• Home
  • /
  • Blog
  • /
  • What are Medicare Part B Excess Charges?
September 5, 2023

Medicare Part B Excess Charges refer to additional costs that some healthcare providers may charge for medical services. Specifically, excess charges are extra fees that can be up to 15% higher than the amount that Medicare typically allows [1][2].

Medicare Part B Excess Charge is an additional fee that a healthcare provider may charge if they do not accept Medicare assignment.

These charges can occur when a healthcare provider does not accept Medicare assignment, which means they do not agree to accept the Medicare-approved amount as full payment for their services [2]. For example, if a healthcare provider bills Medicare $150 for a service that Medicare approves for only $100, they can charge the patient the remaining $50 as an excess charge if they do not accept Medicare assignment [3].

It is important to note that excess charges do not apply to all healthcare providers, and they may not happen frequently. As such, Medicare beneficiaries should confirm whether a provider has opted out of Medicare before seeking medical care or tests from them [1].

Sources:

  1. https://www.medicare.gov/coverage/what-are-part-b-excess-charges

  2. https://www.aarp.org/health/medicare-insurance/info-2021/what-are-excess-charges.html

  3. https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/Downloads/Excess-Charge-QA.pdf

Get Help

Compare Medicare coverage options with the help of one of our agents:

Talk to us: (833) 265-9655 

Top Mistakes People Make When Turning 65 (According to Reddit Users)

TL;DR – Top Medicare Mistakes to Avoid When Turning 65 Choosing a plan based only on the premium: $0 Medicare Advantage plans often come with hidden costs. Missing the Medigap open enrollment window: After 6 months, you could be denied or charged more. Thinking COBRA protects you: It doesn’t delay your need to enroll in

Read More

Plan G Is Not Cheap… But Here’s Why It Might Be the Best Deal in Healthcare

✅ TL;DR: Medigap Plan G offers the most comprehensive Medicare Supplement coverage available in 2025. It’s not the cheapest, but it helps you avoid surprise bills, see any doctor who accepts Medicare, and enjoy predictable healthcare costs. For many turning 65, it’s the safest long-term choice. Plan G costs how much?! Medicare decisions can feel

Read More

Medicare Mayhem: An Honest Look at Turning 65

It Starts the Way It Always Does…You’re turning 65. The mailbox is overflowing. Your phone won’t stop ringing. You can’t even watch Judge Judy without hearing about free flex cards and $0 premiums. Suddenly, you’re the most popular person in the Medicare universe.It’s not just confusing — it’s exhausting. Every flyer screams urgency. Every call promises savings.

Read More

Turning 65 Medicare: Avoid Costly Mistakes Now

Turning 65 Medicare: Choosing between Medicare Advantage and Medigap Plan G is a pivotal decision for individuals approaching 65. This guide aims to clarify both options, helping you make an informed choice tailored to your healthcare needs and financial situation.Medicare Plan Comparison Example: Meet Jane, Age 65If you’re turning 65 and trying to make sense

Read More

Medicare Minute: Plan G vs. Plan N – Which One Is Right for You?

✅ TL;DR: Plan G offers more comprehensive coverage with higher premiums, covering Part B excess charges and eliminating most copays. Plan N has lower premiums but includes copays for doctor and ER visits and doesn’t cover Part B excess charges. Choose based on your healthcare usage and budget preferences. Plan G vs Plan N is

Read More

Medicare brokers such as Lehigh Partners get paid by the insurance companies they represent. And you pay exactly the same rate for your insurance if you use a Medicare consultant (broker). There is no extra fee or cost for enrolling through a broker. You will never pay a fee for our help.


Find a Plan

Shop for coverage online. Safe, Secure, & Confidential

Call us

Call Lehigh Partners at 1-833-265-9655

Licensed insurance agents are available to help you through enrollment and beyond.

Need Help?

Get in touch with a licensed sales agent now by filling out the form - no obligations!

Get Our FREE Medicare Checklist.

Download our complimentary Medicare checklist and conveniently access all the necessary information in one place, ensuring you never miss a crucial number, deadline, or date again.

Tags


Senior Medicare Advisors: Understanding the Role of Senior Healthcare Advisors

As the population ages, there is an increasing need for specialized healthcare services catered towards seniors. Medicare, a federal health insurance program primarily designed for individuals aged 65 and above, plays a crucial role in providing affordable healthcare coverage. However, navigating through the complexities of Medicare can be overwhelming for seniors. This is where Senior

Read More

Does Medicare Cover Wheelchair Ramps?

Medicare, as a federal health insurance program in the United States, provides coverage for various medical expenses. However, when it comes to durable medical equipment, such as wheelchair ramps, the coverage might not always be straightforward. This article will explore the extent to which Medicare covers wheelchair ramps, taking into account the necessary criteria, limitations,

Read More

How to Sign Up for Medicare Part A: Easy Instructions

Sign up for Medicare Part A with this step-by-step guide. Learn about eligibility, enrollment periods, and how to fill out the application. Ensure a seamless process to access essential healthcare benefits. Contact the Social Security Administration for further assistance. Medicare Part A provides coverage for inpatient hospital care, skilled nursing facility care, and some home

Read More

How To Get The Best Medicare Supplement Rate

Find the best Medicare rate for enrolling in a Medicare Supplement Plan any time of the year. Don’t miss out! Unlock the Best Medigap Rate with Expert Guidance from Our Agents! TALK TO AN AGENT During the Medicare Annual Election Period (AEP), which brings Medicare to the forefront of thought for individuals of Medicare age,

Read More

Find a Medicare Office and Local Resources Near You

If you are a Medicare beneficiary, you have access to a variety of support resources both locally and online. The U.S. Centers for Medicare & Medicaid Services (CMS) has regional offices with Medicare representatives who can provide education and answer your questions. Additionally, the Social Security Administration (SSA) local offices offer assistance with Medicare applications,

Read More

Medicare Part A Deductible and How It Works

Medicare Part A is a part of Original Medicare that primarily covers inpatient hospital care, skilled nursing facility care, hospice care, and home health care. As with most insurance plans, Medicare Part A has certain deductibles and copayments that beneficiaries are responsible for paying before Medicare coverage kicks in. In this article, we will focus

Read More

Ready to talk to an agent about your Medicare coverage?