Social Security survivor benefits deducting Medicare premiums I already paid - double charged?
I just received my first survivor benefits payment after my husband passed away last year. I applied in February 2025 and was surprised how quickly SSA processed everything! They sent me a lump sum payment covering benefits back to August 2024, which is great, but I noticed something odd in the calculation. They deducted about $1,380 for "medical premiums" from my backpay, but I've been paying my Medicare premiums directly every month since turning 65 three years ago (I'm 68 now and at my FRA). I don't understand why they're taking out additional medical premiums when I've already paid Medicare Part B for those months. Is this some special survivor benefit medical deduction I don't know about? Or did SSA make a mistake? I'm still working part-time as an elementary school aide, if that matters. Anyone else experienced this kind of double-charging with survivor benefits?
37 comments


Malik Johnson
When I got widow's benefits last year, something similar happened. The SSA automatically deducts Medicare premiums from Social Security payments, but they don't know if you've already paid them another way. You need to call them ASAP and explain you paid directly, so you're being double-charged. They should reimburse you, but it might take a while. Getting through on the phone is a NIGHTMARE though!
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Emma Davis
•Thank you! So this is a common issue? I was worried I misunderstood something about survivor benefits having extra medical costs. Do you know if I need any special documentation to prove I already paid those premiums directly?
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Isabella Ferreira
had same problem!! they took out $183 evry month from my backpay even tho i already paid it thru my retirement account. took 3 months to get the money back but they did fix it eventually
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Emma Davis
•That's reassuring at least. Did you just call the main SSA number to get it fixed? I've tried calling twice already but got disconnected both times after waiting over an hour.
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Ravi Sharma
This is actually a standard issue with retroactive benefit payments. What's happening is the system automatically deducts Medicare premiums from Social Security benefits. Since you received retroactive benefits covering several months, the system deducted all those months' premiums at once. The key here is that SSA doesn't automatically know you've been paying your Medicare premiums directly. You need to contact SSA and inform them you've been paying your Medicare premiums separately. They will verify this with CMS (Centers for Medicare & Medicaid Services) and refund the duplicate premiums. Bring or send proof of your Medicare premium payments for the months in question. They should be able to process an adjustment and return the overpaid amount to you in a future payment.
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Emma Davis
•Thank you for explaining this so clearly! That makes perfect sense now. I didn't realize the systems weren't automatically synchronized between Medicare and Social Security. I'll gather my Medicare payment receipts from my banking records and try to get through to them.
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NebulaNomad
My mom went through EXACTLY this last yr. She paid directly to Medicare for 2 yrs, then started SS and they took out premiums again. Social Security and Medicare don't talk to each other apparently 🙄
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Malik Johnson
•It's RIDICULOUS that two government agencies that work so closely together can't share a simple database. This happens to so many people!
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Freya Thomsen
I had this issue when I started my survivor benefits in 2024. What you're experiencing is called "Medicare premium duplicate billing." Here's what to do: 1. Contact Social Security directly and explain the situation 2. Request a "Medicare Premium Billing Adjustment" 3. Provide bank statements or receipts showing you paid Medicare directly for those months 4. Ask them to coordinate with Medicare to update your payment preference going forward Moving forward, you'll probably want the premiums deducted from your monthly SS payment (it's easier than paying separately), but you should get a refund for the duplicated months. The refund usually comes as an adjustment to a future payment rather than a separate check. Also, make sure your Medicare enrollment status is set to "direct deduction from benefits" going forward to avoid confusion.
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Emma Davis
•This is extremely helpful, thank you! I didn't know to specifically ask for a "Medicare Premium Billing Adjustment" - having the right terminology will probably make this easier. And you're right, I'd prefer to have it automatically deducted now that I'm receiving benefits. One less bill to keep track of!
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Omar Fawaz
Try using Claimyr to reach SSA faster about your Medicare premium issue. I had this exact problem, spent days trying to get through. Used their service at claimyr.com and got a callback from SSA in under 2 hours. They have a video showing how it works here: https://youtu.be/Z-BRbJw3puU The SSA agent told me this Medicare double-billing happens a lot with survivor benefits. They fixed mine right away once I actually got through to someone.
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Emma Davis
•Thank you for this recommendation! After my last attempt sitting on hold for over an hour, I'm definitely willing to try something different. Getting this resolved quickly would be a huge relief.
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Isabella Ferreira
•does that thing really work?? i waited 2 hrs last time i called ssa and then got hung up on!
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Omar Fawaz
•Yes, it worked for me! You don't have to sit on hold. They call you when the agent comes on the line. Completely worth it for something important like fixing nearly $1400 in overcharges.
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Chloe Martin
AVOID CALLING!!! Go to your local SSA office in person with your Medicare payment records. I spent weeks trying to fix this same issue by phone and got nowhere. Went in person and they fixed it in 20 minutes. They'll process what they call a "premium refund request" and you should get the money back within 1-2 payment cycles. The SSA system and Medicare system don't communicate well about who's paying what. It's a MESS!!! And don't even get me started on how they mess up IRMAA calculations too...
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Emma Davis
•Thanks for the suggestion! Unfortunately our local office is always packed with hours-long waits. I might try the phone first, and if that doesn't work, I'll take your advice and go in person with all my documentation.
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Chloe Martin
•If you do go in person, arrive 30 minutes BEFORE they open. You'll still wait but way less than mid-day. Bring something to read and snacks lol. Good luck!!!
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Diego Rojas
Just wondering - is the $1,380 exactly the total of the monthly Medicare premiums for those months? Because standard Part B is about $174/month in 2025, and for 8 months that would be around $1,392. If your deduction is slightly different, it might be because of income-related adjustments (IRMAA) based on your tax returns from 2 years ago.
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Emma Davis
•Yes, it's almost exactly that amount! That's why I'm pretty certain it's Medicare premiums being deducted again. I'm not subject to IRMAA since my income has always been below the threshold. You've confirmed what I suspected - thank you!
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Malik Johnson
I remember when my dad had this EXACT problem after my mom passed. Everyone here is giving good advice, but I want to add: SAVE COPIES OF EVERYTHING. My dad had to submit his proof THREE TIMES before they finally fixed it. The SSA is terrible about losing documents. If you mail anything, send it certified mail so you have proof they received it!
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Emma Davis
•That's really good to know! I'll definitely make copies of everything before I submit it. So frustrating that it might take multiple attempts, but I appreciate the warning.
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Isabella Ferreira
•THIS!!! i learned this the hard way too, they kept sayin they never got my stuff!!
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Freya Thomsen
Update: Just wanted to report back that I got my Medicare premium issue resolved! I finally got through to SSA (took three attempts), and the representative confirmed this was a duplicate billing situation. They filed an adjustment request, and I received the refunded premiums in my next month's payment. They also switched my Medicare billing to come directly from my monthly survivor benefits going forward, which is much more convenient. Thanks to everyone for your advice - especially the tip about specifically asking for a "Medicare premium billing adjustment" - the agent knew exactly what I meant!
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Emma Davis
•Thank you so much for coming back to share your experience! This gives me hope that my situation will be resolved fairly quickly too. Did they require any specific documentation from you, or were they able to verify your previous payments through their system?
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Freya Thomsen
•They could see I had been paying directly, but I still had to send in bank statements showing the withdrawals just to confirm. The agent said having documentation speeds things up. Good luck with yours!
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Hunter Edmunds
I'm so sorry for your loss, Emma. This Medicare premium double-billing issue is unfortunately very common with survivor benefits, and you're absolutely right to question it. The Social Security Administration and Medicare systems don't communicate well with each other, so when you receive retroactive benefits, SSA automatically deducts Medicare premiums without knowing you've already been paying them directly. I went through something similar when I started receiving disability benefits. Here's what worked for me: Call SSA and specifically ask for a "Medicare Premium Refund" or "Premium Billing Adjustment." Have your bank statements ready showing the direct Medicare payments you made for those months. They'll need to verify with Medicare that you were indeed paying directly, but once they do, they should refund the duplicate charges. The good news is that once this gets straightened out, you can choose to have your Medicare premiums automatically deducted from your monthly survivor benefits going forward - it's actually much more convenient than paying separately. Hang in there, and don't give up if the first call doesn't resolve it. Sometimes it takes persistence with government agencies!
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Luca Romano
•Thank you for your kind words and for sharing your experience with disability benefits - it's reassuring to know this issue happens across different types of Social Security benefits. I really appreciate the specific language to use when calling ("Medicare Premium Refund" or "Premium Billing Adjustment"). Having the right terminology seems to make a big difference with government agencies. I'm definitely leaning toward having the premiums automatically deducted going forward - one less thing to worry about each month. Thanks for the encouragement about persistence too - I won't give up!
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StarStrider
Emma, I'm so sorry for your loss. What you're experiencing is definitely a Medicare premium double-billing issue that happens frequently with survivor benefits. The SSA system automatically deducts Medicare premiums from retroactive payments without checking if you've already been paying them directly to Medicare. I had a similar situation when I started receiving my own Social Security benefits after years of paying Medicare premiums directly. The key is to contact SSA immediately and explain that you've been paying your Medicare premiums separately. They'll need to verify this with Medicare and should refund the duplicate charges. Make sure to gather all your Medicare payment records (bank statements, canceled checks, etc.) for the months in question. When you call, specifically mention "Medicare premium duplicate billing" or ask for a "premium refund adjustment." Having the right terminology really helps when dealing with SSA representatives. The silver lining is that once this gets resolved, you can have your Medicare premiums automatically deducted from your monthly survivor benefits going forward, which is much more convenient than managing separate payments. Good luck, and don't get discouraged if it takes a few tries to get through to someone who can help!
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Tyrone Johnson
•Thank you so much for the condolences and for explaining this so clearly! It's actually somewhat comforting to know this is a common issue and not something I did wrong. I've been feeling overwhelmed trying to navigate all the paperwork and changes after my husband's passing, so having clear steps to follow really helps. I'll definitely use that specific terminology when I call - "Medicare premium duplicate billing" and "premium refund adjustment." I've already started gathering my bank statements showing the Medicare payments, so hopefully that will speed things up. And yes, automatic deduction does sound much easier going forward. Thank you for the encouragement - it means a lot during this difficult time!
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Drake
Emma, I'm so sorry for your loss. This Medicare premium issue you're experiencing is unfortunately very common with survivor benefits. What's happening is that SSA's system automatically deducts Medicare premiums from any Social Security payments without checking whether you've already been paying Medicare directly. I work as a benefits counselor and see this exact scenario regularly. The $1,380 deduction from your retroactive benefits is almost certainly the Medicare Part B premiums for those 8 months (about $174/month). Since you've been paying directly to Medicare since age 65, you're absolutely being double-charged. Here's what you need to do: Contact SSA and specifically request a "Medicare Premium Overpayment Refund." Have your bank statements or payment records ready for all the months they deducted (August 2024 through your application date). They'll verify with Medicare that you were paying directly and process a refund. Going forward, I'd recommend switching to automatic deduction from your monthly survivor benefits - it's one less thing to manage during this difficult time. The refund typically comes as an adjustment in a future payment rather than a separate check. Don't give up if the first representative doesn't immediately understand the issue. This is a known problem in their system, and any experienced SSA agent should be able to help you once you explain it clearly.
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Khalil Urso
•Thank you so much for this detailed explanation! It's really helpful to hear from someone who works with these issues professionally and sees this scenario regularly. I feel much more confident now about what exactly happened and how to fix it. The term "Medicare Premium Overpayment Refund" is exactly what I needed - having the right language when dealing with government agencies makes such a difference. I've been gathering all my bank statements showing the direct Medicare payments, so I should have everything they need. You're absolutely right about switching to automatic deduction going forward - managing all these different bills and payments has been overwhelming while I'm grieving and adjusting to so many changes. It will be a relief to have one less thing to keep track of each month. Thank you for the encouragement about not giving up if the first person doesn't understand - I'll be persistent until I find someone who can help resolve this properly.
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Diego Chavez
Emma, I'm so sorry for the loss of your husband. What you're experiencing is unfortunately a very common issue with survivor benefits - Medicare premium double billing. The SSA system automatically deducts Medicare premiums from retroactive benefit payments without checking if you've already been paying them directly to Medicare. I went through something very similar when I started receiving my retirement benefits after paying Medicare premiums directly for several years. The $1,380 deduction sounds exactly right for Medicare Part B premiums over those 8 months (roughly $172-174 per month). Here's what worked for me: Call SSA and specifically ask for a "Medicare Premium Duplicate Payment Adjustment." Have your bank statements or Medicare payment records ready for August 2024 through February 2025. They'll need to verify with Medicare that you were indeed paying directly, but once confirmed, they should process a refund. The adjustment usually comes as a credit in a future monthly payment rather than a separate check. Also, consider switching to automatic Medicare premium deduction from your monthly survivor benefits going forward - it's much more convenient and prevents this kind of confusion. Don't get discouraged if it takes a few calls to reach someone who fully understands the issue. This is a known system problem, and any experienced SSA representative should be able to help you resolve it quickly once you explain it properly.
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Liam Sullivan
•Thank you for your condolences and for sharing your experience with retirement benefits - it really helps to know this happens across different types of Social Security programs. I'm feeling much more prepared now after reading everyone's advice. The term "Medicare Premium Duplicate Payment Adjustment" is another helpful phrase to have in my arsenal when I call. I've got all my bank statements organized showing the direct Medicare payments from August through February, so I should have solid documentation. You're absolutely right about switching to automatic deduction - I think that will make my life much simpler going forward. I really appreciate the reassurance that this is a known system issue and not something I messed up during the application process. Sometimes when you're dealing with grief and all these new bureaucratic processes, it's easy to second-guess yourself. Thank you for the encouragement about being persistent - I'll keep calling until I find someone who can resolve this properly!
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Yara Abboud
I'm so sorry for your loss, Emma. This Medicare premium double-billing issue is incredibly frustrating and unfortunately very common with survivor benefits. The same thing happened to my neighbor when she started receiving widow's benefits - SSA deducted about $1,200 for Medicare premiums she had already paid directly. What's happening is that SSA's computer system automatically deducts Medicare premiums from any retroactive Social Security payments without cross-checking whether you're already paying Medicare directly. It's a major flaw in how their systems communicate with each other. Based on what others have shared here, you'll want to call SSA and use specific terminology like "Medicare Premium Overpayment Refund" or "Premium Billing Adjustment." Have all your bank statements ready showing your direct Medicare payments for those months. The representatives seem to understand the issue better when you use their exact terminology. One tip that hasn't been mentioned yet: if you're having trouble getting through by phone, try calling right when they open at 7 AM local time. The wait times are usually much shorter first thing in the morning. Good luck getting this resolved - you shouldn't have to pay twice for the same coverage!
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Ali Anderson
•Thank you for your condolences and for sharing your neighbor's similar experience! It's both frustrating and reassuring to know how widespread this issue is. The tip about calling right at 7 AM is brilliant - I hadn't thought of that timing strategy. I've been trying to call during lunch breaks, which is probably the worst possible time. I'll definitely set my alarm early tomorrow and try first thing in the morning when they open. Having all these specific terms like "Medicare Premium Overpayment Refund" from everyone's suggestions should really help me communicate clearly with whoever I reach. It's such a relief to have this community's support and advice during what's already been a really difficult time navigating all these new systems and processes.
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Samantha Hall
Emma, I'm so sorry for your loss. What you're experiencing is definitely a Medicare premium double-billing situation that happens frequently with survivor benefits. When SSA processes retroactive payments, their system automatically deducts Medicare premiums without checking if you've already been paying them directly to Medicare. I had this exact same issue when I started receiving my disability benefits after years of paying Medicare premiums on my own. The $1,380 deduction you mentioned is almost certainly the Medicare Part B premiums for those 8 months (about $172-174 per month in 2024/2025). Here's what you need to do: Call SSA and specifically request a "Medicare Premium Duplicate Billing Adjustment" or "Medicare Premium Overpayment Refund." Have your bank statements ready showing all the direct Medicare payments you made for August 2024 through February 2025. They'll verify with Medicare that you were paying directly and should process a refund within 1-2 payment cycles. Pro tip: Try calling right at 7 AM when they open - wait times are much shorter in the morning. And definitely consider switching to automatic Medicare premium deduction from your monthly survivor benefits going forward - it's one less thing to manage during this difficult time. Don't give up if the first representative doesn't immediately understand. This is a known system issue that any experienced SSA agent should be able to resolve once you explain it clearly with the right terminology.
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Victoria Jones
Emma, I'm so sorry for your loss. This Medicare premium issue is unfortunately very common with survivor benefits - you're definitely being double-charged and it's not your fault at all. What's happening is that SSA's system automatically deducts Medicare premiums from retroactive payments without checking if you've already been paying directly to Medicare. The $1,380 sounds exactly right for Medicare Part B premiums over those 8 months. Here's what worked for me when I had this same issue: Call SSA first thing in the morning (7 AM when they open - much shorter wait times!) and ask specifically for a "Medicare Premium Duplicate Billing Refund." Have your bank statements ready showing your direct Medicare payments from August 2024 through February 2025. They'll verify with Medicare that you were paying directly, then process a refund that usually comes as an adjustment in a future monthly payment. Also consider switching to automatic premium deduction from your monthly benefits going forward - one less bill to manage during this difficult time. Don't get discouraged if it takes a couple tries to reach someone who understands the issue. This is a known system problem that experienced representatives can resolve quickly once you use the right terminology. You'll get your money back!
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