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Social Security withholding survivor benefits for unpaid Medicare premiums - amount doesn't match up

I lost my wife in September 2024 and I'm completely baffled by what's happening with my Social Security benefits. I filed for survivor benefits in December that should've started in January (paid February), and I also applied for my own retirement benefits at age 67 starting in March (April payment). Today I got this confusing letter saying I won't get ANY benefits until June because of 'unpaid insurance premiums.' Here's what's confusing me: I've paid my Medicare supplement monthly like clockwork, and I was paying the regular Medicare premium quarterly up until December. I never received a bill for the new quarter! The quarterly premium was only about $700, but somehow they're withholding THREE MONTHS of survivor benefits? I was told my retirement benefit will be higher than my wife's benefit anyway, so eventually I'd just receive my own retirement amount. But right now I need that money and can't understand how they're justifying withholding multiple thousands of dollars for a much smaller premium amount. Someone mentioned I should appeal, but I honestly don't even know what I'd be appealing or how to start. Has anyone dealt with this Medicare premium/benefit withholding situation?

There's definitely some confusion here that needs clearing up. When SSA withholds benefits for Medicare premiums, they typically only withhold enough to cover what you owe, not entire months of benefits. It sounds like there might be a mix-up between your survivor benefits and retirement benefits processing. First, check your Medicare billing status through your Medicare.gov account to confirm exactly what premiums are unpaid. Then call SSA and specifically ask for an itemized explanation of: 1. Exactly how much they claim you owe 2. Which months of Medicare coverage are unpaid 3. Why they're withholding full months rather than just the amount owed Request a formal written explanation of the withholding calculation. This situation doesn't sound right based on what you've shared.

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Thank you for this clear advice. I've been trying to reach someone at SSA but keep getting disconnected after being on hold. I'll check my Medicare.gov account right away. Do you know if there's a specific department I should ask for when I call about this premium issue?

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same thing happend to me last year! the ssa and medicare don't talk to eachother right. I bet your premium payments went to the wrong place or didn't get recorded properly. its a mess trying to fix it but dont give up

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That's good to know I'm not alone. Did you eventually get it resolved? How long did it take?

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This sounds like a case where they're applying the "Medicare Premium Collection Hold" policy incorrectly. When you transition between benefit types (like going from survivor to retirement), there can be a gap in automatic premium deductions. However, they should only withhold the actual premium amount owed, not multiple months of full benefits. You need to request a formal reconsideration. To do this: 1. Call the SSA and explicitly say you're requesting a "reconsideration of Medicare premium withholding" 2. Ask for form SSA-561 to be sent to you 3. Gather proof of any premium payments you've made 4. Submit everything within 60 days of receiving the notice In the meantime, it might be worth paying the outstanding premium amount directly to prevent further benefit delays, even if you believe there's an error. You can get reimbursed later if you're proven correct.

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The SSA-561 is EXACTLY what they need!!! I work with seniors and see this all the time. The Medicare premium withholding can get messed up during benefit transitions. Good advice about paying it directly too so benefits start flowing again.

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I JUST went through something similar!!!! The problem might be that when you switch from survivor benefits to your own retirement benefits, there's a weird gap in how they handle the Medicare premium deductions. For some reason their computer system doesn't smoothly transition the premium payments between benefit types. I got SO frustrated trying to fix this by phone - spent HOURS and HOURS on hold only to get disconnected or told different things by different reps. The worst part is even when I got through, the person couldn't actually help me!!

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Just to add some clarity here - what's likely happening is related to how Medicare premiums are handled during benefit type transitions. When moving from survivor benefits to retirement benefits, CMS (Centers for Medicare & Medicaid Services) and SSA must coordinate the premium collection responsibility transfer. During this transition period, sometimes premiums aren't properly deducted, creating an arrearage that SSA later attempts to recover. However, SSA should follow specific guidelines for premium recovery that limit how much they can withhold at once. Typically, they shouldn't withhold more than 30% of your monthly benefit for premium recovery unless you agree to a higher amount. I'd recommend specifically asking about the "limitation on recovery" rules when you speak with them.

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I had a similar issue trying to reach social security about medicare premium problems. After struggling for weeks, I found a service called Claimyr that got me through to a real person at SSA in under 5 minutes. You can see how it works at https://youtu.be/Z-BRbJw3puU and their website is claimyr.com. Saved me days of frustration! Once I actually talked to someone, they explained there was a coding error in my account causing the premium withholding issue and fixed it on the spot.

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has anyone else tried this? im desperate to talk to someone about my husbands survivor benefits but keep getting disconnected after waiting forever

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I've heard good things about it from multiple people in my retirement group. The key is to ask for a "premium collection review" when you do reach someone, as this is a specialized type of case they need to handle differently than regular benefit questions.

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Update: I managed to check my Medicare account online and it shows I do have unpaid premiums, but only for $712 total - nowhere near what they're withholding from my benefits! I'm going to try that Claimyr service tomorrow because I've tried calling 6 times now and either get disconnected or told the wait is over 2 hours. This is so frustrating when I'm just trying to understand why they're withholding thousands for a much smaller premium amount.

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That's good detective work checking your Medicare account. When you do reach someone, make sure to ask specifically about the "premium arrearage settlement options." You have the right to request a partial withholding plan rather than having all benefits withheld. Bring up the specific amount showing in your Medicare account and ask why there's a discrepancy with what they're withholding.

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just wanna say dont get ur hopes up for a quick fix... my mom had benefits withheld for like 4 months before they sorted out her medicare premium mess! the systems are so old and nobody there seems to know how to fix stuff when it breaks. keep calling and document EVERYTHING!!!

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THIS is why it's important to record EVERY call - who you talked to, what they said, reference numbers. The SSA systems don't talk to each other and one rep will tell you something completely different from another! I learned this the hard way after getting contradictory information FIVE DIFFERENT TIMES about my own Medicare premium issue!!

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After reviewing your situation, I believe you're experiencing what's called a "Medicare Premium Withholding Correction Event." This occurs when there's a gap in premium collection due to benefit type changes. Here's what's happening: 1. When you applied for survivor benefits, that triggered one Medicare premium collection setup 2. When you later applied for retirement benefits (which will replace the survivor benefits since they're higher), that created a second premium collection setup 3. The system detected the missed premiums during the transition and triggered an automatic withholding However, SSA must follow specific rules about benefit withholding. Under the "limitation on recovery" rules for Medicare premium collection, they generally cannot withhold more than needed to recover the actual amount owed, except in cases of fraud. Request a detailed Medicare Premium Withholding Statement when you call. This will itemize exactly what they claim you owe and why they're withholding the amount they are. This is your evidence for filing a reconsideration if needed.

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Thank you for this detailed explanation - it makes much more sense now. I think you're right about it being related to the transition between benefit types. I'll specifically ask for that Medicare Premium Withholding Statement when I get through to someone.

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im confused does he get both survivor and retirement benefits at same time? my husband died last year and im turning 65 next month so trying to figure out my own situation

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No, when you're eligible for both survivor benefits and your own retirement benefits, you generally receive whichever amount is higher, not both combined. However, there are strategic filing approaches that can maximize your lifetime benefits. For example, some people take survivor benefits first and switch to their own retirement benefits later (or vice versa) depending on which is more advantageous at different ages. This is a situation where personalized advice from an SSA representative would be valuable for your specific case.

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I'm glad to see others have provided helpful information. One more technical detail: If you file a reconsideration (form SSA-561) for the Medicare premium withholding, you can also request "immediate benefit continuation" while the reconsideration is being processed. This is especially appropriate when the withholding amount seems disproportionate to the actual amount owed. Also, once this is resolved, you might want to switch to having your Medicare premiums deducted monthly directly from your bank account through Medicare Easy Pay. This avoids these kinds of problems during benefit transitions. You can set this up at medicare.gov or by completing form SF-5510.

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I didn't know about the immediate benefit continuation option - that would really help me while this gets sorted out. The Medicare Easy Pay sounds like a good solution for the future too. I'll definitely look into setting that up once this current mess is straightened out. Thank you!

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