Maximum Benefit Limit definition

Maximum Benefit Limit or “Lifetime Limit” means the amount determined by CUA Health or another private health insurer at which no further benefits shall be payable for that person for services.

Maximum Benefit Limit means the maximum amount of all benefits payable under the Plan to, or with respect to, any Participant for a single Bodily Injury, and/or with respect to all Participants related to all Bodily Injuries arising from a single Occurrence. The Maximum Benefit Limit per Participant and per Occurrence for this Plan are as shown in the Schedule of Benefits.

Maximum Benefit Limit means the maximum amount, as stated in each Schedule or as notified in writing by MLC from time to time that can be paid for the following specified type of Cover in respect of an individual Insured Member :

Examples of Maximum Benefit Limit in a sentence

• Maximum Benefit Limit of Liability: All limits are applied per person.

• The total payable for all Covered Medical Expenses will be no more than the Maximum Benefit Limit per Sickness or Injury.

• Benefit payments for transplant charges are included under the Organ Transplant Maximum Benefit Limit shown in the Schedule of Benefits.

• Payments for medical expenses, when combined with all other benefits paid under the Plan, will not exceed the Maximum Benefit Limit payable to any one participant for any one occurrence as listed on the Schedule of Benefits in effect on the date of occurrence.

• Medical Expenses, when combined with all other benefits paid under this Plan, shall not exceed the Maximum Benefit Limit per Participant shown in the Schedule of Benefits.

• Benefits are also subject to the Lifetime Maximum Benefit Limit shown on the Schedule of Benefits.

• Optional Upgrades‌ Upgrade – Trip Cancellation for Any Reason‌ If you purchase this optional upgrade, the following Benefit is added to Your Policy, with a Maximum Benefit Limit shown in Your Schedule of Benefits: We will reimburse You up to the amount in the Schedule of Benefits for a percentage of the unused, non- refundable, Pre-paid Payments or Deposits made for Your Travel Arrangements if You cancel the Trip for any reason, provided: 1.

• Notwithstanding any provision in this Plan to the contrary, the total amount payable to any one Participant for all benefits shall not exceed the Maximum Benefit Limit per Participant shown in the Schedule of Benefits, and the total amount payable to all Participants related to all Bodily Injuries arising from a single Occurrence shall not exceed the Maximum Benefit Limit per Occurrence shown in the Schedule of Benefits.

• The Maximum Benefit Limit may be greater if the Appliances Plan is included with a Combo Plan or Whole Home Plan.

• The total benefits paid will not exceed the Maximum Benefit Limit per Participant shown in the Schedule of Benefits.

More Definitions of Maximum Benefit Limit

Maximum Benefit Limit means the total amount of all benefits payable to, or with respect to, any Participant under the Plan with respect to an Injury. Payments made for each form of benefit shall be counted towards the Maximum Benefits Limit amount. The Maximum Benefit Limit for this plan is $300,000; provided, however, that the aggregate amount of the Maximum Benefit Limits with respect to claims of all Participants arising out of a single Accident, or related series of Accidents, or Occupational Disease or Cumulative Trauma exposure, shall not exceed $1,000,000. Such aggregate amount may proportionally reduce the Maximum Benefit Limit applicable to each Participant involved in such Accident, related series of Accidents, or exposure, in such manner as the Claims Administrator or Appeals Committee may determine (p. 15).

Maximum Benefit Limit. - shall mean the maximum amount payable for the period of the Agreement, per Member per illness or injury per year.