Maximum Lifetime Benefits

There is no dollar limit on the amount Options 1 and 2 would pay for covered benefits while you and your covered dependents are enrolled in the Medical Plan.

However, there is a $10,000 lifetime infertility services maximum provided by the Medical Plan ($30,000 if you and/or your covered dependent contact WINFertility and complete a nurse consultation).

There is also a lifetime limit of 365 days for in- or out-of-network care in a skilled nursing facility. The infertility services and skilled nursing facility lifetime maximum benefits apply to both in-network and out-of-network care.

An Important Note on the Option 1 and Option 2 Benefit Maximums

The benefit maximums for infertility services and skilled nursing facility care reflect services received across the following plans:

Medical Plan Option 1.

Medical Plan Option 2.

You do not gain a new benefit maximum if you switch your coverage between options or health care companies.