# 42 CFR § 408.4: Payment obligations

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/ecfr-42-408.4

## Section

- **Citation:** 42 CFR § 408.4
- **Heading:** Payment obligations
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** September 22, 2026
- **Source:** Publisher's official text
- **Location:** Title 42—Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER B—MEDICARE PROGRAM > PART 408—PREMIUMS FOR SUPPLEMENTARY MEDICAL INSURANCE > Subpart A—General Provisions

## Text

(a) Month for which payment is due. (1) A payment is due for each month, beginning with the first month of SMI coverage and continuing through the month of death or, if earlier, the month in which coverage terminates.
(2) A premium is due for the month of death, if SMI coverage is still in effect, even though the individual dies on the first day of the month.
(b) Overdue premiums. (1) Overdue premiums constitute an obligation enforceable against the enrollee or the enrollee's estate.
(2) Overdue premiums are collected—
(i) By deduction from social security or railroad retirement benefits or Federal civil service annuities;
(ii) Directly from the enrollee or the enrollee's estate; or
(iii) By offset against any SMI payments payable to the enrollee or the enrollee's estate.
(3) Interest is not charged on overdue premiums, except under a State buy-in agreement, as provided in § 408.6(c)(4).
(c) Premiums not required for certain kidney donors. (1) No premiums are required for SMI benefits related to the donation of a kidney if the donor is not an enrollee.
(2) A kidney donor who is an enrollee is not relieved of the obligation for premiums.
[52 FR 48115, Dec. 18, 1987; 53 FR 4159, Feb. 12, 1988]

## Nearby sections

- [42 CFR § 408.1 § 408.1 Statutory basis.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.1.md)
- [42 CFR § 408.2 § 408.2 Scope and purpose.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.2.md)
- [42 CFR § 408.3 § 408.3 Definitions.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.3.md)
- [42 CFR § 408.4 § 408.4 Payment obligations.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.4.md)
- [42 CFR § 408.6 § 408.6 Methods and priorities for payment.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.6.md)
- [42 CFR § 408.8 § 408.8 Grace period and termination date.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.8.md)
- [42 CFR § 408.10 § 408.10 Claim for monthly benefits pending concurrently with request for SMI enrollment.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.10.md)
- [42 CFR § 408.20 § 408.20 Monthly premiums.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.20.md)
- [42 CFR § 408.21 § 408.21 Reduction in Medicare Part B premium as an additional benefit under Medicare + Choice plans.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.21.md)
- [42 CFR § 408.22 § 408.22 Increased premiums for late enrollment and for reenrollment.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.22.md)
- [42 CFR § 408.24 § 408.24 Individuals who enrolled or reenrolled before April 1, 1981 or after September 30, 1981.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.24.md)
- [42 CFR § 408.25 § 408.25 Individuals who enrolled or reenrolled between April 1 and September 30, 1981.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.25.md)
- [42 CFR § 408.26 § 408.26 Examples.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.26.md)
- [42 CFR § 408.27 § 408.27 Rounding the monthly premium.](https://www.frixlaw.com/law-library/statutes/ecfr-42-408.27.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/ecfr-42-408.4. Check the current official text before relying on it. Not legal advice.