Situation
The member sustained severe injuries that required immediate and specialized care at a major trauma center. Due to the severity of their condition, extensive medical treatment and hospitalization were necessary.
As a result of this care, the total medical expenses amounted to $195,000. However, the member’s insurance policy only provided coverage for $70,000, leaving them personally responsible for the remaining balance of $125,000. This substantial financial burden has created a significant challenge for the member as they navigate their recovery.