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Assignment

Also known as: Accept Assignment, Participating Provider

Agreement by a Medicare supplier to accept the Medicare-approved amount as payment in full — protecting patients from excess charges.

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When a Medicare-enrolled DME supplier 'accepts assignment,' they agree to charge no more than the Medicare-approved amount for covered supplies. Medicare pays 80% of the approved amount; the beneficiary pays 20% (or $0 with a supplement plan). The supplier cannot bill the patient for the difference between their billed charge and the Medicare-approved rate.

Some suppliers are 'non-participating' — they can bill up to 15% above the Medicare-approved amount (the 'limiting charge'). A beneficiary who uses a non-participating supplier may owe the 20% coinsurance PLUS up to 15% above the approved amount.

All DME suppliers enrolled in Medicare as DMEPOS suppliers must accept assignment on a claim-by-claim basis or register as participating. Choosing a participating supplier who accepts assignment universally guarantees predictable out-of-pocket costs. When comparing diabetic supply companies, always confirm whether they accept assignment.

Related diabetic supply categories

Blood Glucose Meters Supplies Cgm Supplies Diabetic Shoes Supplies

Related terms

  • Medicare Part B — The Medicare component that covers outpatient medical services and durable medical equipment — the pathway for most diabetic supply coverage.
  • DME — Medical equipment designed for repeated use that serves a medical purpose — the Medicare category covering diabetic supplies.
  • Coinsurance — The percentage of a Medicare-approved cost that the beneficiary pays after the deductible — typically 20% under Part B.
  • Medigap — Private insurance that covers Medicare's cost-sharing gaps — typically pays the 20% Part B coinsurance for DME and services.

Frequently asked

What is Assignment?

Agreement by a Medicare supplier to accept the Medicare-approved amount as payment in full — protecting patients from excess charges. When a Medicare-enrolled DME supplier 'accepts assignment,' they agree to charge no more than the Medicare-approved amount for covered supplies. Medicare pays 80% of the approved amount; the beneficiary pays 20% (or $0 with a supplement plan). The supplier cannot bill the patient for the difference between their billed charge and the Medicare-approved rate.

How does Assignment relate to Medicare coverage?

Medicare Part B covers most durable medical equipment related to Assignment. Contact us to verify your specific coverage for related diabetic supplies.

Where can I get diabetic supplies related to Assignment in Phoenix?

We deliver Medicare-covered diabetic supplies throughout the Phoenix metro area. Call us or complete the form above to verify your coverage.

Questions about Medicare coverage for diabetic supplies? We answer the phone in under 60 seconds.

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