Coverage limit
The coverage limit of an insurance policy corresponds to the maximum amount that the insurer will be willing to pay for a covered claim. Once this limit is reached, the insured must pay all health costs for the remainder of the policy term. In general, the more complete the cover, the higher the limits of the guarantee. But unfortunately, it is not always so simple.
What are the different types of limits?
The first important limit is the annual limit. According to the general definition of a limit, the annual limit will define the amount that the insurance will pay for a year of subscription. They are expressed in dollars/euros or the number of visits to a healthcare provider. The insured then pay all excess costs, until the end of the subscription.
The cumulative lifetime cap follows the same logic, but there is no time limit, which means that the insurance company will pay the covered benefits for the duration of the membership (which can cover the whole existence of an insured in certain cases), below the fixed amount.
Please note that annual limits apply to most health insurance plans. Make sure you have the correct information about the aggregate limit before entering into a contract with an insurance company. Do not be afraid to ask for more details if ever the documents you received from your insurance company do not seem clear enough.
What limits in health insurance plans?
Health insurance policies cover different types of treatments and medical conditions, which means there are often multiple coverage limits within a single policy. Your policy may therefore have an annual limit, as well as sub-limits for a specific covered service.
Don’t forget either that certain treatments can be grouped in a single category (for example all dental treatments) which will itself be subject to an annual ceiling. If during the term of your registration, you benefit from several types of dental treatment, such as routine treatments and more expensive operations, then you may have to pay the excess costs. This will occur if the combined annual limit for dental treatments is reached.
What are the limits of my coverage with a Foyer Global Health plan?
We have chosen, for the sole benefit of our policyholders, not to apply an overall limit to all of our international health insurance coverage. This means our policyholders don’t have to worry about any annual limit or lifetime cap. We pride ourselves on offering full transparency to all the ex-pats we insure, with no hidden limits.
We give you an exhaustive list of all the sub-limits that are applied to our various services. You can thus find out about the sub-limits specific to each of our coverages in the comparative table. They are either expressed as a maximum amount per life/day, or as a maximum number of sessions.
In summary, until there is an indication of coverage limits applied to a specific covered treatment, there is simply no limit at all for that same treatment. In addition to the limits, we invite you to read our next article on the waiting period during which the insured is not yet covered for a specific treatment.
If you have any questions about Foyer Global Health international health insurance, please let us know, we will be happy to answer them. You can also read the articles on our blog relating to the vocabulary of health insurance, and more specifically those dealing with the moratorium clause or medical assistance.
