Question

When a provider does not accept assignment from Medicare, the most that can be charged to the patient is ___ percent of the Medicare-approved amount.

Select one:
a.85
b.150
c.115
d.100

Answer 1

The maximum amount a provider who does not accept assignment from Medicare can charge a patient is 115% of the Medicare-approved amount.

Step-by-step explanation:

When a provider does not accept assignment from Medicare, the most that can be charged to the patient is 115% of the Medicare-approved amount. Therefore, the correct answer to the question is c. 115. Providers who do not accept assignment may charge more than the Medicare-approved amount, but not more than 115% of it. It's important for patients to know if a provider accepts Medicare assignments to avoid unexpected medical costs.