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?
25 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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