Nope. They take out $177.00 per month of out of my social security check and send me the rest. Been doing this for the last 3 years. State of Georgia told me to put away my Medicare Federal card and never give it to the Dr's or hospital. I sign up with the retiree State of GA website every year and pick my plan. I always choose the PPO plan either United or Anthem Blue Cross plan. They are usually the same coverage but one had a co-pay and the other did not. This year I had to switch from United which I have always had to Anthem. State Of Georgia funded BCBS this year and not United. United would have gone to $80.00 per month out of pension plus the $177.00 to Medicare. I went with the cheaper plan. So far so good. Just ordered Tobraymicin for $66.00 from the Speciality Pharmacy in PA.