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What to Do if Your December Medicare Bill Arrived Late

CMS says it is trying to find people at risk of losing coverage

Man looking over a bill

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After some Medicare premium bills for December were mailed late, a spokesman at the Centers for Medicare & Medicaid Services (CMS) said Wednesday the agency is trying to identify beneficiaries at risk of being terminated so they can keep their health coverage.

Beneficiaries complained to both CMS and AARP when bills for their premium payments — which were due Dec. 25 — arrived in their mailboxes behind schedule. Some said their bills were dated Nov. 27 but did not arrive until just days before the due date. 

The CMS spokesman declined to specify how many people were impacted, saying: “We have no further details to share” at this time.

He said, though, the snafu was not limited to a particular region of the country but no one has lost coverage because of missing the Christmas Day payment deadline.

One beneficiary said his premium bill didn’t show up until Dec. 21. He said he planned to pay it on Dec. 24 and “I may include an angry comment with the bill.”

Others reported their premium bills trickled in even later.

The beneficiaries hit with the late-arriving bills are in a subset of the people who use Medicare. The subset comprises people who accept Medicare coverage but are not yet drawing Social Security benefits. If a person receives benefits from both programs, as is usually the case, Medicare premiums are deducted from Social Security checks.


Navigate enrollment, coverage options, prescription drug rules and more at AARP’s Medicare Resource Center.


A CMS spokesman said Wednesday that the agency “recently learned of a delay in the mailing” of the Medicare premium bills known as Form CMS 500.

He did not describe what snag led to premium bills being mailed out late.

As for those affected by the glitch, he urged:

  • People should pay the premiums “as soon as possible” and put their Medicare number on their check or money order.
  • Payments also may be made via the mail using a major credit card.

To avoid using snail mail, here are two other ways to pay:

  • Use your bank’s online payment mechanism.
  • Sign up for Medicare’s Easy Pay, so the premiums are automatically deducted from a designated checking or savings account.

People with questions are urged to call Medicare customer service — 800-633-4227 — though on Wednesday callers were told that Medicare was experiencing “longer-than-normal hold times” and were urged to call back later if the call was not urgent.

If a Medicare recipient receives the first notice of a premium being due and it remains unpaid, a second notice goes out saying the payment is 60 days late, the spokesman said. If the premium still is unpaid, next is a delinquency notice and final bill saying the payment is 90 days late, he said.

Altogether, an estimated 59.1 million Americans are covered by Medicare Part A and/or B, according to a July 2018 report from CMS.

Part A covers hospital care and some nursing home, rehabilitation and hospice care. Part B covers doctor visits, lab tests, screenings and other outpatient services.

Recipients who pay premiums rather than have them deducted from Social Security checks are billed monthly or quarterly, the spokesman said.

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