Per-Practitioner Annual Maximum (Paramedical)
The per-practitioner annual maximum is the total amount your plan will reimburse for services from one specific type of provider in a single benefit year. For example, if your plan pays up to $500 for massage therapy annually, once that amount is reached, additional treatments from that provider type are no longer covered until the next year.
This rule helps control overall plan costs while still offering flexibility to access multiple types of care under separate limits.
Example:
If your annual limit per practitioner is $500 and you have used $300 for physiotherapy and $500 for massage, you can still claim chiropractic visits because that discipline has its own limit.
What to Watch For:
Per-practitioner limits are separate from per-visit or combined maximums. Always check how each category interacts before scheduling treatments.
See also Paramedical Disciplines
