Calendar Year Maximum definition

Calendar Year Maximum means the greatest amount the Company will pay in a calendar year for Covered Services. The maximum amount the Company will pay in a calendar year for ALL adult Covered Services is listed in the Schedule of Benefits. NOTE: Calendar Year Maximum is only applicable to Covered Persons age 19 and older and does not apply to Pediatric Covered Persons through age 18.

Calendar Year Maximum means the greatest amount the Company will pay in a calendar year for Covered Services. The maximum amount the Company will pay in a calendar year for ALL Covered Services is listed in the Schedule of Benefits.

Calendar Year Maximum means the total amount paid for covered dental expenses, which may be provided within a Calendar Year to a Covered Person in accordance with the Usual, Customary and Reasonable Charges. This maximum is also separate from (in addition to) the Calendar Year Maximum that applies to Comprehensive Medical Benefits.

Examples of Calendar Year Maximum in a sentence

• Covered Services may be limited to a Calendar Year Maximum if indicated in the Benefit Schedule.

• Such Benefits do not apply toward and are not limited by Your prescription drug Calendar Year Maximum, if any.Limitations A Covered Person is eligible for Benefits for retransplantation as deemed Medically Necessary and appropriate by Us. Review for a retransplantation request will include review of the Covered Person’s compliance with relevant transplant selection criteria including, but not limited to, adherence to medication regimens and abstinence from the use of alcohol and drugs.

• These services are not limited and do not apply to the Calendar Year Maximum indicated in the Benefit Schedule.

• The benefit amount may be reduced so that the amount payable does not exceed the Calendar Year Maximum or Policy Maximum.

• Covered Services in this category contribute to the calculation of the Calendar Year Maximum.

• Once a Calendar Year Maximum for a specific Covered Service is met, no more Benefits for such Covered Services will be provided during the same Calendar Year.

• Please refer to the Prescription Drug List for a listing of drugs that do not apply toward the Calendar Year Maximum.

• Covered Services are limited to a Calendar Year Maximum if indicated in the Benefit Schedule.

• Covered Services for therapy services combined (including evaluation) may be limited to a Calendar Year Maximum if indicated in the Benefit Schedule.

• Once the amount of benefits payable under the policy during a Calendar Year reaches the Calendar Year Maximum, no more benefits will be payable for the remainder of that Calendar Year.