A definition of healthcare benefits specifically identified as available to the enrolled member which includes the limit or degree of service that member is entitled to receive based upon his or her contract with a health plan or insurer.
Specific to the Federal Long Term Care Insurance Program (FLTCIP): The customized listing of your coverage under the FLTCIP. You will receive a copy of your schedule of benefits from Long Term Care Partners if you apply for coverage and they approve your application. This schedule, together with your Benefit Booklet, describes your coverage under the FLTCIP.
(1) Under a group insurance plan, a table that specifies the amount of coverage provided for each class of insureds. (2) For medical expense claim purposes, a listing of medical treatments and the maximum benefit amounts an insurer will pay for each treatment.