Lifetime Maximum

A lifetime maximum is the total amount your insurance plan will pay for a specific benefit over the course of your life. Once the limit is reached, no further reimbursement is available for that benefit. Lifetime maximums commonly apply to orthodontics, medical equipment, or travel emergency medical coverage.

For example, an orthodontic lifetime maximum might be $2,000, while a travel emergency lifetime maximum could be $5 million. Lifetime limits protect insurers from unlimited long-term exposure while allowing members to plan major expenses realistically.

Example:

If your orthodontic lifetime maximum is $2,000 and you have already received that amount in claim reimbursements, additional orthodontic costs will not be covered in the future.

What to Watch For:

Unlike annual limits, lifetime maximums do not reset. Always verify whether lifetime limits apply per insured person or across your family. Keeping receipts helps track cumulative usage.

Related Terms

Lapsed Policy

A lapsed policy is an insurance contract that has ended because the required premium was not paid within the grace period. Once a policy lapses, coverage stops, and the insurer is no longer obligated to pay any benefits for claims incurred after the lapse date. A lapse can occur in any type of insurance - including health, dental, life, or disability - when the policyholder fails to make a payment by the due date and does not bring the account up to date before the grace period expires.

Laser Eye Surgery Allowance

A laser eye surgery allowance is a vision care benefit included in some health insurance plans that provides reimbursement toward the cost of corrective laser procedures such as LASIK or PRK. These procedures permanently reshape the cornea to improve vision and reduce or eliminate the need for glasses or contact lenses. Because laser eye surgery is considered elective and not medically necessary, it is not covered by provincial health insurance plans, making this allowance a valuable feature in private coverage.

Licence

A licence in the context of insurance refers to the official authorization granted by a provincial or territorial regulatory body that allows an individual or company to sell, advise on, or administer insurance products. Licensing ensures that insurance professionals meet educational, ethical, and legal standards required to operate in their jurisdiction. It protects consumers by ensuring that only qualified and accountable individuals provide insurance advice and services.

Life Insurance

Life insurance is a financial protection product that provides a tax-free lump-sum payment, known as a death benefit, to designated beneficiaries when the insured person dies. It is designed to replace income, pay debts, cover final expenses, or provide financial stability for dependents and loved ones. Life insurance helps ensure that family members can maintain their quality of life and meet ongoing financial obligations even after the loss of the primary earner.

Life Insured

The life insured is the individual whose life is covered under a life insurance policy. If the life insured passes away, the insurer pays the death benefit to the designated beneficiary or to the policyholder, depending on the policy structure. The life insured may or may not be the same person as the policyholder. For example, a spouse, parent, or business partner may own a policy that insures another person’s life.

Have questions about your insurance coverage?

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