What Are Medicare Part B Excess Charges?

When a doctor or other health provider charges a patient more than the Medicare-approved amount for medical services, supplies or equipment, the difference between that higher charge and the Medicare-approved amount is known as an excess charge.

What is Medicare assignment?

Just because a medical provider accepts Medicare patients doesn’t necessarily mean they’ve agreed to charge their patients no more than the amount Medicare approves.

Participating providers

When a doctor or other medical provider agrees in writing to accept the Medicare-approved amount as full payment for covered services or durable medical equipment, this is called accepting assignment, according to Medicare.gov[0]. Providers who formally accept assignment for Medicare Part A and Part B services are known as participating providers.

If you see a participating provider, that means you owe only your Medicare deductible and coinsurance for covered services, no matter what this provider might charge patients who…

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This article was written by Roberta Pescow and originally published on www.nerdwallet.com