Medicare premium payment confusion with new Social Security retirement benefits starting December
I'm finally starting my Social Security retirement benefits (after delaying a bit) and got approved for payments beginning November 2024. I understand my first check will arrive in December on the second Wednesday. Here's where I'm confused about Medicare: I've been paying my Medicare premiums quarterly, and my current payment is covered through November. I just received my next quarterly bill for December, January, and February. Should I pay this entire bill, or will Social Security start deducting my Medicare premium from my monthly check? If they do start deductions, would the December check have the premium for December or January? I really don't want my Medicare coverage to lapse because of payment confusion. Has anyone dealt with this transition from paying Medicare directly to having it deducted from Social Security?
17 comments
Jayden Reed
This is a common question! Once your Social Security benefits start, Medicare premiums will automatically be deducted from your monthly benefit. Since your benefits start with November (paid in December), SSA will start deducting premiums from that first check. The December check will include the Medicare premium for December (not January). You should NOT pay the quarterly bill for all three months. However, to be safe, I would pay just the December portion if there's any way to do that - sometimes the systems don't sync up immediately. Then once you confirm the deduction on your first benefit statement, you'll know everything transferred properly.
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Grace Johnson
•Thank you! That's really helpful. So I should try to pay just for December directly, then expect January and February to be automatically deducted? I'm nervous about the timing since I don't want any gaps. Is there a way to confirm with SSA that they'll handle this correctly?
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Nora Brooks
I went thru this exact situation last year and it was a NIGHTMARE!!! I paid the quarterly bill AND they took it out of my SS check too. Took me FIVE MONTHS to get the double payment refunded. The left hand doesn't know what the right is doing at these agencies!!! I would NOT pay anything and just wait for the deduction. If something goes wrong you can always pay then. They won't cancel your Medicare immediately if there's a payment issue - you get notices first.
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Grace Johnson
•Oh no, that sounds awful! Did you have to keep calling them about the refund, or did they eventually figure it out themselves? I'm really trying to avoid any payment problems.
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Nora Brooks
•Had to call them CONSTANTLY! And half the time couldn't even get through. Then they'd tell me to call the other agency. Medicare said talk to SSA, SSA said talk to Medicare. Felt like I was going crazy!!!!
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Eli Wang
The transition from self-paying Medicare premiums to having them deducted from your Social Security benefits can be tricky. Technically, once your Social Security benefits begin, the system should automatically start deducting your Medicare premiums. However, there's often a lag in the system updates. My recommendation would be to call the Medicare Premium Collection Center at 1-800-633-4227 to inform them about your situation. They can make a note in your account and tell you exactly what to do. Generally, you'll want to stop your quarterly payments once the automatic deductions begin. Also, check your myMedicare.gov account if you have one - it sometimes shows your payment status more clearly than the paper bills.
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Grace Johnson
•Thanks for the detailed explanation. I tried calling that number yesterday and was on hold for 45 minutes before getting disconnected. I'll try again, but it's so frustrating! I do have a myMedicare account - I'll check there to see if it shows anything about the payment transition.
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Cassandra Moon
I had this exact problem last year when I started collecting SS. I spent HOURS trying to get through to SSA and Medicare with no luck. I finally used a service called Claimyr (claimyr.com) that got me connected to a real person at SSA in about 20 minutes instead of waiting for hours or getting disconnected. They have a video demo at https://youtu.be/Z-BRbJw3puU that shows how it works. The agent confirmed that I should NOT pay the quarterly bill and that they would start deducting from my first check. Had I not gotten this confirmed, I would have double-paid like someone else mentioned. Definitely worth getting a clear answer directly from SSA.
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Grace Johnson
•That's really helpful - I'll check out that service. At this point I just need to talk to someone who can give me a definitive answer so I don't mess up my Medicare coverage or end up paying twice.
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Zane Hernandez
•I used this service too! Way better than waiting on hold all day.
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Genevieve Cavalier
just dont pay anything. they'll take it from ur check and if theres a problem they send u a letter. they dont just cancel ur medicare without warning
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Ethan Scott
•This is bad advice. Medicare absolutely can be suspended for non-payment, and reinstating it isn't always simple. You get warning letters, but if you miss them or they get lost in the mail, you could have a problem. Better to confirm the correct approach with Medicare directly rather than just assuming it will work out.
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Ethan Scott
I work in a benefits counseling office, and this question comes up frequently. Here's what you need to know: 1. Social Security will deduct Medicare premiums from your benefit checks once they start 2. There's typically a 1-2 month processing period for this transition to occur 3. Your first check in December should have the December premium deducted To be safe, I recommend: - Call the Medicare Premium Collection Center (1-800-633-4227) to inform them you're starting Social Security benefits - Ask if you should make a one-month payment for December as a precaution - Request they note in your account that your future premiums will be deducted from Social Security - Keep documentation of any payments you make and conversations you have This transition period is a common source of confusion, but with proper communication, it can be handled smoothly.
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Grace Johnson
•Thank you for this comprehensive answer! This is exactly what I needed to know. I'll try calling the Medicare Premium Collection Center again (I've been having trouble getting through). If I do need to make a one-month payment, is there a way to pay just for December instead of the full quarter?
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Ethan Scott
•Yes, you can make a one-month payment instead of paying for the full quarter. When you call, specifically ask for this option. They can process a single-month payment and update your account to show you're transitioning to Social Security deductions for the remaining months.
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Zane Hernandez
My mom had this exact thing happen last year. She ended up paying the quarterly bill AND having it taken out of her SS check. What a mess! She's still waiting for them to sort it out and give her money back. Make sure whatever you do, you keep ALL your paperwork and notes from any phone calls!!!
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Grace Johnson
Thank you everyone for the helpful responses! I'm going to try contacting both Medicare and Social Security to confirm exactly what I should do. Based on your advice, it sounds like I should probably just pay for December to be safe, then let the automatic deductions take over in January. I'll definitely keep detailed records of everything. I appreciate all your help with navigating this confusing transition!
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