Donald Trump has announced that more than 20 million seniors will receive surprise Medicare payments of almost $100 within days.
The president unveiled the one-time checks on Friday, saying his administration was tapping a little-used federal fund to give money directly back to people struggling with healthcare costs.
But not everyone on Medicare will get the cash.
The payments are aimed at helping eligible Medicare Part B enrollees cover their premiums, and the White House says most recipients should see the $90 arrive in their bank accounts early this month.
Those who already have their Medicare premiums paid by Medicaid will not qualify, while higher-income beneficiaries who pay an Income-Related Monthly Adjustment Amount, commonly known as IRMAA, are also excluded.
For everyone else who qualifies, no application appears to be necessary.
People who normally receive federal payments by direct deposit are expected to receive the cash.
Those without direct deposit will instead receive a check sent to the address they have registered with Medicare, according to the White House.

Donald Trump has announced that more than 20 million Americans on Medicare will receive surprise payments of almost $100 within days with the money going directly to bank accounts
The president made the announcement on Friday night
The administration says more than 20 million people will benefit.
It comes amid a remarkable flurry of checks and promised payments from the Trump administration in the final weeks before November’s crucial midterm elections.
Just days ago, the administration began mailing $500 checks to nearly one million Americans who bought health insurance through Obamacare.
Trump claims those Americans were overcharged during the Biden administration through fees used to operate HealthCare.gov, leaving the federal government sitting on hundreds of millions of dollars in surplus funds.
‘For years, the Biden Administration overcharged you to fund the operation of HealthCare.gov,’ Trump told recipients in a letter accompanying the payments.
‘That money belongs to hard-working Americans, not the Government, and now, I am returning it to you!’
Those payments are being sent to eligible people in 30 states that use the federal HealthCare.gov exchange and largely benefit people who paid the full cost of their insurance without receiving federal premium assistance.
The administration says the money comes from excess user fees collected to operate the federal insurance marketplace.
The White House has portrayed the payments as evidence of Trump’s effort to return excess government healthcare money directly to the Americans who paid it.
Dr. Mehmet Oz, Administrator for the Centers for Medicare & Medicaid Services, speaks with Vice President JD Vance during a news conference on Tuesday about Obamacare fraud
Vance announced a federal crackdown on Affordable Care Act fraud, removing over 750,000 allegedly ineligible enrollments and banning hundreds of suspect brokers to save taxpayers an estimated $2.2 billion
And Trump is dangling an even more extraordinary potential payday before voters if Republicans prevail in November.
The president has pledged to send every adult American citizen a whopping $5,000 ‘Trump dividend’ – but only if Republicans retain control of both the House and Senate in the midterm elections.
‘Because we’ve done so well, and because our country is making so much money, only I can make this promise to you,’ Trump said when unveiling the proposal at the Republican midterm convention in Dallas.
‘If the Republicans win the House of Representatives and the United States Senate, I will issue a dividend to every adult citizen in the United States of America for $5,000.’
Trump later boiled the pitch down even further.
‘If the Republicans win, you win with us and you get $5,000,’ he said.
Unlike the $90 Medicare payments and the $500 Obamacare refunds, however, Americans should not start planning how to spend that money.
The $5,000 dividend remains a political pledge rather than an approved federal program, and distributing thousands of dollars to every adult citizen would require an enormous amount of federal money and congressional action.
Trump has not laid out detailed legislation explaining exactly how the payments would be financed or administered.
The president has nevertheless continued touting the proposed checks on the campaign trail as he fights to preserve Republican control of Congress.