What Is the Medicare-Approved Amount?

The Medicare-approved amount is the specific fee Medicare agrees to pay healthcare providers for covered services or medical supplies. Providers who accept this amount ("accept assignment") agree to charge no more than Medicare's deductible and coinsurance, protecting patients from unexpected costs.

Why the Medicare-approved amount matters

• Predictable expenses: Knowing the approved amount helps you anticipate your share of healthcare costs clearly.
• Limits patient charges: Providers accepting assignment cannot charge more than Medicare’s established rates, helping to control your medical expenses.
• Encourages provider transparency: Accepting assignment promotes transparency and predictability in billing, making it easier for you to manage healthcare finances.

How Solace can help

A Solace advocate can help you identify providers who accept Medicare assignment, explain billing statements clearly, and resolve disputes or misunderstandings about charges related to the Medicare-approved amount. Advocates can also assist you in appealing denied claims if you're charged incorrectly.

What to do next

Have questions about your medical bills or need help finding providers who accept Medicare-approved rates? A Solace advocate can guide you toward cost-effective healthcare choices. Find an advocate today.