How to Pay Your Medicare Premium

Here is information on how to pay your Medicare premium. If you are collecting Social Security, your Medicare premium (for Part B) will be taken out of your Social Security Check.

PAY BY CHECK: If you are not collecting Social Security, you will get a bill in the mail from CMS (Center for Medicare and Medicaid). The bill will ask you for three months payment – and then they would send you a bill every three months.

How to pay your Medicare premium if you are not collecting Social Security.

Be sure you don’t miss a payment – because your Medicare Part B will be cancelled if you do not pay on time. If you are one month late, they will let you catch up. Miss two months and….. CMS will cut you off and they don’t care what your excuse is.

PAY BY AUTO-DRAFT FROM YOUR CHECKING ACCOUNT: If you pay your car loan through recurring payments from your checking account, you can easily set up recurring payments through your bank account.

  • Go to your bank account on line.
  • Find where you can set up bill payments.
  • Select the payee from a pull-down list. (Select “Medicare insurance“.)
  • Select the date for the payment to be sent. Medicare wants next month’s payment by the 25th of the previous month, so pick the 20th.
  • Click the recurring payment button.
  • Put in the payment amount. ($144.60 for 2020)
  • Be sure to check your account on the 20th of the month so you know the payment got sent to Medicare.

PAY BY CREDIT CARD: To set up your payments using your credit card, you must send in the bill you received from CMS with the credit card information filled in. And you must sign the form.

Paying your Medicare premium by credit card is a bit risky. What if you lose your card and you cancel it? And then, if you don’t get your Medicare premium set up again, you can get into trouble if you miss more than one payment.


Andrea (not her real name) was paying her Medicare premium every three months by sending in a check when she received her bill. Andrea is afraid to do anything online. Then Andrea’s daughter died and Andrea went into a deep depression. She did not read her mail and she did not pay her bills. She missed two billing cycles for her Medicare premium payment.

She called me in a panic when she went to the doctor and was told that her Medicare was cancelled. (The doctor’s office always checks your insurance to make sure it is current.) I told Andrea to go down to the local Social Security office and tell them what happened.

This was in November and Andrea got back to me with bad news. Social Security told her, “Too bad, but we cannot help you. You must re-enroll in Medicare during the General Enrollment Period” (January through March).

But….. Andrea’s Medicare Part B would not start again until…… JULY.

Yes, that is the rule. If you lose your Medicare part B because you did not pay your Medicare premium, you can only get it back in July – and that is if you re-apply in January, February, or March. If you realize in April of 2021 that your Part B got cancelled….. You cannot get Part B back until….. July of 2022. That is the rule and no exceptions are made – unless your income is below the level where your state will pay your Part B premium. (See that information here: )

Be sure not to miss paying your Medicare premium, or face dire consequences.

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