President Trump announced one-time $90 payments for more than 20 million Medicare beneficiaries to help cover Medicare Part B premiums, with direct deposits or checks scheduled to begin in early October. The payments are funded by the $2 billion Medicare Improvement Fund and cover most Part B enrollees, but exclude the 35 million beneficiaries enrolled in Medicare Advantage, people whose premiums are paid by Medicaid and those paying income-related premiums. Medicaid.gov says 12 million Americans are dually eligible for Medicaid and Medicare. The $90 payment covers about 45% of this year's $202.90 monthly Part B premium, while the deductible rose 10% to $283. The administration has also sent $500 Affordable Care Act refunds to about 950,000 people, but FactCheck.org said market pressures, industry saturation and a prior Medicare policy likely had more influence on prescription-drug prices than the administration's initiatives. The payments come as Trump's 2025 tax breaks expire after 2028 and his healthcare law is projected to reduce healthcare spending by about $1 trillion, including $500 billion in Medicare funding by 2034. Other proposed payments, including DOGE savings checks and $2,000 tariff rebates, have not materialized, while a proposed $5,000 payment remains unapproved.