The maximum charge accepted by a health plan for a specific covered medical service or supply.

The maximum amount a plan will pay for a covered health care service. May also be called “eligible expense,” “payment allowance,” or “negotiated rate.” If your provider charges more than the plan’s al [..]

see Allowable Charge.

Maximum amount on which payment is based for covered health care services. This may be called “eligible expense,” “payment allowance” or “negotiated rate.” If your health care provider charges more than the allowed amount, you may have to pay the difference. (See Balance Billing.)

An allowed amount in the context of health care refers to the maximum amount of the billed charge an insurance company deems is payable by the plan for covered services or supply rendered by participa [..]

A limit on the amount your health plan will pay. Also called the recognized charge. If you choose to go out of network, your provider may not accept this amount as payment in full and may bill you for [..]

Maximum amount on which payment is based for covered health care services. This may be called "eligible expense," "payment allowance" or "negotiated rate." If your provid [..]

The sum an insurance company will reimburse to cover a healthcare service or procedure. The patient typically pays the remaining balance if there is any amount left over after the allowed amount has been paid. This amount should not to be confused with co-pay or deductibles owed by a patient.

The maximum amount a health care plan will cover for services rendered at a provider. From the health plan’s perspective, this is the fair and reasonable price for a health care service.

Maximum amount on which payment is based for covered health care services.  This may be called “eligible expense,” “payment allowance" or "negotiated rate."  If your provider charges mo [..]

The reimbursement amount an insurance company will pay for a healthcare procedure. This amount varies depending on the patients insurance plan. For 80/20 insurance, the provider accepts 80% of the all [..]

The is the maximum or highest dollar amount on which the payment is based for a ‘covered’ health care service. This may be called “eligible expense,” “payment allowance,” or “negotiated rate.” If your provider charges more than the allowed amount, you may have to pay the difference. (See Balance Billing.)