Policy Maximum

Updated: 31 December 2024

What Does Policy Maximum Mean?

A policy maximum is the highest amount that an insurance policy will pay for covered services or expenses. This limit varies depending on the plan and can apply annually, per term period, per incident (such as an injury or illness), or as a lifetime maximum.

It is also referred to as a policy limit, maximum limit, or maximum coverage.

Insuranceopedia Explains Policy Maximum

The policy maximum appropriate for each policyholder depends on the type of insurance and their individual circumstances. An insurer is not obligated to pay beyond the maximum limit within the specified time period. Consequently, any claims made by the policyholder count toward this limit. Once the limit is reached, the insurer is no longer responsible for covering additional expenses. For example, if a travel insurance policy has a policy maximum of $50,000 and the policyholder incurs expenses totaling $60,000, the insurer is only liable for up to $50,000.

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