42 CFR § 408.52 - Change from direct remittance to deduction.

---
identifier: "/us/cfr/t42/s408.52"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 408.52 - Change from direct remittance to deduction."
title_number: 42
title_name: "Public Health"
section_number: "408.52"
section_name: "Change from direct remittance to deduction."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "MEDICARE PROGRAM"
part_number: "408"
part_name: "PREMIUMS FOR SUPPLEMENTARY MEDICAL INSURANCE"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302 and 1395hh."
regulatory_source: "52 FR 48115, Dec. 18, 1987, unless otherwise noted."
cfr_part: "408"
---


# 408.52 Change from direct remittance to deduction.

If a direct remittance enrollee becomes entitled to monthly benefits—

(a) The SMI premiums are deducted from those benefits; and

(b) The enrollee is notified of the deduction and of any adjustment of the initial benefit check that is required to collect overdue premiums or refund premiums paid in advance.