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PAC. I have had lots and lots of problems with SS. There have been numerous times when clients get a letter from the carrier that their payments are behind, they have been drafted from their SS check, and never forwarded to the carrier. Then they have to pay the carrier, call SS and tell then what happened, and wait to get the money back from the carrier when SS gives them the money.
That was not fun to type much less deal with.
SS was highly touted as the way to go in 2006. For most people it worked fine, but there are many untold thousands who never had the draft start at all and who got letters telling them to pay up at the end of the year. Or else they had 3-4 months drafted at once after it took months to get going. This evidently was a problem of communication b/w SS and Medicare since it seems to have occured regardless of who their PDP or MA carrier was.
I usually try to recommend another method unless they insist on SS check deduction, which is rare. If they go with SS I advise them to keep tabs on it since it will eventually have to be paid one way or another.