Are you thinking about managing your Medicare payments? How you make your Medicare premium payments depends on the type of Medicare coverage you have. In many cases, you can set up automatic Medicare payments out of your bank account, if you don’t want to have to remember to write a check every month.

To make Medicare payments, you need to know what Medicare plan option(s) you’re enrolled in. If you’re not sure what type of Medicare coverage you have, you can contact Medicare at 1-800 Medicare or (800) 633-4227, 24 hours a day, seven days a week. TTY users should call 1-877-486-2048. Many people are automatically enrolled in Original Medicare, Part A and Part B when they first become eligible. Some beneficiaries choose to be covered by a Medicare Advantage (Medicare Part C) plan. You’d never be signed up for a Medicare Advantage plan automatically; you have to enroll manually. In this case, you’d have a separate plan membership card.

Original Medicare payments: premiums

Original Medicare refers to Medicare Part A and Part B. In some situations you can delay your Part B enrollment so you can put off paying your Part B premium if you have coverage through an employer. However, most beneficiaries must make this Medicare premium payment, even if they’re enrolled in Medicare Advantage plans.

  • Medicare Part A has no premium if you’ve worked at least 10 years (or 40 quarters) while paying Medicare taxes.
  • Generally, your Part B premium is taken out of your monthly benefits from Social Security, the Railroad Retirement Board, or Civil Service.

If you get a bill for your Medicare Part B (and Part A, if applicable) premium, you generally have four choices of how to make these Medicare payments:

  • Make these Medicare payments through your bank’s online bill payment service.
  • Sign up for Medicare Easy Pay. This is a free service that deducts your Medicare Part A and Part B premium payment from the bank account that you specify.
  • Send a monthly Medicare payment check for your premium(s) to: Medicare Premium Collection Center, P.O. Box 790355, St. Louis, Missouri 63179-0355.
  • Pay with your credit card. Fill out the credit card information at the bottom of your Medicare premium payment invoice, and send it to the address above.

Do you need help with this type of Medicare payment – that is, your Medicare premium(s)? You might qualify for financial assistance from your state.

Medicare payments with Medicare health or prescription drug plans

You might need to make separate Medicare payments (premiums) to a private, Medicare-approved insurance company. If you have a Medicare Advantage plan or a stand-alone Medicare Part D Prescription Drug Plan, these plans have their own billing systems. Many of them have automatic payment options for making these Medicare payments; check with your plan for details.

You may be able to have your Medicare Part D Prescription Drug Plan premium deducted from your Social Security benefits, but to set this up, you need to contact your plan instead of Social Security. If you need to pay Medicare Part D IRMAA (income-related monthly adjustment amount) payments, you generally have the same choices listed under Original Medicare above.

What if my Medicare premium payments are late?

If your Original Medicare premium payment(s) is late, you’ll get a Second Notice reminding you to pay your premium. If you don’t pay the premium by the due date for the Second Notice, you’ll get a Delinquent Notice. If you get a Delinquent Notice and you don’t pay your premium by the 25th of the month, you could lose your Medicare coverage.  For questions about your bill, you should call Social Security between 7 a.m. and 7 p.m. Monday through Friday at 1-800-772-1213. TTY users should call 1-800-325-0778.

As you can see, there are multiple ways to make Medicare payments for your premiums. You can ask me aboumedit the Medicare plan options available in your area if you’d like. Want to set up a phone call, or have me email you some information about Medicare plan options? Just follow the links below this article. If you’re eager to jump in and learn about plans available in your area, simply click on the Compare Plans or Find Plans buttons on this page.