A limit on the total amount of benefits you can collect from your health insurance company in a lifetime. Insurers can place a total lifetime limit (or cap) on benefits, or give certain benefits limits, or both. Once the lifetime limit is met, the insurance company will stop paying for your covered medical care. Examples of lifetime limits are: having a total limit of $1 million lifetime cap, or a limit on certain benefits such as a $200,000 lifetime limit on organ transplants, or one gastric bypass surgery in a lifetime.
Individuals who need medical and non-medical care who cannot perform simple tasks of daily life, such as bathing and dressing themselves need long-term support. These services can take place in a person’s home, in their community, or in an assisted living or nursing facility. These services are not covered by health insurance or Medicare.
1. HealthInsurance.org, “Health insurance glossary”. http://www.healthinsurance.org/glossary/
2. HealthCare.gov, “Glossary – L”. http://www.healthcare.gov/glossary/l/index.html