Benefit Maximum definition

Benefit Maximum means the total dollar limit that Delta Dental will pay toward Covered Services for each Adult Enrollee during a Coverage Period. See Section 6.4.
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Benefit Maximum means the maximum amount that will be paid per participant for a particular benefit in this agreement.
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Benefit Maximum means the total dollar amount of benefits for which the Plan is liable as shown in the Schedule of Benefits.
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Examples of Benefit Maximum in a sentence

  • Total Benefit Maximum - Unlimited $1400 Annual deductible per person for the first and second year of this contract – In Network $2600 Annual deductible per family for the first and second year of this contract – In Network $4000 Annual medical out-of-pocket maximum per person – In Network $8000 Annual medical out-of-pocket maximum per family – In Network 80% coinsurance for most covered services after deductible – In Network Co-payment for doctor office visits only, not to exceed $45.

  • The amount of your Benefit Maximum is shown in the “Benefit Summary.” If you are covered for orthodontic or implant Services, please note that these Services may not count toward your Benefit Maximum.

  • The amount of your Benefit Maximum is shown in the “Benefit Summary.” Benefit Summary.

  • The amount of the benefit and the maximum period for which the benefit is payable shall be as set out in the following schedule: Years of Continuous Full-time Employment with the Company At Least But Less Than Amount of Weekly Benefit Maximum Period First of the month next following date of hire 3 years 75% of basic weekly wage 26 weeks after 3 years 85% of basic weekly wage 26 weeks The weekly benefit shall be determined based on basic weekly wage and service as of the date of commencement of disability.

  • The Swedish PPO Medical Plan includes the Benefit Maximum for Alternative Care (Acupuncture, Massage Therapy) with twelve (12) visits per calendar/plan year.

  • The Swedish PPO Medical Plan includes the Benefit Maximum for Chiropractic Care with twelve (12) visits per calendar/plan year.

  • Your Lifetime Benefit Maximum is calculated by adding up the Charges for all orthodontic Services we covered under this rider or under any other EOC with the same group number printed on the EOC to which this rider is attached, and subtracting any Deductible, Copayments, and Coinsurance you paid for those Services.

  • For purposes of this rider, a Lifetime Benefit Maximum means we will not cover more than the amount shown in the “Orthodontic Services Rider Benefit Summary” for all covered Services during your lifetime.

  • For purposes of this rider, a Lifetime Benefit Maximum means we will not cover more than the amount shown in the “Orthodontic Services Rider Plan Benefit Summary” for all covered Services during your lifetime.

  • Benefit Maximum Benefit Payable Medical Emergency Insurance $2,000,000 per Insured Person per Covered Trip.

Related to Benefit Maximum

  • Maximum Benefit Amount means the maximum amount payable for coverage provided to You as shown in the Schedule of Benefits.

  • Annual Benefit Limit means the maximum amount of benefits paid by the Company to the Policy Holder in a Policy Year irrespective of whether any limits of any benefit items stated in the Benefit Schedule have been reached. The Annual Benefit Limit is counted afresh in a new Policy Year.

  • Benefit Amount shall have the meaning set forth in Section 20.12 hereof.

  • BENEFIT LIMIT means the total benefit allowed under this plan for a covered healthcare service. The benefit limit may apply to the amount we pay, the duration, or the number of visits for a covered healthcare service.

  • Lifetime Benefit Limit means the maximum amount of benefits paid by the Company to the Policy Holder cumulatively since the inception of these Terms and Benefits, irrespective whether any limits of any benefit items stated in the Benefit Schedule have been reached or whether the Annual Benefit Limit in a Policy Year has been reached.