Medicare easy pay form

The Medicare Easy Pay form is a quick option for individuals who are either still working or not collecting social security yet for some other reason. This option will ensure you never miss a Medicare payment.  This is a great way to avoid the complications that could occur if you neglect to pay your Medicare premium.

Once you receive a bill from Medicare, you can sign up for Medicare easy pay.  Medicare easy pay automatically deducts your Medicare premiums on the 20th of each month from either your checking or savings account.

There are 2 ways to enroll in Medicare easy pay:

1.  The fastest option is online.  You can either log in to an existing account or create an account.  Once you log in, click on “My Premiums” and follow the links from there to sign up and fill out the online form.
2. Another option is to Click here to download the Medicare easy pay form.  This option takes longer (from 6-8 weeks) for your deductions to begin.  In the meantime, you need to be sure you pay your premiums in a timely manner.  You can do this either online through your account or by using the paper bill you receive.  Mail the completed form to: Centers for Medicare & Medicaid Services,  Medicare Premium Collection Center, P.O. Box 979098, St. Louis, MO 63197-9000.

Once easy pay begins:

1.  Each month you receive a statement that tells you how much will be deducted from your bank account.
2. The premium is deducted from your bank on the 20th each month.  Your bank statement will show a payment marked “CMS Medicare Premiums”.

Click here to download Understanding your Medicare easy pay statement.