Question
14. Chris Kyle is a professional bull rider. During the SA Stock Show in January, Chris rides the Texas Whipper and is seriously injured from
14. Chris Kyle is a professional bull rider. During the SA Stock
Show in January, Chris rides the Texas Whipper and is
seriously injured from a bad fall. Nevertheless, he survives
the accident after going to the hospital. Chris remained there
for 60 days of treatment. While in hospital, he incurred the
following expenses: surgical $4500, physician $2000, hospital
room and board $270 per day, nursing services $3200,
anesthetics $900, wheelchair $100, ambulance $150, Rx-drugs
$350. Chris has a major medical policy with a $3000 deductible
clause, an 80% co-insurance provision, internal limits of $180
per day for hospital room and board, and with a $1500 limit for
surgical fees. There are no disability income benefits.
a.Explain the policy provisions as they relate to deductibles,
co-insurance, and internal limits?
b.How much does the insurance pay and how much will Chris pay out-of-pocket?
c. What other protection should Chris have had?
Please show all work. Thanks in advance!
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