Which statement is true regarding reimbursement rates for non-participating physicians?

The statement regarding reimbursement rates for non-participating physicians being that they can charge no more than 115% of the participating allowance is accurate. In the context of healthcare reimbursement, non-participating physicians are allowed to bill patients above the Medicare allowed amount for their services, but there is a cap placed on that additional charge. This cap is set at 115% of what participating physicians would receive as reimbursement for the same service. This is significant as it provides a safeguard for patients while still allowing non-participating providers to receive higher fees for their services compared to the set rates for participating providers.

The other choices do not accurately reflect the reimbursement structure for non-participating physicians. For instance, stating that they are typically paid 10% more than participating doctors does not adhere to the established guidelines and could lead to misinterpretation of reimbursement practices. Furthermore, claiming they are paid the same for services as participating doctors overlooks the distinct differences in reimbursement approaches and caps on charges. Lastly, the idea that they have higher deductibles than participating doctors does not specifically pertain to reimbursement rates but rather to patient cost-sharing which can vary widely based on insurance plans.