42 CFR § 408.65 - Payment options.

---
identifier: "/us/cfr/t42/s408.65"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 408.65 - Payment options."
title_number: 42
title_name: "Public Health"
section_number: "408.65"
section_name: "Payment options."
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: "2026-04-05"
last_updated: "2026-04-05"
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"
---


# 408.65 Payment options.

(a) The enrollee is not asked to pay premiums at the time of enrollment but is instructed to pay them upon receipt of a premium bill from CMS or its agents.

(b) However, if the enrollee wishes, he or she may pay from one to 12 months or from one to four quarters at the time of enrollment.