How to Pay Part A & Part B premiums

Most people get their Medicare Part B (Medical Insurance)  premium deducted automatically from their Social Security benefit payment (or Railroad Retirement Board benefit payment).

If you don't get benefits from Social Security (or the Railroad Retirement Board), you'll get a premium bill from Medicare. Get a sample of the Medicare bill.

If you pay for:You’ll get a bill:
Part B only (this includes your Part B income-related monthly adjustment amount, if you owe one)Every 3 months
Why is my first bill higher than I expected?
Part A (Hospital Insurance)Every month
Part D income-related monthly adjustment amount (Part D IRMAA) Every month

What if I get a premium bill from the Railroad Retirement Board?

Get more details if you're a federal retiree.

Get help paying premiums & costs
If you have limited income and resources, you may be able to get help from your state to pay your premiums and other costs, like deductibles, coinsurance, and copays. Learn more about help with Part A & Part B costs.

4 ways to pay your Medicare premium bill

You can pay your Medicare premium using any of the 4 ways below. However, some options are faster and easier.

Through your Medicare account

Payment methodHow to use itWhy to use it

Online through your Medicare account

Pay My Premium Now

  1. Log into (or create) your secure Medicare account 
  2. Select "Pay my premium."
  3. Choose your payment method, like credit/debit card, Health Savings Account (HSA) card, or checking or savings account, and enter the amount you want to pay.
  4. You'll then be linked to the U.S. Treasury's secure Pay.gov site to complete your payment.

Use only your Medicare account to pay your premiums.
Don’t create or use a Pay.gov account to make your Medicare payment.

You’ll get a confirmation number for your payment. It takes about 5 business days for your checking or savings account payment to process—credit card payments process faster.
 

  • This is the fastest way to pay your premium.
  • Your payment is safe and secure.

Online recurring payments (Medicare Easy Pay)

Get more details about how Easy Pay works.

2 ways to sign up for Medicare Easy Pay:

Deductions are on the 20th of the month (or the next business day). It can take up to 6-8 weeks for your automatic deductions to start. Until your automatic deductions start, you'll need to pay your premiums another way. If we can't set up Medicare Easy Pay for you, we'll send you a letter explaining why.

Can I sign up if I get a bill from the Railroad Retirement Board?  
 

  • With this free service, we’ll automatically deduct your premium payments from your savings or checking account each month. 
  • The amount being deducted from your account will update automatically when your premium changes.
  • Your payment is safe and secure.
     

Through your bank 

Pay directly from your savings or checking account through your bank's online bill payment service. Some banks charge a service fee. Get details so your payment goes through on time.

Through the mail

Pay by check, money order, credit card, debit card, or Health Savings Account (HSA) card. Fill out the payment coupon at the bottom of your bill and include it with your payment. Payments made by mail take longer to process than payments made quickly and securely through your online Medicare account. 

  • If you’re paying by credit card, debit card, or HSA card, be sure to complete and sign the payment coupon. If you don’t sign the coupon, we can’t process your payment and it will be returned to you.
  • Use the return envelope that came with your bill, and mail your Medicare payment coupon and payment to:
    Medicare Premium Collection Center
    PO Box 790355
    St. Louis, MO 63179-0355

What if I get a premium bill from the Railroad Retirement Board?

Don’t risk losing your Medicare coverage
If you’re mailing your payment, always include your payment coupon with your payment. This helps us apply your payment to your account. We can’t process your payment on time without the coupon. If you don’t have your payment coupon, write your Medicare Number on the check or money order.  

If your payment isn’t processed on time, you risk losing your coverage. The fastest way to pay your premium is online through your Medicare account or using Medicare Easy Pay.  

When are Medicare premiums due?

All Medicare bills are due on the 25th of the month. In most cases, your premium is due the same month that you get the bill. Example of our billing timeline.

For your payment to be on time, we must get your payment by the due date on your bill. Submit your payment at least 5 business days before the due date, so we can get it on time.

What if your Medicare premium payment is late?

If you miss a payment, or if we get your payment late, your next bill will also include a past due amount.

If you get a Medicare premium bill that says “Delinquent Bill” at the top, pay the total amount due, or you’ll lose your Medicare coverage. Get a sample of the delinquent bill in English. (In Spanish.)

What if I have billing questions?

Call us at 1-800-MEDICARE (1-800-633-4227). TTY: 1-877-486-2048.