Question: Jasper Bell was a self-employed window washer earning approximately $700 per week. One day, while cleaning windows on the third floor of the Third National
Jasper Bell was a self-employed window washer earning approximately $700 per week. One day, while cleaning windows on the third floor of the Third 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 56 days of treatment, after which he was released to go home for further recuperation. During his hospital stay, he incurred the following expenses: surgeon, $7,800; physician, $1,900; hospital bill for room and board, $300 per day; nursing services, $1,400; anesthetics, $600; wheelchair rental, $100; ambulance, $150; and drugs, $350. Jasper has a major medical policy 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 $1,400 as a maximum surgical fee. The policy provides no disability income benefits.
How much should Jasper expect to receive from the insurance company?
How much must he pay out of his own pocket?
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