Excess Charge
Medicare Glossary
The difference between what your doctor or healthcare provider is legally allowed to charge and the Medicare-approved amount.
Have Questions About Medicare?
Speak with an agent who can help you understand your coverage options - no cost, no obligation.
This content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.
Related Articles
Hospital Discharge Rights: How to Appeal a Discharge
If you are told you are being discharged too soon, Medicare gives you a same-day appeal decided by an outside reviewer — and you generally are not billed while it is pending.
Read MoreMedicare Assignment and Part B Excess Charges Explained
What accepting Medicare assignment means, how the 15% limiting charge works, which 8 states ban excess charges, and what happens with opt-out doctors.
Read MoreHow to Appeal Your IRMAA Surcharge After a Life-Changing Event
Learn how to request an IRMAA reduction from Social Security after retirement, divorce, or other qualifying life events using Form SSA-44.
Read More