The Trump administration announced on 2026-10-05 it will distribute one-time $90 payments to eligible Medicare Part B enrollees.

Approximately 21 million enrollees will receive the checks, which are intended to offset premium costs. The payments are scheduled ahead of the 2026 November midterm elections.

Seniors enrolled in Medicare Advantage plans are not eligible for the payment.

Eligibility is further restricted to Part B enrollees who do not pay income-related premiums or receive Medicaid assistance.

President Trump first referenced the planned payments publicly on an unspecified Friday prior to the formal administration announcement.