Benefit limits definition

Benefit limits means the annual limits and sub limits as spelt out in the medical circular.
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Benefit limits means the specified limitations, exclusions or restrictions applicable to Benefits within a Benefit Period;
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Benefit limits. Physical Medicine: Limited to fifteen (15) visits per calendar year. Speech and Occupational Limited to a combined total of Therapy: fifteen (15) visits per calendar year. Covered Services:
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Examples of Benefit limits in a sentence

  • Select vaccinations shown in the Schedule of Copayments and Benefit Limits administered through certain Participating Pharmacies are an exception to this exclusion.

  • Visit the website at www.bcbstx.com to obtain a claim form.Benefits are limited as indicated on the Schedule of Copayments and Benefit Limits.

  • Provisions of this Certificate include the Schedule of Copayments and Benefit Limits and any amendments, Riders, or attachments, which may be delivered with the Certificate or added later.HMO agrees to provide You coverage for benefits in keeping with the conditions, rights, and privileges set forth in this Certificate.

  • Services may have additional limitations, as indicated on the Schedule of Copayments and Benefit Limits and restrictions or exclusions described in Limitations and Exclusions.Skilled Nursing Facility Services.

  • Drugs dispensed in quantities in excess of the day supply amounts indicated in the Schedule of Copayments and Benefit Limits or refills of any prescriptions in excess of the number of refills specified by the authorized Health Care Practitioner or by law, or any drugs or medicines dispensed more than one (1) year after the Prescription Order date.

  • Select vaccinations shown in the Schedule of Copayments and Benefit Limits administered through certain Participating Pharmacies are an exception to this exclusion.16.

  • The Schedule of Copayments and Benefit Limits describes payment for Infusion Therapy services.

  • Services may have additional limitations as indicated on the Schedule of Copayments and Benefit Limits, and restrictions or exclusions described in Limitations and Exclusions.

  • The Benefit Limits specified in the above clauses in respect of an Insured under this Policy, shall solely and exclusively apply to that Insured.

  • Drugs dispensed in quantities in excess of the day supply amounts indicated in the Schedule of Copayments and Benefit Limits, or refills of any prescriptions in excess of the number of refills specified by the authorized Health Care Practitioner or by law, or any drugs or medicines dispensed more than one (1) year after the Prescription Order date.

Related to Benefit limits

  • Pension Plans The meaning specified in Section 4.1(v).

  • pension means a pension or annual allowance paid under the Public Service Superannuation Act (PSSA), R.S., 1985, c. P-36, and any increases paid pursuant to the Supplementary Retirement Benefits Act, R.S., 1985, c. S-24 as it affects the PSSA. It does not include pensions payable pursuant to the Canadian Forces Superannuation Act, R.S., 1985, c. C-17, the Defence Services Pension Continuation Act, 1970, c. D-3, the Royal Canadian Mounted Police Pension Continuation Act , 1970, c. R-10, and the Royal Canadian Mounted Police Superannuation Act, R.S., 1985, c. R-11, the Members of Parliament Retiring Allowances Act, R.S. 1985, c. M-5, and that portion of pension payable to the Canada Pension Plan Act, R.S., 1985, c. C-8.

  • Pension Plan means any “employee pension benefit plan” (as such term is defined in Section 3(2) of ERISA), other than a Multiemployer Plan, that is subject to Title IV of ERISA and is sponsored or maintained by the Borrower or any ERISA Affiliate or to which the Borrower or any ERISA Affiliate contributes or has an obligation to contribute, or in the case of a multiple employer or other plan described in Section 4064(a) of ERISA, has made contributions at any time during the immediately preceding five plan years.