Maximums definition

Maximums means the largest total amount of claims per person established by the employee health care benefit plan which the county or school district is obligated to pay.
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Examples of Maximums in a sentence

  • The terms of this Agreement, including but not limited to Benefits, Deductibles, Copayments, Coinsurance, Out-of-Pocket Maximums and Premiums are subject to change at any time.

  • Purchase Maximums- The maximum allowable for a single purchase is under $250,000.

  • However, if you replace an Oscar product with another Oscar product, the level of deductible(s) and Out of Pocket Maximum(s) which you satisfied will be transferred to your new Oscar product.

  • Course Maximums for Faculty Whose Work is Measured in Workload Units and Number of Course Sections For faculty members whose workload is based on course section counts, the maximum number of course sections that any instructor may be assigned shall be five (5) per semester, to a maximum of ten (10) course sections per year.

  • Out-of-Pocket Maximums are accumulated separately for In-Network and Out-of-Network Care.

  • Review the SUMMARY OF BENEFITS, the sections called WHAT IS COVERED – MEDICAL and WHAT IS COVERED – PRESCRIPTION DRUGS for information on Deductibles, Out of Pocket Maximums, Copayments/Coinsurance and any per day, Year or visit limits that may be applied to a particular benefit.

  • Deductibles, Out-of-Pocket Maximums and visit limits will fully reset on January 1st of each year.

  • Refer to the Out-of-Pocket Expenses and Maximums section of this SPD for more details.

  • However, if You replace an Oscar product with another Oscar product, the level of Deductible(s) and Out-of-Pocket Maximum(s) which You satisfied will be transferred to Your new Oscar product.

  • Out-of-Pocket Maximums are accumulated separately for In-Network and Out-of-Network Care as defined in the Summary of Benefits and Coverage.