Maximum Benefit

Published: | Updated: May 13, 2018

Definition - What does Maximum Benefit mean?

Maximum benefit is the highest amount of insurance money that an insurance company can pay to an insured for a specific period. Beyond this amount, the insured pays for the cost of a product or a service.

Insuranceopedia explains Maximum Benefit

A maximum benefit is usually applied to health insurance. There is a limited insurance amount for certain benefits deemed as non-essential, including dental and oral care.

The passing of the Affordable Care Act in September 2010 exempted essential services from being subject to a maximum benefit. The services deemed essential include medical emergencies, hospitalization, and pregnancy. By law, services like these will always be covered by insurance.


How Well Do You Know Your Life Insurance?

The more you know about life insurance, the better prepared you are to find the best coverage for you.

Whether you're just starting to look into life insurance coverage or you've carried a policy for years, there's always something to learn.

Share this:

Connect with us

Email Newsletter

Join thousands receiving the latest content and insights on the insurance industry.