Trump to Send $90 Medicare Part B Payments to 20 Million Seniors in October

President Donald Trump said his administration will distribute $90 direct payments to more than 20 million older Americans in early October 2026 to offset Medicare Part B premiums, per a Truth Social post and White House fact sheet issued Friday. Most eligible seniors will receive the funds by direct deposit in early October, with paper checks sent to those without banking details on file with Medicare. The money comes from the Medicare Improvement Fund, established in 2008 to enhance the original Medicare program. The announcement follows a midterm campaign rally in Mobile, Alabama, with elections roughly one month away. Trump also reiterated a separate plan to send refund checks to Affordable Care Act enrollees, costing nearly $500 million, and repeated a proposal to pay $5,000 to every adult US citizen "if and when the Republicans win the Midterm Elections." Polls show voter concern over cost of living.