Maximum Benefits definition
Examples of Maximum Benefits in a sentence
Deductibles, Annual Maximum Benefits, and Maximum Out-of-Pocket Expense Deductibles, Annual Maximum Benefits and Maximum Out-of-Pocket Expense Network Dentists Non-network Dentists You Pay You Pay The annual maximum benefit amount we pay for covered dental services per member per plan year.
In the event of death of the Insured Person that is caused by Injury inflicted during a Kidnapping while the Insured Person is traveling outside of Hong Kong during the Policy Period, the Company shall pay up to the Maximum Benefits stated in the Schedule of Benefits.
You can at any time after the Policy is issued, conditioned on Your continued good health, apply for increases in daily benefit levels and/or increases in Lifetime Maximum Benefits.
Specifications: Network Maximum Benefits Unlimited Deductibles $100/$200 Accumulation Period Calendar Year Co-Insurance Provision 80% 80% by the insurance carrier and 20% by the patient up to a yearly maximum out-of-pocket of $500 per individual or $1,000 for two or more family members.
All Lifetime Maximum Benefits will be increased by the same percentage.
However, in the case that the Insured terminates the Insurance Policy under 1) and the Company has completely paid the Maximum Benefits per Policy Year (If any) as indicated in the Benefit Schedule, the Company shall not refund the insurance premium.
When required by the Insured as a result of a covered Accident or Sickness, we cover special employment training up to $150 per day for accommodation in a hotel and meals up to the amount stated in the Schedule of Maximum Benefits.
When the Insured is dead or confined to a prison or penitentiary, the Company shall refund the insurance premium to the beneficiary after proportionate deduction of the insurance premium for the period of prior enforcement of this Insurance Policy unless the Company has fully paid all benefits at the Maximum Benefits per Policy Year as indicated in the Benefit Schedule.
When deemed essential on an emergency basis and accompanied by a written referral from a Physician, the services of a licensed chiropractor, osteopath, physiotherapist, athletic therapist, or registered nurse to a maximum of $100 per visit up to the amount stated in the Schedule of Maximum Benefits for all providers.
The Company agrees to pay maternity benefits that cover expenses incurred in a Hospital, Inpatient childbirth, and Physician's fees for each pregnancy and child delivery, according to the actual amount but not exceeding the Maximum Benefits per Policy Year as specified in the Benefit Schedule.