Question
Assignment below : Zach Carey was a self-employed window washer earning approximately $700 per week. One day, while cleaning windows on the eighth floor of
Assignment below:
Zach Carey was a self-employed window washer earning approximately $700 per week. One day, while cleaning windows on the eighth floor of the Second National Bank Building, he tripped and fell from the scaffolding to the pavement below. He sustained severe multiple injuries but miraculously survived the accident. He was immediately rushed to the local hospital for surgery. He remained there for 60 days of treatment, after which he was allowed to go home for further recuperation. During his hospital stay, he incurred the following expenses: surgeon, $2,500; physician, $1,000; hospital bill for room and board, $250 per day; nursing services, $1,200; anesthetics, $600; wheelchair rental, $100; ambulance, $150; and drugs, $350. Zach has a major medical policy with Medical Benefits Corporation that has a $3,000 deductible clause, an 80 percent co-insurance clause, internal limits of $180 per day on hospital room and board, and $1,500 as a maximum surgical fee. The policy provides no disability income benefits.
Your assignment is to evaluate Zach Carey's medical insurance program. After reading his situation there are four questions. I want you to answer question 4. However, the type of information requested in questions 1-3 is what should be considered in answering question 4.
1. Explain the policy provisions as they relate to deductibles, co-insurance, and internal limits.
2. How much should Zach recover from the insurance company? How much must he pay out of his own pocket?
3. Would any other policies have offered Zach additional protection? What about his inability to work while recovering from his injury?
4. Based on the information presented, how would you assess Zachs health care insurance coverage? Explain.
Your assignment is to evaluate Zach Carey's medical insurance program. After reading his situation there are four questions. I want you to answer question 4. However, the type of information requested in questions 1-3 is what should be considered in answering question 4.
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