Question

A doctor who accepts Medicare Assignment agrees to which of the following?

- Doctor may charge up to a maximum of 15% more than Medicare pays for the service
- Doctor is not bound by Medicare's limitations on charges
- Doctor cannot charge more than Medicare's scheduled coverage
- Doctor bills the Medicare beneficiary directly for services performed

Answer 1

Doctors who accept Medicare Assignment agree to adhere to Medicare's set payment rates and cannot bill patients more than the Medicare deductible and coinsurance, ensuring that medical expenses remain predictable and affordable for Medicare beneficiaries.

Step-by-step explanation:

A doctor who accepts Medicare Assignment agrees to the condition that they cannot charge more than Medicare's scheduled coverage for a service. This means that the doctor must accept the Medicare-approved amount as full payment for covered services and cannot bill the patient for any more than the Medicare deductible and coinsurance. By accepting Medicare Assignment, the doctor is essentially agreeing to the set payment rates that Medicare has determined, and patients are shielded from additional charges that exceed these rates, hence promoting affordability and predictability in their medical expenses.