Lifetime Benefit Limit definition

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.

Lifetime Benefit Limit means the maximum amount of benefits paid by the Company

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."Medical Services"shall mean Medically Necessary services, including, as the context requires, Confinement, treatments, procedures, tests, examinations or other related services for the investigation or treatment of a Disability."Medically Necessary"shall mean the need to have medical service for the purpose of investigating or treating the relevant Disability in accordance with the generally accepted standards of medical practice and suchmedical service must – (a) require the expertise of, or be referred by, a Registered Medical Practitioner; (b) be consistent with the diagnosis and necessary for the investigation and treatment of the Disability; (c) be rendered in accordance with standards of good and prudent medical practice, and not be rendered primarily for the convenience or the comfort of the Insured Person, his family, caretaker or the attending Registered Medical Practitioner; (d) be rendered in the setting that is most appropriate in the circumstances and in accordance with the generally accepted standards of medical practice for the medical services; and (e) be furnished at the most appropriate level which, in the prudent professional judgment of the attending Registered Medical Practitioner, can be safely and effectively provided to the Insured Person. For the purpose of these Terms and Benefits, without prejudice to the generality of the foregoing, circumstances where a Confinement is considered Medically Necessary include, but notlimited to - (i) the Insured Person is having an Emergency that requires urgent treatment in Hospital; (ii) surgical procedures are performed under general anaesthesia; (iii) equipment for surgical procedure is available in Hospital and procedure cannot be done on a Day Patient basis; (iv) there is significantly severe co-morbidity of the Insured Person; (v) taking into account the individual circumstances of theInsured Person, the attending Registered Medical Practitioner has exercised his prudent professional

Examples of Lifetime Benefit Limit in a sentence

• All benefits described in these Terms and Benefits are not subject to any Lifetime Benefit Limit.

• Lifetime Benefit Limit shall only apply to Temporomandibular Joint (TMJ) Syndrome Services as shown in the Benefits Outline.

• This benefit is not subject to Deductible and shall not be counted towards the applicable Annual Benefit Limit and Lifetime Benefit Limit as specified under the Benefit Schedule of WiseGuard Pro.

• This benefit is not subject to Deductible and shall not be counted towards the applicable Annual Benefit Limit and Lifetime Benefit Limit as specified under the Benefit Schedule of This Plan.

• The Lifetime Benefit Limit shall only apply to Morbid Obesity Services as shown in the Benefits Outline.

• Temporomandibular Joint (TMJ) SyndromeBenefits are provided up to the Lifetime Benefit Limit as specified in the Benefits Outline for services, including Surgery and supplies related to orthognathics or to the misalignment or discomfort of the temporomandibular joint, including splinting services and supplies.

• All benefits described in these Terms and Benefits are subject to the Lifetime Benefit Limit as stated in the Benefit Schedule of these Terms and Benefits.

• Full cover shall mean no itemised benefit sublimit, the actual amount of Eligible Expenses and other expenses charged after deducting the remaining Deductible (if any) and is subject to the Annual Benefit Limit and the Lifetime Benefit Limit.

• Where the Standard Plan Terms and Benefits is applicable in accordance with Section (1)(I)(b), any actual benefits reimbursed (i.e. after deduction of any applicable Deductible) in accordance with the Standard Plan Terms and Benefits shall be counted towards the applicable Annual Benefit Limit and Lifetime Benefit Limit as specified under the Benefit Schedule of WiseGuard Pro.

• All benefits described in these Terms and Benefits, except for the death benefit and accidental death benefit as stated in Sections 1 and 2 of the Supplement – Other benefits, are subject to the Lifetime Benefit Limit as stated in the Benefit Schedule of these Terms and Benefits.

More Definitions of Lifetime Benefit Limit

Lifetime Benefit Limit. , or "lifetime limit" means the dollar