What percentage of the PAR Medicare allowed amount does a NON PAR provider receive?

Under Medicare guidelines, a non-participating (non-PAR) provider is reimbursed at a reduced rate compared to participating providers. Non-PAR providers are allowed to charge patients up to 115% of the Medicare allowed amount for their services, but they will receive only 95% of that amount as reimbursement from Medicare.

The 95% of the Medicare allowed amount is a specific percentage set to ensure that while non-PAR providers retain the right to charge more, they still receive a consistent and reliable payment from Medicare. This arrangement encourages beneficiaries to utilize PAR providers, who have agreed to accept the full Medicare fee schedule as payment in full.

Therefore, the correct answer reflects the established percentage set by Medicare, which is 95% of the allowed amount for non-PAR providers.