What Are Medicare Part B Excess Charges?
Most providers accept Medicare’s approved amount as full payment. When they do, you pay only your deductible and coinsurance.
But if a provider does not accept assignment, they may charge up to 15% more than the approved amount.
That difference is called a Part B excess charge.
Quick Breakdown
- Medicare pays 80%.
- You pay 20%.
- Some providers may add up to 15% more.
This only applies to non-participating providers who are still enrolled in Medicare.
Important to Know
Excess charges:
- Do not apply to participating providers.
- Do not apply to providers who opt out of Medicare.
- Are prohibited in certain states.
Coverage Can Make a Difference
Some Medicare Supplement plans help cover these additional costs.
Plan G and Plan F include coverage for Part B excess charges.
Knowing what your plan includes can help you avoid surprise bills.
Want Clarity on Your Coverage?
Call (855) 890-2583 to connect with an Education Specialist today.