Maximum Benefit Limit definition

Maximum Benefit Limit or “Lifetime Limit” means the amount determined by CUA Health or another private health insurer at which no further benefits shall be payable for that person for services.

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Maximum Benefit Limit means the maximum amount, as stated in each Schedule or as notified in writing by MLC from time to time that can be paid for the following specified type of Cover in respect of an individual Insured Member :

Maximum Benefit Limit means the total amount of all benefits payable to, or with respect to, any Participant under the Plan with respect to an Injury. Payments made for each form of benefit shall be counted towards the Maximum Benefits Limit amount. The Maximum Benefit Limit for this plan is $300,000; provided, however, that the aggregate amount of the Maximum Benefit Limits with respect to claims of all Participants arising out of a single Accident, or related series of Accidents, or Occupational Disease or Cumulative Trauma exposure, shall not exceed $1,000,000. Such aggregate amount may proportionally reduce the Maximum Benefit Limit applicable to each Participant involved in such Accident, related series of Accidents, or exposure, in such manner as the Claims Administrator or Appeals Committee may determine (p. 15).

Examples of Maximum Benefit Limit in a sentence

Maximum Benefit Limit of Liability: All limits are applied per person.
The Maximum Benefit Limit may be greater if the Appliances Plan is included with a Combo Plan or Whole Home Plan.
The ACCREDITED PHYSICIAN shall refrain from discussing the member’s coverage, examples: Pre- Existing Conditions (PEC), General Exclusions, Maximum Benefit Limit (MBL) etc.
For the avoidance of doubt, the Maximum Benefit Limit is applied on a per pregnancy basis notwithstanding that the pregnancy period may stretch across more than one Contract Year.
For each month the Company shall compute a Maximum Benefit Limit.
Such Maximum Benefit Limit shall be equal to twenty-three (23) cents per hour worked in the first twelve of the previous thirteen months.
In any month in which there is an outstanding balance of such advances, and the Available Benefit Limit would otherwise exceed the Maximum Benefit Limit, the Company may reduce the additions which would otherwise be made to the Available Benefit Limit pursuant to Paragraph 2, but such reduction shall not reduce the Available Benefit Limit below the Maximum Benefit Limit.

More Definitions of Maximum Benefit Limit

Maximum Benefit Limit. - shall mean the maximum amount payable for the period of the Agreement, per Member per illness or injury per year.

Related to Maximum Benefit Limit

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.
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.
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.
Maximum Benefit means the maximum benefit amount of each of the benefits covered under this Policy as stated in the Schedule of Benefits.
Maximum Benefit Amount means the maximum amount payable for coverage provided to You as shown in the Schedule of Benefits.