I thought I signed up for both Part A and B when I got my Social Security, but now I'm getting bills for Part B. Did I miss something during the enrollment period?

Question

Steven Bleicher · Accepted Answer

Yup. If you don't speak to an experienced and honest agent, you won't know what your monthly payments will be. For example, there is a premium for the Part B, for the Part B one-time per year deductible, possibly a Medigap plan along with a Part D(rug) plan. If you want better coverage for the more expensive Dental, Vision & Hearing procedures, that can also be an extra cost per month. Sounds like you tried to get around using an agent whereas YOU are not paying for the agent's commission since the firm you chose pay the agents!

Answered by Steven Bleicher on May 2, 2025

Broker Licensed in AZ

Answered by Steven Bleicher Medicare Insurance Agent

Gary Church · Answer

The Medicare Part B premium for 2025 is $185.00 or higher, depending on your income from 2023.  We all have to pay.

Steve and Sue Brauer · Answer

Hi. Thanks for watching. So my name is Steve. I'm the husband, half of the husband and wife Medicare team here in Arizona. The question we're looking at today is, "I thought I signed up for Part A and B when I got my Social Security, and now I'm getting bills for Part B. Did I miss something during the enrollment period?"

Well, if you've worked at least ten years full-time and paid into the system, you're not gonna have a premium for Part A. It's premium-free. Part B, the medical insurance piece of Medicare, covers things like office visits, lab work, outpatient surgery, MRIs, X-rays, that kind of stuff. The premium starts this year, in 2025. It's $185. It's going to $206.50 in January of 2026. Everybody's gotta pay it unless your income falls below a certain threshold, and then you may pay part of it. You may not have to pay any of it, depending on where you fall on the scale. But that's how it is. We all have to pay into it. And each year, the Part B premium goes up a little bit.

Mark Bilgere · Answer

Typically once you start your retirement benefits, your Part B is deducted from your monthly benefit. However, there are a few circumstances that could result in getting a bill.

1. If your Medicare starts before your SS is set up, you may receive a bill for the first 1 to 3 months of Part B.

2. If you have an IRMAA surcharge, the extra amount could be billed separately. 

3. If your Social Security amount isn't enough to pay the Part B amount you will be billed for the remainder.

4. There could just be an administrative issue.

Usually a phone call to Social Security can get the issue resolved.

Daniel Brechin · Answer

No, sorry but , Medicare Part B. Had a monthly premium. The amount for 2025 is 185.00 per month.    You will have that premium unless you qualify for a State Medicaid program

Norman Smith · Answer

Part A is a no-charge based on your 40 quarters of working in your adult life, where you paid taxes into it. Part B is currently $185 per year, which amount could change, up or down, when 2026 arrives.

Answered by Norman Smith on May 27, 2025

Agent Licensed in FL, AL, NJ & PA

Answered by Norman Smith Medicare Insurance Agent

Lt Col Tim Brown · Answer

Couple things come to mind. 1) what age did you sign up for Part A and B?
2) If you’re drawing social security you shouldn’t be getting a bill for Part B, they would deduct it from your social security check.  3) if you had insurance at work when you signed up for Part B, you can tell them you had creditable coverage and therefore no penalty.  

You need to call social security and ask them why your getting billed to clear this up.

William Lawler · Answer

Yes. You need to contact ssa.gov and get enrolled in automatic Part B deducted from your monthly SS check. Bill, contact me.

Terri Reagin · Answer

No you are most likely just getting the monthly or quarterly bill for your Part B premium. Part B is not free. It cost $185 for the year 2025 and will increase to $206.50 for 2026. There are certain advantage plans called a "GIVEBACK" plan that could help reduce that cost for you but you must pay your part B premiums to be eligible for Medicare.

Answered by Terri Reagin on October 7, 2025

Broker Licensed in OK, AR, CO & 6 other states

Answered by Terri Reagin Medicare Insurance Agent

George Ibanez · Answer

Medicare A is free of charge when you turn 65 as long as you have contributed to Medicare through your employer, however Medicare B is not free and it has a monthly premium of $206.50 for 2026.
In order to sign for ANY Medicare supplement or Medicare Advantage plan you will have to have both Medicare A and Medicare B or you will not be able to sign up for any Medicare insurance whatsoever.

For help with your Medicare needs contact George Ibanez.

Mark Maliwauki · Answer

If you are getting the monthly Part B premium being paid through your SS you have indeed signed up for Part B. Part A is normally just automatically granted when you turn 65 or a couple of months before as there is no premium associated with it for most people. Part B has always had a monthly premium. This year it is $202.90.

Answered by Mark Maliwauki on January 26, 2026

Broker Licensed in ID, AZ, CA & 13 other states

Answered by Mark Maliwauki Medicare Insurance Agent

Bill Wheeler · Answer

Call the Social Security Administration to confirm your enrollment status and ensure they are deducting the premium from your benefits if you are receiving them. If not, ask to be enrolled. Contact me.

Answered by Bill Wheeler on September 20, 2025

Broker Licensed in KY & IN

Answered by Bill Wheeler Medicare Insurance Agent

Pamela Masters · Answer

If I’m understanding you correctly, you get part A with $0 premium if you worked 10 years and paid FICA tax. Part B is like purchasing an insurance. You pay for it monthly through social security. It is taken out automatically. If you don’t get social security yet they will bill you quarterly. In 2025 Part B is $185 per month.

Answered by Pamela Masters on November 4, 2025

Broker Licensed in NC

Answered by Pamela Masters Medicare Insurance Agent

Tony Capraro III · Answer

Part B has a deductible each year (increases a little each year-2025 is $257) and a 20% co-pay WITHOUT a maximum out of pocket! Have you looked into either a Medicare Supplement/Medigap OR Medicare Advantage Plan that can help with the Part B "out of pocket costs"?

Answered by Tony Capraro III on April 3, 2025

Agent Licensed in NH & ME

Answered by Tony Capraro III Medicare Insurance Agent

Jonathan Potter · Answer

If you are currently getting Social Security and you are being billed for part B for the Medicare, I would call Social Security and make sure that they are deducting that part B premium out of your Social Security check. That normally should be happening.

Answered by Jonathan Potter on May 19, 2025

Broker Licensed in UT, AZ, CA & 14 other states

Answered by Jonathan Potter Medicare Insurance Agent

Kerwyn Jones · Answer

Yes, because signing up for Part B initiates your Medicare Part B premium. It's $185 monthly for 2025. It changes every year.

William Gray · Answer

If you are getting bills for part B it means you are not taking social security benefits. 

Medicare will bill you quarterly if they cannot deduct it from social security payments.

Part B is $186 a month in 2025.

Robert Pennington · Answer

When you become eligible for Medicare, you qualify for Part A which covers hospital needs and is given to you. Part B covers your day to day medical needs and is currently $185 per month deducted from your SS. Part A & B together make you eligible for a Medicare Advantage Plan or a Medicare Supplement

Answered by Robert Pennington on September 15, 2025

Broker Licensed in NC, GA, SC & VA

Answered by Robert Pennington Medicare Insurance Agent

Dutch VanHoesen · Answer

Yes. You must have missed the cost of Part B. If you are receiving benefits it is automatically deducted. If not, billed quarterly.

Mitzi Davis · Answer

Usually you do have your Medicare Part B premium automatically taken out of your SS check before you receive it. Are you sure you requested to start your SS and Your Medicare A & B?

Paula Duffy · Answer

You will be charged for Part B unless you are in your state buy in program. Your rate is based on your income and could be higher if you are subject to the Part D Irmaa. Part A is available to individuals who have paid into social security for at least 40 quarters.

Answered by Paula Duffy on November 4, 2025

Agent Licensed in PA, FL, OH & WV

Answered by Paula Duffy Medicare Insurance Agent

Ryan George · Answer

You didn't miss anything. 

Here's the part that'll put your mind at ease. Getting a bill for Part B actually means you *are* enrolled in it. If you missed signing up, you wouldn't be getting billed at all.

Here's what's tripping you up. Part A, the hospital side, is free for almost everyone, because you already paid for it through the Medicare taxes that came out of your paychecks over the years. Part B, the doctor and outpatient side, works differently. It's always had a monthly premium. So when you got both, Part A came at no cost, and Part B came with a premium attached. Nothing went wrong. That's just how the two pieces are built.

What's probably really throwing you is seeing a bill in the mailbox at all. When you're collecting Social Security, that Part B premium normally comes straight out of your monthly Social Security payment, so you'd never see a separate bill for it. If a paper bill is showing up instead, it's usually one of two things: either you signed up for Medicare but haven't started taking your Social Security check yet, or you're newly enrolled, and the automatic deduction just hasn't kicked in. Those first couple of months often arrive as a bill before it switches over to coming out of your check.

So here's what we suggest. If you are getting a Social Security check, call Social Security and ask them to confirm whether your Part B premium is set to come out of it. If it's supposed to and isn't, they'll get it switched to automatic. And if you'd rather not deal with deductions at all, Medicare Easy Pay is a free option that drafts it right from your bank account each month, so you're not writing checks.

You're enrolled, you're covered, and that bill is just the normal cost of Part B, not a sign that something slipped through the cracks.

Janix Barbosa-LLanos · Answer

Many people believe that when they sign up for Social Security, everything under Medicare is free. That is not exactly how it works.

Medicare Part A usually does not have a monthly premium if you worked and paid Medicare taxes for at least 40 quarters, which equals 10 years. If someone worked fewer than 40 quarters, they may have a monthly premium under Part A.

Medicare Part B is different. Part B always has a monthly premium. The standard premium changes each year. For 2026, it is $202.90. Some individuals with higher incomes may pay more due to income IRMAA adjustments.

If you are receiving Social Security benefits, the Part B premium is usually deducted automatically from your monthly check. If you are not yet collecting Social Security, Medicare will send you a quarterly bill.

Receiving a bill does not necessarily mean you missed your enrollment period. It usually just means that Part B has a premium that must be paid directly.

If someone delays enrolling in Part B and does not have other creditable coverage, they face a late enrollment penalty. The penalty is 10 percent for every full 12-month period a person was eligible but not enrolled, and that penalty continues for as long as they have Part B.

If you would like, we can review your enrollment timeline together to make sure everything was processed correctly.

Educational Disclosure:
This information is provided for educational purposes only and is not a guarantee of benefits. Medicare premiums, deductibles, and penalties may change annually. Income adjustments may apply. I am not affiliated with or endorsed by the federal government or the Medicare program. For official Medicare information, please visit www.medicare.gov
 or call 1-800-MEDICARE.

Janix Barbosa-Llanos, MBA, PMP, CEP, RSSA, FSN
Licensed Health Insurance Broker

James ONeal · Answer

Here's why:

Automatic Enrollment:
If you were already receiving Social Security benefits at least 4 months before turning 65, you would have been automatically enrolled in premium-free Part A and Part B. However, those in Puerto Rico are only automatically enrolled in Part A. 

Part B is Not Always Automatic:
Even if you were automatically enrolled in Part A, you may have needed to actively enroll in Part B separately, or you may have chosen to decline Part B coverage initially. 

Late Enrollment Penalty:
If you didn't enroll in Part B when you were first eligible and are now enrolling, you might be subject to a late enrollment penalty. This penalty is an increase to your monthly premium for as long as you have Part B.

Jason Hark, MBA, CMIP · Answer

Great question! Medicare Part A (hospital insurance) is usually free because most people or their spouses paid Medicare taxes while working for at least 10 years.

Medicare Part B (doctor visits, outpatient care, and other services) isn’t free because it covers things that aren’t paid for by those taxes. So, everyone who has Part B pays a monthly premium to help cover those costs. We explain it as a forever tax, unless your income is below a certain threshold.

Andrew Sandlin · Answer

It sounds like you did everything correct and got both parts (A and B) of Medicare active. The reason you are seeing a bill is that Medicare part B does have a cost, and it is $202.90/month for the average American. When you begin taking Social Security, this monthly amount will actually come directly out of your benefit check. It sounds like you aren't taking Social Security yet since they mailed you a bill. Typically this is done in quarterly payments. To make things easier, you can ultimately set up "Medicare Easy Pay" where the monthly amount comes directly out of a bank account as opposed to having to pay it quarterly via paper bill.

Answered by Andrew Sandlin on January 12, 2026

Agent Licensed in IN, AL, FL & GA, IL, MI & OH

Answered by Andrew Sandlin Medicare Insurance Agent

Matt &quot;Ernie&quot; Ernstes · Answer

short answer NO.  you are supposed to get a bill for Part B.  most people like to have their Part B premium come out of their Social Security.

Oscar Chavez · Answer

You might be getting a bill for part B because you delayed signing up for it. I would also check if you got your Part D.

Kim Kirsch · Answer

Part B always has a monthly premium unless you signed up for an MAPD plan that pays part or all of that premium for you. These plans are not available in every zip code, so it's important to engage with a broker who cares and will guide you to the right decision.

Answered by Kim Kirsch on May 6, 2025

Broker Licensed in FL, AK, AL & 46 other states

Answered by Kim Kirsch Medicare Insurance Agent

Cris Zimmerman · Answer

If you are receiving Social Security benefits, part B should be automatically deducted from your monthly check. If you are not receiving Social Security benefits, you will get billed for part B.

Andrew Zurbuch, MBA · Answer

If you are vested in Original Medicare your Medicare Part A is no premium. You become vested by earning 40 credits from earned income. Medicare Part B has a monthly premium and can withdraw that from your Social Security check. Thank you.

Answered by Andrew Zurbuch, MBA on November 17, 2025

Broker Licensed in IN, FL, KY, MO, OH & TN

Answered by Andrew Zurbuch, MBA Medicare Insurance Agent

Timothy Brown · Answer

Yes, Medicare Part A premium is $0 if you and/or your spouse have worked and paid taxes for 10 years. The Medicare Part B, unfortunately, does not have a $0 premium. For 2025, it's $185/month which is set by The Centers for Medicare & Medicaid Services (CMS). The premium is automatically deducted if you are collection Social Security. If not, you will be billed quarterly but can make arrangements to pay it monthly afterwards from you checking account. Keep in mind that in order to enroll in any Medicare insurance plans, with the exception of Part D (Prescription Drug Plans), Part A and Part B is a requirement.

Answered by Timothy Brown on July 10, 2025

Broker Licensed in PA, CT, DE & 15 other states

Answered by Timothy Brown Medicare Insurance Agent

Vernon Jones · Answer

Yes, there is a $185 monthly cost to have have Part B and since you are drawing your Social Security it likely coming out of your monthly Social Security check.

James Stang · Answer

Part A is paid for with the contributions from your paycheck while you were working. As long as you worked for four quarters you qualify. Part B is paid for via a monthly premium paid directly to the government. Unless you qualify for certain levels of Medicaid, you have to pay the Part B premium.

Answered by James Stang on October 30, 2025

Agent Licensed in OH

Answered by James Stang Medicare Insurance Agent

Juliette Chihade · Answer

This is a common point of confusion, so you're not alone! Here's what's likely happening:

Part A vs. Part B:
When you sign up for Social Security, you are automatically enrolled in both Medicare Part A and Part B — so you didn't miss an enrollment window. The key difference is the cost:

Part A:
 generally premium-free for most people, because you paid into it through payroll taxes during your working years. That's why you may never see a bill for it.
Part B (medical insurance, doctor visits, outpatient care, etc.) has a monthly premium that most people pay. In 2026, the standard premium was $202.90/month, though it can be higher depending on your income (this is called IRMAA).

So the bills you're receiving for Part B are expected and legitimate,  it doesn't mean something went wrong.

Cleo Martin · Answer

The reason you are getting a bill for Medicare is because you are not getting Social Security at this moment. They usually take it out of your Social Security check. So since you're not getting Social Security, then they send you a bill and you need to pay for it because you have to have Part A and Part B.

Robert Baez · Answer

Please check with your nearest Social Security office and confirm that you followed with all steps necessary for your Medicare Parts A and B application.  Reach out to when ready to be enrolled to a Medicare plan.

Robert Baez
Licensed Trusted Advisor

Health | Wealth | Life | Medicare

Contact me.

Diana Salisbury · Answer

Social Security and Medicare are two different entities. There is no premium for social security because you have paid into the system while you are/were working. Medicare is the medical plan that requires a monthly premium to those who qualify for coverage.

Answered by Diana Salisbury on July 18, 2025

Broker Licensed in OH, IN & MI

Answered by Diana Salisbury Medicare Insurance Agent

Anna Davis CIC-RSSA · Answer

f you're not yet receiving Social Security benefits, you’ll receive a quarterly bill for Medicare Part B premiums by mail. Once you begin collecting your Social Security income, Medicare will automatically switch to monthly deductions from your check instead. It’s very important to pay your quarterly bill on time—missing payments can lead to a cancellation of your Part B coverage, which could leave you with gaps in care and future penalties. If you're having trouble affording the premiums, don’t wait—reach out to your local county office or Medi-Cal office to see if you qualify for help through programs like the Medicare Savings Program (MSP). These programs can help pay your Part B premium and even eliminate your late enrollment penalties if you qualify.

Answered by Anna Davis CIC-RSSA on August 6, 2025

Broker Licensed in CA

Answered by Anna Davis CIC-RSSA Medicare Insurance Agent

Richard Kozlowski · Answer

Medicare Part B typically has a premium

Happy to review if you need additional

Rich Kozlowski
LifeSmart Senior Services
Contact me.

Robert Barco · Answer

Most people mistakenly believe that Part B is without cost. Part A, hospitalization is free if you have paid into it for 10 years or more. Part B or outpatient services, you will need to pay a portion of the cost, which is currently set at $185 per month. This will be billed in quarterly amounts if not receiving Social Security. Otherwise, this will be deducted from your Social Security payments.

Answered by Robert Barco on July 23, 2025

Broker Licensed in OH

Answered by Robert Barco Medicare Insurance Agent

Christopher Garcia · Answer

Medicare part B has a monthly premium of $185 a month. If you’re collecting Social Security benefits, you can have this withheld directly from your Social Security check on a monthly basis. If you’re being billed for Medicare part B you are typically billed for three months at a time. The bill you receive will state the amount you owe as well as the period you are being billed for. you can contact them directly using the number on your bill if you have questions. I hope this information helps.

Answered by Christopher Garcia on April 7, 2025

Broker Licensed in NM, AZ, CO & TX

Answered by Christopher Garcia Medicare Insurance Agent

Shawn Ray · Answer

Part B has a monthly premium, and if it isn’t deducted from your Social Security check (for example, if your benefits haven’t started yet or aren’t high enough to cover it), Medicare bills you quarterly instead.

The bill doesn’t mean you enrolled incorrectly; it usually just means the Part B premium isn’t being automatically withheld from your Social Security payment. You can check your Social Security statement to see whether Part B is being deducted or if direct billing is set up.

Kathy Adams · Answer

No, Part A is covered at no cost if you, over the life of working have 40 quarters is the equation the government uses. Part B is what costs... $185 per month. You will have an opportunity this Fall from October 15th to December 7th to enroll in Part C (Medicare Advantage Plan or a Medicare Supplemental Plan) any questions feel free to contact me.

Answered by Kathy Adams on May 29, 2025

Agent Licensed in NV & ND

Answered by Kathy Adams Medicare Insurance Agent

Gwendolyn Brown · Answer

Even though you sign up for both A and B, you will responsible for paying for B every month and the amount will be  based on your current income. You will not be billed for part A.

Lisa Kirchner · Answer

No, Part B cost most people $185.00 in 2025 unless you qualify for a form of medicaid that pays your Part B.  Some people with very high income pay more than the $185.00.  

Part A is free if you worked 10 years.  Part B is not.  Part B is very important and you will most definitely be dropped for nonpayment if you miss payments.  Depending on your medical expenses and medical condition otherwise, there are medicare advantage products (called giveback plans) that lower the cost of Part B monthly.

Annette Hartman · Answer

You will want to check back with Social Security. Typically when you are receiving Social Security benefits, you premium is automatically deducted from those benefits each month. If you signed up for Part B, but are not drawing Social Security benefits, you will be billed quarterly for your Part B premium.

Answered by Annette Hartman on April 28, 2026

Broker Licensed in FL

Answered by Annette Hartman Medicare Insurance Agent

Fred Manas · Answer

It's likely you were automatically enrolled in Medicare Part A and Part B when you started receiving Social Security benefits, but you may not be aware of the Part B premium payment process. If you're receiving Social Security benefits, your Part B premium is usually deducted automatically from your benefit check. If you're not receiving Social Security, you'll receive a bill. You may be getting bills for Part B because you're either not receiving Social Security benefits yet, or because your Part B premium isn't being deducted from your benefits for another reason (e.g., you recently started receiving benefits). 
Here's a more detailed explanation:
Automatic Enrollment:
When you start receiving Social Security retirement benefits (usually around age 65), you're automatically enrolled in Medicare Part A and Part B. 
Premium Deductions:
If your Part B premium is deducted from your Social Security check, you may not realize you're being billed for it. 
Billing Without Social Security:
If you're not yet receiving Social Security benefits, or if your benefits don't cover the full cost of your Part B premium, you'll receive a bill. 
Late Enrollment Penalty:
If you didn't enroll in Part B when you were first eligible, you might be paying a late enrollment penalty. 
Special Enrollment Period:
You might be able to avoid penalties if you qualify for a Special Enrollment Period (SEP) due to continued employment and health coverage through an employer.

Gary Henderson · Answer

Apparently you missed the fact that there is a charge for part B premiums. This year it is $185 per month 
Part A is launching for at least 10 years in the country is at no charge 
Part a covers hospitalization 
Part B covers everything outside in the hospital

Mary Brown · Answer

You likely got Part A automatically with Social Security, but Part B requires enrollment and a monthly premium. If you’re being billed, check your Medicare or Social Security account to confirm your Part B status.

Answered by Mary Brown on April 20, 2026

Broker Licensed in NJ, DE, FL & NC, OH, PA & TX

Answered by Mary Brown Medicare Insurance Agent

Carol Thompson · Answer

You could be getting billed for your Part B premium. This premium amount can vary each year and it depends on the plan you are on.

Mark Boone · Answer

There could be many reasons. Your best bet is to contact the Social Security Administration and find out. It could be that you signed up late and you are being assessed a late enrollment penalty, it could be that SSA hasn't gotten the paperwork finished yet to take from your social security check or many other reasons. Again, the best thing to do is call SSA and they can provide the definite answer,

Answered by Mark Boone on October 15, 2025

Agent Licensed in MN, FL, MI & NC, OH, SC & VA

Answered by Mark Boone Medicare Insurance Agent

Suzanne Lamperti · Answer

Your initial enrollment period was two months before you turned 65, the month you turned 65, and two months after you turned 65. Now you must have a special enrollment occasion or wait until open enrollment.

Answered by Suzanne Lamperti on July 19, 2025

Broker Licensed in MD

Answered by Suzanne Lamperti Medicare Insurance Agent

Todd Bostic · Answer

Everyone is required to pay for the part B benefits every month it will normally come out of their Social Security check. With that said I’m assuming that you can have it automatically taken out of your Social Security check every month.

Answered by Todd Bostic on October 27, 2025

Broker Licensed in TX, AL, AZ & 12 other states

Answered by Todd Bostic Medicare Insurance Agent

Deborah Webster · Answer

Part A was paid for when you worked aka the Medicare deduction taken off your paycheck before taxes, and as long as you worked 10 years, it costs nothing when you take your A.
Part B has NOT been paid for; this will cost you a premium each month off your social security check or direct bill if you are not yet drawing social security. Part B premium is 185.00 this year and usually increases yearly by about 3%. The Part B premium is set by CMS (the center for Medicare and Medicaid Services). If your income is high enough this may be an even higher amount called IRMMA. You can refer to IRMMA on the Social Security website SSA.gov.

Pat Papson · Answer

Hello.. DO you have a local Agent?  Are you taking your Social Security?

It maybe when you signed up, it was not specified that you wanted Part B taken of your Social Security..

Unless you have a plan that offers some rebate on your Social Security, the monthly is 184.50, and in January going up to 206.50

I'm not sure if the Social Security office is open due to the shut down.
Hope this helps..

Carol Conner · Answer

You may have parts a and B but if you did not pick any kind of Medicare advantage or a Medigap policy then there’s a lot of things that Medicare won’t cover and you’ll be charged for the 20% so it’s always good to have an agent. It’s local that can help you. Make sure you have a supplemental type plan to cover cost that Medicare does not cover

Answered by Carol Conner on November 23, 2025

Broker Licensed in TX

Answered by Carol Conner Medicare Insurance Agent

Eizel Mere · Answer

Medicare has, as you mentioned, part A and B. Part A is free as long as you worked and payed taxes 10 yrs or 40 quarters. Part B has a monthly premium of $185. When ypu receive SS benefits it should come out of your monthly stipend. If you did not enroll on Part D you are missing that part to cover prescriptions. If you enrolled in an Advantage plan with Part D then it is covered.

Answered by Eizel Mere on September 15, 2025

Broker Licensed in FL

Answered by Eizel Mere Medicare Insurance Agent

Joseph Peck · Answer

Are they bills for treatment or the part B premium? If for the premium there is a mix up at Social security if you are getting your checks now. The premium is supposed to be coming off the top of your monthly check. If its for treatment, there is a $257 deductible to be covered then your responsibility is 20% of the medicare approved amount if you dont have coverage to cover that.

Answered by Joseph Peck on June 26, 2025

Agent Licensed in MI, AL, CO, KS & TN

Answered by Joseph Peck Medicare Insurance Agent

Don Hansford · Answer

If you are receiving a bill for Part B, then that means you are enrolled in Part B. What does your red, white, and blue card show? Not sure why your Part B premium is not being deducted from your Social Security, you need to contact them to find out. In the meantime I would recommend that you pay the premium they have billed you for.

Answered by Don Hansford on October 11, 2025

Broker Licensed in TX

Answered by Don Hansford Medicare Insurance Agent

Mel Stevens · Answer

Often when you sign up for Social Security people also sign up for Medicare Part A and Part B at the same time. If you sign up for Social Security at Age 66, then you more than likely were issued part A already once you turned age 65. In this situation it appears that more than likely you signed up. A card showing your effective date should have been sent in the mail and as we know, sometimes items get lost in the mail system. Contact Medicare as soon as possible to inquire about the status. There are various options. You could either stop down at the local office, contact us. It's very important to inquire about your effective date because you only have a 60-day window to sign up for Part D or a prescription drug plan once your Part B becomes effective. If you fail to sign up within that window of time, Medicare can and will penalize you for the rest of your life.

Answered by Mel Stevens on April 17, 2025

Broker Licensed in AZ

Answered by Mel Stevens Medicare Insurance Agent

Charles Borg · Answer

There is no charge for part A, but part B does have a premium. It’s usually taken out of your Social Security payment. Maybe you should contact the Social Security office and try to get things straightened out.

Answered by Charles Borg on May 27, 2025

Agent Licensed in FL & NY

Answered by Charles Borg Medicare Insurance Agent

Ken Banks · Answer

Part B has a monthly premium billed to you by Medicare. You chose to pay premiums yourself initially: Even if you receive Social Security, you may have been billed directly for the premiums. These payments can then be automatically deducted from your Social Security check going forward.

Answered by Ken Banks on October 20, 2025

Broker Licensed in GA, AL, DC & 5 other states

Answered by Ken Banks Medicare Insurance Agent

James Wareheim · Answer

In most cases Part A there is not charge for, Part B does have a month premium.  Depending on your income it can vary.  If you are taking Social Security they can take the premium out of your check.  If you are not they will bill you, in most cases for 3 months at a time.

Some Medicare Advantage plans have a Part B give back.  You will want to talk to a licensed agent about that.  Most people find it is better to work with an agent then by calling an 800 number.

David Christian · Answer

Hello this is a common question. If you are getting billed for Part B it's because you did everything correctly. Everyone has a Medicare Part B premium. You will either pay that premium directly or through your Social Security check.

Answered by David Christian on May 14, 2025

Broker Licensed in CA & TX

Answered by David Christian Medicare Insurance Agent

Amy Jones · Answer

Often, people are automatically enrolled in Part A when eligible and have to enroll for Part B on their own, and the Part B premium is typically withheld from their social security check unless they request to be billed.  

Medicare Part A is provided at no cost for people who have worked in the US and paid taxes for 40 quarters of their lifetime (10 years), but Medicare Part B has a premium which is $202.90 for 2026, unless they are paying a higher cost due to having a large income. If you enrolled in Part B after your Initial Enrollment Period, you could be charged a late enrollment penalty. You can contact the Social Security Administration at 1-800-772-1213 or 1-800-MEDICARE if you believe you are being billed for charges you do not owe or to request information on the costs and charges.

John L Herman Jr · Answer

Part A is usually covered by the years you paid into the system and fo most people has o premium.  PART B has a premium that is based on your prior two years of income. There are circumstances where you may receive assistance, such as Medicaid whereby the State would pay your PART B premium.

Both PART A AND PART B are required to obtain Health Care Plans.

Jerry Cohen · Answer

Nothing was missed in signing up for Medicare Parts A and B. Medicare Part A has no premium because it was paid for from income earned during the workin g life of the insured. In the case of Medicare Part B, no seperate premium was paid for during a person's working life which means that in retirement there is a payment to be made.

Answered by Jerry Cohen on April 21, 2025

Broker Licensed in NY

Answered by Jerry Cohen Medicare Insurance Agent

Chauncey Bragg · Answer

This can be very confusing. There are several different reasons that you could be receiving a bill. The most common is that you deductions have not started yet from your monthly payment. Check your bill to see if the dates are for the past or future dates this will help you figure out what is going on. You also need to check your Medicare card and insure that you have a start date next to part B. The best way to find out what is going on is to call social security and ask.

Answered by Chauncey Bragg on October 4, 2025

Broker Licensed in OH

Answered by Chauncey Bragg Medicare Insurance Agent

Jim Carroll · Answer

Typically, when someone signs up for Original Medicare Part A and Part B, they check the box stating they want the Part B monthly premium to be deducted directly from their monthly Social Security check. The standard monthly premium for Medicare Part B in 2025 is $185.00.

Log in to your Medicare.gov account, and you will see the plan(s) you are enrolled in.

Brenda Watson · Answer

If you signed up for both Medicare Part A & B this will show on your Medicare card, the red, white and blue card with your Medicare number.  If Part B is blank then you don't have this cover.    Keep in mind a lot of folks are under the impression Medicare is FREE.  Part A is usually Free because you (or a spouse) paid for this premium while working and paying into FICO.  Part B has a monthly premium and is an 80/20 plan, you are responsible for 20% of all doctor bills.  

To avoid any copays, coinsurance and deductibles you want to add a Medicare Supplement to your health plan.  This is NOT a Medicare Advantage plan, a Medicare Supplement works with Original Medicare Parts A & B and fills in the gaps.  With a Medicare Advantage plan you are paying your 20% up to a Maximum Out of Pocket Limit.

Angelina Watkins · Answer

There is a Part B monthly premium you would pay. The cost is dependent on your income. I can't be 100% sure without seeing the bills you are referring to, but more than likely that is the Part B premium almost everyone has to pay.

Answered by Angelina Watkins on October 31, 2025

Agent Licensed in OH, FL, GA & 5 other states

Answered by Angelina Watkins Medicare Insurance Agent

Angela Wainright · Answer

This is a common question. When you apply for Social Security, you’re typically enrolled in Medicare Part A and Part B automatically if you're 65 or older. Part B isn’t free—it comes with a monthly premium, which is likely what you're seeing in those bills.
If you're already receiving Social Security benefits, that premium is usually deducted directly from your monthly check. But if you’re not yet receiving payments (or only recently started), Medicare bills you quarterly for Part B instead.
So in most cases, you didn’t miss anything—this just means:
You are enrolled in Part B, and Medicare is billing you directly because they’re not taking it out of Social Security (yet or at all).

Christopher Matthews · Answer

You’re getting bills for Part B because it has a monthly premium that isn’t always deducted automatically from your Social Security benefits. This means you were successfully enrolled, and the bills are for your ongoing Medicare Part B coverage.

Tammam Tayara · Answer

When you start Social Security, you’re usually enrolled in Part A automatically, but Part B requires a monthly premium. If you didn’t actively confirm Part B enrollment or set up premium payments, you may only have Part A. The bills you’re receiving are likely for your Part B premium, which you’ll need to pay to keep that coverage active.

Kevin Johnson · Answer

You are likely getting bills for Part B because your Social Security benefits have not started yet, or they started after your Part B coverage began, so you are receiving premium bills until deductions can be made from your checks. It is also possible that you were not automatically enrolled because you were still working and had employer-sponsored coverage, and you have now reached an age where you are no longer eligible for a Special Enrollment Period.

Gregory Brown · Answer

If you did not sign up for part B you should not be getting a bill, you should check with social security to see about it.

Uchennah Okafor · Answer

I will answer this question based on 2 scenarios. First if you had deferred your social security payment after age 65; they have no way to deduct the part b premium so they are billing you directly for it. 

Another scenario is if you are not receiving social security payment yet so they are billing you for the part b premium. So you likely didn't miss anything during enrollment

Sue Mendoza · Answer

Part A is no charge, however you have to pay for Part B. In 2025 the cost is $185 per month and in 2026 it will increase, but new amounts haven’t been released yet.

Marc Gilman · Answer

If you are still working when you turn 65, you may only have signed up for Medicare Part A, hospitalization. About 99% of us get Medicare Part A for free. You do not pay for Part A if you or your spouse worked for at least 10 years (or 40 quarters).
If you didn't need Part B due to an employer provided health plan or other coverage, then you would have delayed your enrollment. However, once you enroll i Part B you will pay a monthly premium. For 2026, most of us pay a Part B premium of $202.90. If your income exceeds a certain threshold, you will pay a surcharge referred to as an Income-Related Monthly Adjustment Amount (IRMAA).

Kelli Callihan Ostrander · Answer

You earn Medicare Part A coverage through years of working so there is no cost to it. There is a premium associated with Part B, most people who earn an average income pay $185/month. Please keep in mind that Original Medicare Parts A and B only cover 80% of your medical costs. Did you enroll in a plan to help you cover the other 20% ?  I am happy to help guide you through your choices. Feel free to reach out.  Kind regards,   Kelli Ostrander

Dorthea Hughes · Answer

You are correct there is a monthly reoccurring fee for Part B.

 Under certain circumstances according to your monthly income there are times where the part bc can be waved.

Penny Wegner · Answer

This year, Medicare beneficiaries with income above $106,000 (for single tax filers), $212,000 for joint filers, and $106,000 (for married people who file separately) will pay the surcharge. For these beneficiaries, total Monthly Part B premiums will range from $259 to $628.90.

Now income earners that fall under that pay a part B premium out of there Social Security check this year of $185. Next year it will increase to $206.50. A  $21.50 increase.

Part A you have no cost if you have qualifying hours into Medicare. Otherwise,  this year you would be looking at an additional cost of $285 or $518.

Josh Vojtush · Answer

Whether you get Part B automatically due to having Social Security prior to 65, or you take Part B after 65, it has a base premium of $185 per month in 2025. That number can go up or down, depending on income, assets, penalties, programs chosen, and more. A knowledgeable broker is an invaluable resource to clear everything up.

Wessie Lee · Answer

Hello,  Receiving bills for Part B premium is correct.  Everyone pays a Part B premium.  There are programs for Low income and other types of assistance for Part B premium assistances.  There are also Medicare Advantage Plans that will pay for your Part B Premium.

Eileen Falk · Answer

Are you actually receiving your Social Security Benefits?  If so, it might be timing.  I would suggest that you reach out to Social Security immediately and ask why you are getting bills.  I would also recommend that you set up an account at www.medicare.gov where you can see bills, claims, etc....
I hope this helps.

Janet Elliott · Answer

Medicare doesn't cover 100 percent of eligible expenses.  A medicare advantage or medicare supplement must be added on.  You can find a broker or call an insurance company.  Medicare .gov is an excellent resource to get informed.