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.

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This rule helps control overall plan costs while still offering flexibility to access multiple types of care under separate limits.

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Example:

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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.

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What to Watch For:

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Per-practitioner limits are separate from per-visit or combined maximums. Always check how each category interacts before scheduling treatments.

See also Paramedical Disciplines