---
kind: "section"
citation: "42 C.F.R. § 408.60"
title: "42"
number: "408.60"
heading: "Direct remittance: Basic rules."
url: "https://uscodex.org/cfr/42/408.60"
---

# §408.60. Direct remittance: Basic rules.

- (a) Premiums not deducted from monthly benefits under Subpart C of this part or paid by a State buy-in agreement must be paid by direct remittance to CMS or its agents, by or on behalf of the enrollee.
- (b) Quarterly payment is preferred as more cost-effective, but monthly payment is accepted if the enrollee is unwilling or unable to make quarterly payments or is also paying hospital insurance premiums, which must be paid every month.
- (c) CMS, directly or through its agents, sends quarterly or monthly premium bills and includes an addressed return envelope with the bill.
- (d) **The individual must—**
  - (1) Send a check or money order that is drawn payable to “CMS Medicare Insurance” and show the enrollee's name and claim number as it appears on the Medicare card; and
  - (2) **Return the bill with the check or money order in the preaddressed envelope.**

## Notes

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 52 FR 48115, Dec. 18, 1987, unless otherwise noted.