A deductible is the dollar amount of covered dental expenses you must pay during the year before benefits are paid by The Guardian. An annual maximum is the maximum amount your dental plan will pay in benefits during the year. Both are generally based on the calendar year. Deductibles and annual maximums apply to each covered person.

annual maximum is the maximum amount your dental plan will pay in benefits during the calendar year or plan year. Most companies select calendar year, which is January 1st through December 31st, however some select a plan year that corresponds to when their group's benefits renew (or open enrollment). A deductible is the dollar amount of covered dental expenses you must pay during the year before plan benefits are paid and normally applies to Basic and Major Services. See similar questions...

The deductible is a calendar year deductible, and has to be satisfied for 2006, and a new deductible will begin on 1/1/2007. The maximum annual benefit on the plan is $1000 per calendar year. All participants will have $1000 maximum benefit for services between 10/1/06 and 12/31/2006, and will get a brand new $1000 maximum benefit on 1/1/2007. See similar questions...

annual deductible is the amount of money that you need to pay for covered services each calendar year before Providence Health Plan will begin paying for coverage. The deductible will not apply to all covered services. For instance, if you receive services from a personal physician/provider, PHP will provide coverage for those services before your deductible is met. Likewise, any copayments you make for these services that are covered will not apply toward meeting your deductible. See similar questions...

Under the Dental Expense Plan, the most the plan will pay for any one person per calendar year is $3,000. This maximum applies to all eligible services except orthodontics, which has a separate $1,000 lifetime benefit maximum. Members of Dental Plan Organizations (DPOs) are not subject to annual benefit maximums. See similar questions...

annual maximum the maximum dollar amount an insurance company will pay over the benefit of a year for all covered expenses. Don't sue us! Fractured Atlas is not an insurance company. We're also not lawyers, brokers, agents, doctors, or anyone else qualified to give professional advice. We try our best to be helpful, but take anything written here with a handful of salt. See similar questions...

Rather than paying a deductible for every claim that is made, our deductible applies only to the initial claims submitted in a policy year. The total sum of the member's claims will amount to the deductible level that they have selected before the policy begins to reimburse claims for treatment received. Thereafter, HealthCare International will reimburse any further claims for the rest of the policy year, subject to the benefits of the policy that the member has selected. See similar questions...

We encourage you to consult with your tax advisor and/or employer about the tax treatment of AccessMD fees. See similar questions...

You can check on the Subscriber Connection. You must register first. Or you can call our automated phone system at 800-323-1743. You can also contact Customer Service through this number. See similar questions...

The standard annual plan maximum is $1,000,000 per person per calendar year with a life time maximum of $2,000,000 per person. Additional limits are available in most cases as required. We have been told that the current actuarial "unlimited" maximum equates actuarially to a $2,500,000 maximum limit. See similar questions...

Incorporated companies and organizations are permitted to set their own reasonable maximum annual limits. Sole Proprietorships have an imposed maximum annual limit. Refer to our website’s page on Eligibility, or call the MediDirect® offices for details. See similar questions...

Once a subscriber has accumulated the annual out of pocket maximum amount on a Kaiser Permanente plan, they will not be required to pay any more copayments for doctor visits, hospital stays, surgery, etc. for the remainder of the calendar year. The expenses the subscriber will have (for the remainder of the calendar year) are the monthly premiums and the copayments for prescription drugs. See similar questions...

When you enroll in the Premium Dental Buy-up plan that includes the orthodontic benefit, Delta Dental will coordinate the amount paid under your previous dental carrier and apply it to the lifetime orthodontic maximum of $1,500. Delta Dental will pay 50% of any amount remaining up to the lifetime maximum. Please have your dental office submit a treatment plan to Delta Dental to prorate any remaining benefits. See similar questions...

All International Medical Insurance Plans allow you to choose a Deductible. This is the first amount which you must pay towards the cost of any claim. The Deductible can be as low as USD 40 or as high as USD 5,000. The advantage of the Deductible is that it keeps the premium down and reduces the administration cost since small claims will not be covered. See similar questions...

Yes, we are anticipating a report from your prior carrier at the end of August that will show how much deductible was already satisfied this year. You will be given full credit for any deductible carry over. Board of Education: Cynthia L. Bratz, Pres | Rosemary C. Gulick, VP | Karen S. Dendorfer | J. Kevin Kelley | Kathleen A. Petro Dr. Sarah C. Zatik, Superintendent | Dr. Christina M. Dinklocker, Deputy Superintendent of Operations See similar questions...

Your dentist should submit a pre-determination to Sun Life prior to having the dental work done in order to assess how much will be covered by the plan and how much is your responsibility. For further information on pre-determinations, please refer to Making Claims. See similar questions...

A deductible is the amount that you agree to pay towards the cost medical treatment. Your deductible options can help you to keep your premiums low and increase the flexibility of a plan. Please refer to our Deductibles page for more information. See similar questions...