Limiting Charge

by David Bynon, last updated

What is a Limiting Charge in Medicare?

In Original Medicare, the highest amount of money you can be charged for a covered service by doctors and other healthcare suppliers who don’t accept Medicare assignment is called a limiting charge. The limiting charge, commonly known as excess charges, is 15% over Medicare’s approved amount. The limiting charge only applies to certain Medicare Part A and Part B services and doesn’t apply to supplies or equipment.

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