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Millions of Americans enrolled in Medicare are receiving $90 payments from the federal government this month as part of a Trump administration initiative to help offset health care costs.
More than 20 million Medicare beneficiaries are eligible for the one-time payments, and most are expected to receive the money via direct deposit on or around Oct. 8, according to the Centers for Medicare & Medicaid Services (CMS).
President Donald Trump announced the payments Oct. 2 to help seniors cover Medicare Part B premiums, which cover services including doctor visits and outpatient care.
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The money comes from the Medicare Improvement Fund, created by Congress in 2008 to support improvements to traditional Medicare. (Kayla Bartkowski/Getty Images)
The standard monthly Part B premium increased to $202.90 in 2026, up from $185 last year, according to CMS. The $90 rebate covers about 44% of a month’s standard premium, but does not permanently reduce costs for beneficiaries.
Why are seniors getting $90 payments?
The money comes from the Medicare Improvement Fund, created by Congress in 2008 to support improvements to traditional Medicare.
The standard monthly Part B premium increased to $202.90 in 2026, up from $185 last year, according to CMS. (Alex WROBLEWSKI / AFP via Getty Images)
The White House said Congress appropriated $2 billion for the fund and that it was the first time it had been used to make direct payments to beneficiaries.
Who is eligible for the $90 Medicare payments?
Most original Medicare Part B enrollees living in the United States are eligible, but some groups are excluded.
Those whose premiums are paid by Medicaid, higher-income beneficiaries who pay an income-related monthly adjustment amount, and Medicare Advantage enrollees are not eligible, according to CMS.
Seniors can check their eligibility by calling 1-800-MEDICARE (1-800-633-4227).
When will the $90 Medicare checks arrive?
Most eligible recipients will receive direct deposits around October 8. Those without direct deposit will receive paper checks from the U.S. Treasury Department later in October.
Most original Medicare Part B enrollees living in the United States are eligible, but some groups are excluded. (Getty Images)
Checks will be accompanied by a message identifying them as a “Medicare Improvement Fund payment; payment of $90 to offset the October premium,” according to CMS.
Beneficiaries can check their payment status by contacting the Social Security Administration at 1-800-772-1213 beginning October 15.
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The $90 payments are separate from regular Social Security benefits and are not recurring.
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