Annual Benefit Limit definition

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.

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

Annual Benefit Limit means the cap on the Member’s benefits that Affinity will pay in a calendar Year. Annual Limits can be placed either on specific services as an annual amount for covered services or on the number of visits that will be covered for a particular service. The number of Dependants on the Policy will determine the amount as well as the type of benefit. After the Limit is reached, all additional associated healthcare expenses will be for the Member's account.

Examples of Annual Benefit Limit in a sentence

• Annual Benefit Limit $1,500/individual Annual Deductible $10/individual Preventative Services Benefit (exams, cleanings, and bitewing X-rays every 6 months) 100%** Basic Services Benefit (amalgam and resin fillings) 80%** Major Services Benefit (crowns, root canals, extractions, periodontal treatments, dentures) 80%** Orthodontia Lifetime Benefit (dependent child only) $2,000 (50% payment up to $2,000) * If a discrepancy exists between this summary and the plan document, the plan document will govern.

• Deductibles None Actuarial Value 85.2% Out of Pocket Maximums Individual Child- $350 Office Copay No Charge Waiting Period None Annual Benefit Limit None Professional Services Copayments vary by procedure and can be found on the 2022 Member Copayment Schedule, included.

• Deductibles None Actuarial Value 85.70% Out of Pocket Maximums Individual Child- $350 Office Copay No Charge Waiting Period None Annual Benefit Limit None Professional Services Copayments vary by procedure and can be found on the 2019 Member Copayment Schedule, included.

• Deductibles None Actuarial Value 84.33% Out of Pocket Maximums Individual Child- $350 Office Copay No Charge Waiting Period None Annual Benefit Limit None Professional Services Copayments vary by procedure and can be found on the 2023 Member Copayment Schedule, included.

• Deductibles None Actuarial Value 85.00% Out of Pocket Maximums Individual Child- $350 Office Copay No Charge Waiting Period None Annual Benefit Limit None Professional Services Copayments vary by procedure and can be found on the 2021 Member Copayment Schedule, included.

• Family Dental HMO Children (up to Age 19) Adult (Age 19 and older) Deductibles None None Out of Pocket Maximums Individual Child- $350 Not Applicable Two or more Children in a family - $700 Not Applicable Office Copay No Charge No Charge Waiting Period None None Annual Benefit Limit None None Professional Services Copayments vary by procedure and can be found on the 2017 Member Copayment Schedule, included.

• Family Dental HMO Children (up to Age 19) Adult (Age 19 and older) Deductibles None None Actuarial Value 84.33% Not Calculated Out of Pocket Maximums Individual Child- $350 Not Applicable Two or more Children in a family - $700 Not Applicable Office Copay No Charge No Charge Waiting Period None None Annual Benefit Limit None None Professional Services Copayments vary by procedure and can be found on the 2023 Member Copayment Schedule, included.

• Family Dental HMO Children (up to Age 19) Adult (Age 19 and older) Deductibles None None Actuarial Value 85.2% Not Calculated Out of Pocket Maximums Individual Child- $350 Not Applicable Two or more Children in a family - $700 Not Applicable Office Copay No Charge No Charge Waiting Period None None Annual Benefit Limit None None Professional Services Copayments vary by procedure and can be found on the 2022 Member Copayment Schedule, included.

• Family Dental HMO Children (up to Age 19) Adult (Age 19 and older) Deductibles None None Actuarial Value 85.70% Not Calculated Out of Pocket Maximums Individual Child- $350 Not Applicable Two or more Children in a family - $700 Not Applicable Office Copay No Charge No Charge Waiting Period None None Annual Benefit Limit None None Professional Services Copayments vary by procedure and can be found on the 2019 Member Copayment Schedule, included.

• Family Dental HMO Children (up to Age 19) Adult (Age 19 and older) Deductibles None None Actuarial Value 85.00% Not Calculated Out of Pocket Maximums Individual Child- $350 Not Applicable Two or more Children in a family - $700 Not Applicable Office Copay No Charge No Charge Waiting Period None None Annual Benefit Limit None None Professional Services Copayments vary by procedure and can be found on the 2021 Member Copayment Schedule, included.

More Definitions of Annual Benefit Limit

Annual Benefit Limit means the limit described in Section II.A.1 of this regulation.

Annual Benefit Limit means the limit described in section 415(b) of the Code (modified for any Plan Year to reflect the

Annual Benefit Limit means the limit described in section 415(b) of the Code (modified for any Plan Year to reflect the cost-of-living adjustment under section 415(d) of the Code for such Plan Year and modified to reflect the compensation limit of section 401(a)(17) of the Code after applying the cost-of-living adjustment for such limit for such Plan Year).

Annual Benefit Limit means the limitations described in sections -------------------- 415(b) and 415(e) of the Code. 2.04 "Beneficiary" means the Participant's beneficiary under the Master ----------- Plan, except to the extent that the Beneficiary is receiving a benefit under the Master Plan pursuant to a qualified domestic relations order as defined in section 414(p) of the Code.

Annual Benefit Limit means the limit described in Section 2(a) of this Appendix.

Annual Benefit Limit means the limit described in Section 26.3-A.1.