Lifetime limits

A lifetime limit is the maximum amount a health plan will pay for your care. When that limit is reached, you must start paying out of pocket. Since the Affordable Care Act was passed, lifetime limits are no longer allowed. However, plans can still place limits on specific services, such as 20 physical therapy sessions or one annual eye exam, or require pre-authorization before getting some services.


WebMD Medical Reference Reviewed by Sarah Goodell on June 19, 2019
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