If you get Social Security or Railroad Retirement Board (RRB)
will get deducted automatically from your benefit payment.
If you’re a federal retiree with an annuity from Office of Personnel Management (OPM) and NOT entitled to Social Security or RRB 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 only Part B, you'll get this bill every 3 months.
If you buy
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:
1. Pay directly from your bank account through your bank's online bill payment service — learn what information you need to have ready when you contact your bank to set up this service.
2. Sign up for Medicare Easy Pay, a free service that automatically deducts your premium payments from your savings or checking account each month. We'll deduct your premium from your bank account, usually on the 20th of the month.
3. Pay by check or money order. Mail your Medicare payment coupon and payment to:
Medicare Premium Collection Center
PO Box 790355
St. Louis, MO 63179-0355
4. Pay by credit card or debit card. Complete the credit card portion of the payment coupon and sign it. Payments submitted without the payment coupon may not be processed. You'll need to provide the account information as it appears on your card and the expiration date. Mail your payment to the address above.
If you get your bill from the Railroad Retirement Board (RRB), the payment options explained on this page don't apply. You or your bank must mail your premium payments to:
RRB, Medicare Premium Payments
PO Box 979024
St. Louis, MO 63197-9000
Pay attention to the type of bill you get
If the box in the upper right corner says
|This is not a bill||You signed up for Medicare Easy Pay. Your premium payment will be automatically deducted from your bank account around the 20th of 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 payment for the total amount due by the 25th of the month. Medicare must get your payment by the 25th of the month or it's considered late. 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 your payment by the due date shown on the First Bill (by the 25th of the month).||Send in payment for the total amount due 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 your payment by the due date shown on the Second Bill (by the 25th of the month). If you don't pay the total amount due, you'll lose your Medicare coverage.||Send in payment for the total amount due 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 First Bill payment is late, you'll get a Second Bill. Your Second Bill will include both past amounts and next month's premium. If you don’t pay the total amount due by the 25th of the month, you'll get a Delinquent Bill. If you get a Delinquent Bill and you don’t pay your total amount due by the 25th of the month, you’ll lose your Medicare coverage.
What 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)
if you have questions about your premium amount or status of your Medicare Part A and Part B coverage.
Call us at 1-800-MEDICARE (1-800-633-4227)
if you have questions about your premium for Part D IRMAA or the status of your Part D coverage.