Limiting Charge
Medicare Glossary
The highest amount of money you can be charged for Medicare covered services by a doctor or healthcare professional who doesn't accept assignment. Currently, the limiting charge is 15% more than Medicare's approved amount. Limiting charge doesn't apply to supplies or equipment, and only applies to certain services.
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
How 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 MoreIRMAA: A Guide to Medicare Income-Based Surcharges
Find out what IRMAA is, how income-based surcharges impact your Medicare premiums, and what steps you can take to lower them.
Read More