US Medical Term · insurance
Allowed Amount
Monto permitido
In 9 languages
| Language | Term |
|---|---|
| English | Allowed Amount |
| Spanish (Español) | Monto permitido |
| Chinese (中文) | 允許金額 |
| Korean (한국어) | 허용 금액 |
| Vietnamese (Tiếng Việt) | Số tiền được phép |
| Filipino (Tagalog) | Pinahintulutang halaga |
| Portuguese (Português) | Valor permitido |
| Thai (ภาษาไทย) | จำนวนเงินที่อนุญาต |
| Japanese (日本語) | 許可額 |
What it means
The allowed amount is the maximum dollar amount your insurance plan agrees to pay for a covered service or item. It is set by contract between your insurer and in-network providers. If your doctor charges more than the allowed amount, an in-network provider must write off the difference; you only owe your share (deductible, copay, or coinsurance) of the allowed amount. With out-of-network providers, you may owe the full difference between the billed charge and the allowed amount, called balance billing. You will see the allowed amount listed on your Explanation of Benefits (EOB).
How to say it
Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:
What is the allowed amount my plan will pay for this procedure?
¿Cuál es el monto permitido que pagará mi plan por este procedimiento?
Can you show me the allowed amount on my Explanation of Benefits?
¿Puede mostrarme el monto permitido en mi Explicación de Beneficios?
My doctor billed more than the allowed amount — am I responsible for that difference?
Mi médico cobró más que el monto permitido — ¿soy responsable de esa diferencia?
Where you'll see it
Related terms
Sources
Last reviewed: September 2026