part b excess charges

GLD

Member
Can you explain what are part b excess charges and is it something that happens regularly , or something you should worry about ?
 
Hi GLD and welcome!

Excess charges are when a doctor charges more than the Medicare fee schedule for the procedure. I haven't had that happen but obviously it is something that can happen or it wouldn't be mentioned. Don't quote me on this, but I think that when they do charge in excess of the Medicare fee schedule they are limited to 15% excess charges.

It is a good idea to ask a doctor (or most commonly, their staff) if the doctor accepts "medicare assignment" which is their term for the medicare fee schedule. I have not had one yet that doesn't, but still I always ask.

I think that most doctors that treat Medicare patients pretty much adhere to the Medicare fee schedule.
 

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