Glossary · Medicare
What is a Part B excess charge?
A Part B excess charge is the difference between what a non-participating provider charges and the Medicare-approved amount. Medicare.gov says it usually cannot be more than 15% above the approved amount, which is the limiting charge.
Definition and figures from Medicare.gov, checked October 23, 2026. This page explains the term; it does not recommend a plan.
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Part B excess charge: the facts
| Item | Fact | Source |
|---|---|---|
| Cap | Usually 15% above the Medicare-approved amount | Medicare.gov: Does your provider accept Medicare as full payment? |
| Medigap coverage | Plans F and G cover it; Plan N does not | Medicare.gov: Compare Medigap plan benefits |
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What does part b excess charge mean in health insurance?
A Part B excess charge is the difference between what a non-participating provider charges and the Medicare-approved amount. Medicare.gov says it usually cannot be more than 15% above the approved amount, which is the limiting charge.