Reference no: EM131886520

Mark, age 25, is insured under an individual major medical policy with a lifetime limit of $2 million. The plan has a calendar-year deductible of $500, 80-20 percent coinsurance, and an annual stop-loss limit of $2000. Mark recently had outpatient arthroscopic surgery on his knee, which he injured in a skiing accident. The surgery was performed in an outpatient surgical center. Mark incurred the following medical expenses.

Outpatient X-rays and diagnostic tests $700

Covered charges in the surgical center 9,800

Surgeon’s fee 3,000

Outpatient prescription drugs 300

Physical therapy expenses 700

In addition, Mark could not work for two weeks and lost $2000 in earnings.

1)Based on the above information, how much of the loss will be paid by the insurance company?

2) If Mark’s policy did not contain a stop-loss limit, how much will the insurance company pay? Show your calculations.