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What does Medicare-approved amount mean? - Healthgrades
Do you know the difference between what your provider bills Medicare and the amount paid by Medicare? It is called the Medicare-approved amount. The Medicare-approved amount is the total payment that Medicare has agreed to pay a health care provider for a service or item. But what if my provider does not like Medicare’s payment? Can they bill me the difference? Yes, and no, it will depend on whether your provider chooses to participate in Medicare. Mandy French explains the difference between various types of Medicare providers so you can understand exactly what the Medicare-approved amount refers to and whether they can bill you the difference. To read Ms. French’s article, click here…
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