BENEFIT LIMIT definition

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.
BENEFIT LIMIT means the Maximum Benefit Payable as stated in the Coverage Outline of the Policy Schedule.
BENEFIT LIMIT means the maximum benefit amount allowed for certain covered health care services. It may limit the duration or the number of visits for covered health care services. See the Summary of Benefits for details about any benefit limits. BLUECARD is a national program in which all Blue Cross and Blue Shield plans participate. It benefits subscribers who receive covered health care services outside their own plan's service area. See Coverage for Services Provided Outside of the Service Area (BlueCard) section for details. CALENDAR YEAR means a 12-month period beginning on January 1st and ending December 31st.

Examples of BENEFIT LIMIT in a sentence

  • SERVICE BENEFIT LIMIT Psychiatric Inpatient Hospital Services (including physician services) As medically necessary.

  • SERVICE BENEFIT LIMIT Inpatient Hospital Services Medicaid/Standard Eligible, Age 21 and older: As medically necessary.

  • SERVICE BENEFIT LIMIT Physical Therapy Medicaid/Standard Eligible, Age 21 and older: Covered as medically necessary when provided by a Licensed Physical Therapist to restore, improve, or stabilize impaired functions.

  • MAXIMUM BENEFIT LIMIT (MBL)The Maximum Benefit Limit per person per illness or injury per year will depend on theMember’s Room Accommodation:Suite – Php250,000 or Php 500,000 Private – Php120,000 Semi-Private – Php100,000 Ward – Php75,000 PHILHEALTH PROVISIONThe Company’s program is integrated with benefits under PhilHealth and/or Employees Compensation Commission (ECC).

  • SERVICE BENEFIT LIMIT Private Duty Nursing Medicaid/Standard Eligible, Age 21 and older: Covered as medically necessary in accordance with the definition of Private Duty Nursing at Rule 1200-13-13- .01 (for TennCare Medicaid) and Rule 1200-13-14-.01 (for TennCare Standard), when prescribed by an attending physician for treatment and services rendered by a Registered Nurse (R.N.) or a licensed practical nurse (L.P.N.) who is not an immediate relative.


More Definitions of BENEFIT LIMIT

BENEFIT LIMIT means the total benefit allowed under this plan for a covered dental service. The benefit limit may apply to the amount we pay, the duration, or the number of visits for a covered dental service.
BENEFIT LIMIT means the monetary limit for each authorised Claim under this Mechanical Breakdown Insurance indicated on the Certification of Cover, and also as set out in the Limits of Liability (Section 6) of this Mechanical Breakdown Insurance document.
BENEFIT LIMIT. The maximum benefit limit is $1,000 per Term. Any repair or replacement charges beyond Your benefit limit are Your responsibility. What’s Not Covered: We will not be responsible for any of the following:
BENEFIT LIMIT means the monetary limit for each authorised Claim under this Mechanical Breakdown Warranty indicated on the Product Schedule, and also as set out in the Limits of Liability (Section 6) of this Mechanical Breakdown Warranty document.
BENEFIT LIMIT means the maximum amount payable during the policy period under your policy for the cover selected.
BENEFIT LIMIT means the maximum amount payable during the policy period under your policy for each type of cover selected.
BENEFIT LIMIT means the limit on benefits under the MAP or the Savings Plan imposed by Section 415 of the Code.