Glossary · Medicare
What is the Medicare-approved amount?
The Medicare-approved amount is the payment Original Medicare sets for a covered service. A provider who accepts assignment takes it as full payment and charges you only the deductible and coinsurance.
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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Medicare-approved amount: the facts
| Item | Fact | Source |
|---|---|---|
| Providers who accept assignment | Charge only the Medicare deductible and coinsurance | Medicare.gov: Does your provider accept Medicare as full payment? |
| Non-participating providers | Can charge up to 15% more (the limiting charge) in many cases | Medicare.gov: Does your provider accept Medicare as full payment? |
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What does medicare-approved amount mean in health insurance?
The Medicare-approved amount is the payment Original Medicare sets for a covered service. A provider who accepts assignment takes it as full payment and charges you only the deductible and coinsurance.