President Donald Trump says the administration is sending one-time $90 payments to help more than 20 million people enrolled in Medicare pay their Part B premiums. The payments are reported to total about $2 billion and are drawn from the Medicare Improvement Fund. Outlets also report that most eligible beneficiaries receive the money by direct deposit or by check.

The rollout excludes many Medicare enrollees. Multiple outlets note that only a subset of Part B participants qualify for the “premium rebate,” and that people whose premiums are already covered through Medicaid or who pay an Income-Related Monthly Adjustment Amount are not eligible. Several sources describe the payment as coming from program funds rather than a traditional refund, and critics characterize it as politically timed ahead of the Nov. 3 midterm elections.

Coverage also places the payments within a broader pattern of recent Trump administration pledges involving cash-like benefits, including earlier claims of checks or refunds for other health-related programs. Reports cite eligibility-check options, including calling Medicare or the Social Security Administration, and give an expected arrival date around Oct. 8 for many recipients.