What does "exceeded benefit limit" mean?

Some insurance companies limit the dollar amount they will pay per year for certain services, or they limit the quantity of services eligible for coverage per year.  If your statement shows that you have a balance due because you exceeded your benefit limit, this is information we receive from your insurance company.  They are stating that they have paid up to the maximum limit they provide coverage for, and that the patient is responsible for the remaining balance.  Unfortunately, because we are not aware of other claims your insurance is processing for your, we can never be aware of exactly how much of your benefit limit has been reached until our claim processes.  If you are disputing this, we recommend calling your insurance company so they can tell you the details of why your benefit limit has been reached/exceeded.