This doesn’t affect everyone, so most people won’t have to pay an extra amount. You’ll also have to pay this extra amount if you’re in a Medicare Advantage Plan that includes drug coverage. If your income is above a certain limit ($103,000 if you file individually or $206,000 if you’re married and file jointly), you’ll pay an extra amount in addition to your plan premium (sometimes called “Part D-IRMAA”). If you have a higher income, you might pay more for your Medicare drug coverage. If you don't sign up for Part D when you're first eligible, you may have to pay a Part D late enrollment penalty. Most people only pay their Part D premium. What happens to my premium withholding if I switch plans? You’ll need to pay this bill directly to your drug plan. ![]() If you don’t start having premiums withheld from your Social Security payment until 1 -2 months after you joined a drug plan, you’ll get a bill for those months from your drug plan. ![]() Your plan will tell you when premium withholding is set up or if there are any problems. ![]() If you want to stop premium deductions and get billed directly, contact your plan. ![]() Get your premium automatically deductedĬontact your plan (not Social Security or the Railroad Retirement Board (RRB)) if you want your premium deducted from your monthly Social Security or RRB payment (called "premium withholding"). If you join a Medigap policy and a Medicare drug plan offered by the same company, you may need to make 2 separate premium payments for your coverage. Contact your insurance company for more details.
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