Limiting Charge (Health Care) Law and Legal Definition

Limiting charge refers to the maximum amount of charge that a non participating physician with an assignment, can charge upon a medicare beneficiary for rendering health care services. It is the highest amount that a doctor, who had not accepted an assignment, can charge for a service covered by the medicare upon a patient. The limiting charge is 15% over medicare’s approved amount. The limiting charge does not apply to all covered services. For example limiting charge does not apply to supplies or equipment.