How Often Does Medicare Send Premium Bills?

If you have Medicare Part A and/or Part B, you may receive premium bills from Medicare on a regular basis. But how often does Medicare actually send out these bills for your monthly premium payments?

The frequency of Medicare premium billing depends on a few factors:

  • Whether you have Part A, Part B, or both
  • If you pay premiums directly or have them deducted
  • Any late enrollment penalties you may owe

Below is an overview of how often you can expect to receive bills from Medicare for your premium costs.

Medicare Part A Premium Billing Frequency

Most people do not pay a premium for Medicare Part A, which covers hospital insurance. This is because they or their spouse paid Medicare taxes while working for at least 10 years.

If you aren’t eligible for premium-free Part A, here is how often you will be billed:

  • Monthly – You will receive a Part A premium bill each month from Medicare. This covers the upcoming month’s premium cost.

So if you have to pay for Part A coverage, expect a monthly statement in the mail for as long as you’re enrolled.

Medicare Part B Premium Billing Frequency

Medicare Part B covers medical insurance and the standard monthly premium amount for 2023 is $164.90. Here is how often you’ll be billed for Part B:

  • Every 3 months – If you pay Medicare directly for Part B, you’ll receive a bill every 3 months.

  • Monthly – If you owe a Part B late enrollment penalty, you’ll be billed each month for the penalty along with your standard premium.

  • No bill – Most people have their Part B premium deducted from Social Security benefits, so they never get a bill.

If Social Security doesn’t cover your Part B costs, you’ll get bills directly from Medicare. For most, it’s quarterly. But if you pay a penalty, it’s monthly.

Medicare Part D (Prescription Drug Coverage) Billing

Medicare Part D is prescription drug coverage from private insurers. Here’s how often Part D bills come:

  • Monthly – If you owe a Part D late enrollment penalty, you’ll get a monthly Medicare bill.

  • No bill – Most Part D plans simply include the premium in your monthly or quarterly statements from your insurer. Medicare does not directly bill for standard Part D premium costs.

So Part D penalty bills come monthly, while regular Part D premiums are handled by your private insurer.

How Medicare Premium Bills Are Issued

Medicare premium bills follow a set schedule and contain payment information for upcoming coverage months. Here are some Medicare billing specifics:

  • Bills are issued around the 10th of each month.

  • Your payment is due by the 25th of the month to avoid penalties or loss of coverage.

  • Monthly Part A bills cover just the next month’s premium.

  • Quarterly Part B bills cover 3 upcoming months of premium costs.

  • Monthly Part D penalty bills cover the penalty for the next month.

  • If you miss a payment, the next bill will show amounts owed for previous months.

Always pay Medicare premium bills in full and on time to avoid costly penalties or gaps in coverage.

What Does the Medicare Premium Bill Look Like?

When you receive a premium bill from Medicare, it will be titled “Medicare Premium Bill” and also include:

  • Your Medicare Number

  • Date of issue

  • Premium amounts and coverage months

  • Total amount due

  • Due date

  • Payment instructions

Review the bill carefully to ensure the total due and coverage information appears accurate. Pay the full billed amount by the due date listed to remain covered.

If anything looks incorrect or you can’t make a payment, call Medicare immediately for assistance. Do not let a billing error or late payment lapse your important Medicare benefits.

Avoiding Medicare Premium Penalties

In addition to monthly Part A, Part B, and Part D premium costs, Medicare can also bill for:

  • Part B late enrollment penalties – 10% for each 12-month period you delayed Part B

  • Part D late enrollment penalties – At least 1% per uncovered month you went without Part D or other creditable coverage

These penalties can show up on your Medicare premium bills as extra monthly charges on top of your standard premiums. Always try to avoid late penalties by signing up when first eligible.

But if you already pay Medicare penalties, be sure to factor those costs in when reviewing your premium bills. Paying attention to Medicare billing due dates and carefully reviewing charges will help avoid costly mistakes.

Getting Help with Medicare Premium Payments

If you’re having trouble affording Medicare premium costs, there may be assistance programs available, like:

  • Medicaid – Can cover Part B premiums if eligible based on income and assets

  • Medicare Savings Programs – Help pay Part A and/or Part B premiums if income is below set limits

  • Extra Help – Lowers Part D prescription drug costs for those with limited income and resources

Contact your State Health Insurance Assistance Program (SHIP) to ask about programs that provide financial assistance with Medicare premiums based on financial need. Don’t let billing challenges jeopardize your Medicare coverage.

The Bottom Line

How often you receive bills from Medicare for Part A, Part B or Part D depends on your specific coverage and if you pay penalties. But in general:

  • Part A bills come monthly if you pay a premium

  • Part B bills are quarterly unless you owe a penalty

  • Part D penalty bills come monthly

Review Medicare premium statements carefully, pay by the due date, and seek help if you have trouble affording costs. This ensures you maintain seamless Medicare benefits.



Can Medicare be billed monthly?

Medicare Easy Pay is a free way to set up recurring payments to pay your Medicare premiums. With this service, we’ll automatically deduct your Medicare premiums from your checking or savings account each month. Deductions are on the 20th of the month (or the next business day).

What is the 90 day rule for Medicare?

Medicare covers Medicare provides 60 lifetime reserve days of inpatient hospital coverage following a 90-day stay in the hospital. These lifetime reserve days can only be used once — if you use them, Medicare will not renew them. Very few people remain in a hospital for 150 consecutive days.

Is there a limit for Medicare?

As long as the health care services you’re using are covered by Medicare and deemed medically necessary, you can use as many as you need with no Medicare coverage limits on your benefits.

How does Medicare billing work?

After a health care provider treats a Medicare patient, the provider sends a bill to Medicare that itemizes the services received by the beneficiary. Medicare then sends payment to the provider equal to the Medicare-approved amount for each of those services.

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