Balance Billing

If a doctor does not accept assignment in Medicare Part B, he or she can use balance billing to charge balance billing to pay for prescription drug planyou for the amount above what Medicare pays for a service. This is also known as excess charges, but a doctor cannot charge you more than 15% of the amount approved by Medicare. Depending on your state, balance billing could be less than 15%, and there are some states that don’t allow this practice at all.

The patient was unhappy that the doctor chose to go down the balance billing route instead of accepting the Medicare-approved amount.