Medicare Savings Programs
Save on drug costs
Programs for people in U.S. territories
Find your level of Extra Help (Part D)
If you get Social Security or Railroad Retirement Board (RRB) benefits, your Medicare Part B (Medical Insurance)premium
will get deducted from your benefit payment.
If you’re a federal retiree with an annuity from OPM and NOT entitled to RRB or SSA benefits:
You can request to have your Part B premiums deducted from your annuity. Call us at 1-800-MEDICARE (1-800-633-4227) to make your request.
If you have limited income and resources:
Your state may help you pay for Part A, and/or Part B. You may also qualify for Extra Help to pay for your Medicare prescription drug coverage.
Will I get a bill for my Part A or Part B premiums?
If you sign up for Part B and you don't get Social Security, RRB, or Civil Service benefits, you'll get a bill called a “Medicare Premium Bill” (CMS-500).
If you buy Medicare Part A (Hospital Insurance)or you owe Part D income-related monthly adjustment amount (IRMAA), you'll always get a “Medicare Premium Bill” (CMS-500) each month for your premium.
There are 4 ways to pay your Medicare bill:
Medicare Premium Collection Center
PO Box 790355
St. Louis, MO 63179-0355
Pay attention to the type of bill you get
|If the box in the upper right corner says||It means||Do this|
|This is not a bill||Your premium payment will be automatically deducted from your bank account each month.||You don’t need to do anything.|
|First Bill||This is your very first bill, or you’ve paid your last bill in full.||Send in a payment for the total amount shown by the 25th (Medicare premiums are due by the 25th of the month). For example, if the billing date on the First Bill is January 27th, send in payment by February 25th.|
|Second Bill||Medicare didn’t get payment by the due date shown on the First Bill (25th of the month).||Send in a payment for the total amount shown by the 25th of the month. For example, if the billing date on the Second Bill is February 27th, send in payment by March 25th.|
|Delinquent Bill||Medicare didn’t get the payment by the due date shown on the Second Bill (25th of the month).||Send in a payment for the total amount shown by the 25th of the month so that you don’t lose your Medicare coverage. For example, if the billing date on the Delinquent Bill is March 27th, send in payment by April 25th. This is the last bill you’ll get.|
What if my premium payment is late?
If your premium is late, you'll get a Second Bill reminding you to pay your premium. If you don’t pay the premium by the due date for the Second Bill, you'll get a Delinquent Bill. If you get a Delinquent Bill and you don’t pay your premium by the 25th of the month, you’ll lose your Medicare coverage.
What do I do if I have questions about my bill or the status of my coverage?
Call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778).