis.--In the mid
1990s, with their three teenagers still at home, Gina and
Bill Peterson* were blindsided with a calamity of health problems
that forced each of them to leave work because of disabilities.
They were still in their 40s.
Further health concerns arose and the couple
struggled to stay afloat in a sea of welling medical bills.
Thankfully, a glimmer of hope emerged recently
in the form of Sauk Prairie Memorial Hospital & Clinics'
(SPMHC) Community Care program. Bill and Gina learned the
program would pay their medical bills - now and into the future.
So far, Community Care has paid more than $5,000 in medical
expenses on behalf of the Petersons.
SPMHC's Community Care program assists patients
by paying a portion or all of their medical bills, awarding
more than $1 million in medical bill relief to hundreds of
patients in 2006.
Financial relief came after years of health
problems suffered by both of the Petersons. Their nightmare
began in 1994 when Bill suffered a fractured skull in an industrial
accident, and three years later, brain damage and a broken
back and neck as a result of a motorcycle collision. Gina,
who worked as a nursing assistant at the time, struggled to
care for her disabled husband, mother her three children,
and manage finances and household duties.
"A couple of years after his last accident,
I just got so that I couldn't work anymore and keep up with
everything," she said. "I was so worn out physically
and mentally that I had a breakdown."
Still, the Petersons hadn't yet hit rock-bottom.
Their onslaught of health problems continued to mount, and
this year, culminated in six surgical procedures to treat
a myriad of serious problems. Along with each surgery came
more bills.
In 2007, surgeons repaired herniated disks
in Gina's back and operated on her arthritic shoulder. Between
each procedure, Gina cared for Bill, who underwent four heart
procedures in four months.
"He's had four surgeries since February
to put stents into clogged arteries in his heart and arms,"
she said. And, while Medicare covered the lion's share of
these medical expenses, it didn't cover everything. "We
pay around $200 a month just for prescriptions," she
said. "One bill from surgery was $58,000. Medicare covered
all but $900 of it. I kept paying $50 per month on the medical
bills, but they just kept adding up."
As a low-income couple, the Petersons maintain
they couldn't afford supplemental insurance to pick up costs
not covered by Medicare. They admit, they could barely handle
monthly medication costs. Fortunately, the Petersons discovered
they qualified for Community Care.
"Community Care represents the hospital's
commitment to improving the health of our community,"
said Linda Ward, patient financial specialist at SPMHC. "One
of the most tangible ways we can do this is to recognize people
who may be struggling to pay medical bills. We can help determine
if our patients can get financial help from local, state and
federal healthcare programs and we can help them apply for
our Community Care or other discount programs."
Ward worked closely with Gina to help her
apply for Community Care - an easy process, according to Gina.
"I just completed a sheet outlining our budget and detailed
our income and monthly bills. I am terribly relieved we qualified
because we are low-income and it was very hard to keep up
with our medical expense payments," she said.
How are the Petersons feeling today? Much
better, attests Gina. Not only are they relieved to be free
of their debts, they are gaining strength physically day by
day.
"The MRI of my shoulder showed that
it was full of arthritis and bone spurs," she said. "I
had so much pain I couldn't bend my arm." Thanks to surgery
and therapy, Gina reports her arm is healing well, but the
process is slow. Moreover, surgeons successfully alleviated
80 percent of her back pain as a result of her back surgery
earlier this year.
While Bill still struggles to find his words
as a result of brain damage suffered years ago, Gina said
he is doing well following his heart procedures and that medications
benefit him immensely. It appears there is finally a light
at the end of the tunnel, according to Gina.
*Names changed to ensure patient confidentiality
Do You Qualify for Community
Care?
In less than two weeks, patients of Sauk Prairie Memorial
Hospital & Clinics know whether they qualify for Community
Care financial assistance. For more information call 608-643-7157.
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