What is the “annual maximum benefit” in a dental insurance context?
Show answer and explanation
Correct answer: The highest reimbursable amount insurance will pay in a plan year
The annual maximum is the ceiling on what the insurer will pay in a plan year. Once reached, the patient pays all further costs.
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More Billing, Insurance and Reimbursement questions
- What is meant by “coordination of benefits” (COB) when a patient has multiple dental insurance plans?
- Which step comes first in the dental insurance billing process?
- Why is accurate documentation of completed procedures essential for reimbursement?
- If a dental claim is denied by the insurer, what should the dental office do first?
- Which reimbursement method do many dental practices use for faster payment after services provided?
- Which of the following can cause delays or denials in dental insurance reimbursement?