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how much does medicare part a cost-Medicare Part A premium
how much does medicare part a cost

Most people don’t pay a monthly premium for Part A (sometimes called “premium-free Part A”). If you buy Part A, you’ll pay up to $499 each month. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $499. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $274.

Premium-free Part A

You usually don’t pay a monthly premium for Medicare Part A (Hospital Insurance) coverage if you or your spouse paid Medicare taxes for a certain amount of time while working. This is sometimes called “premium-free PartA.”
Most people get premium-free Part A.

You can get premium-free Part A at 65 if:
  • You already get retirement benefits from Social Security or the Railroad Retirement Board.
  • You’re eligible to get Social Security or Railroad benefits but haven’t filed for them yet.
  • You or your spouse had Medicare-covered government employment.
If you’re under 65, you can get premium-free Part A if:
  • You got Social Security or Railroad Retirement Board disability benefits for 24 months.
  • You have End-Stage Renal Disease (ESRD) and meet certain requirements.

Part A premiums

If you buy Part A, you’ll pay up to $499 each month in 2022. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $499. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $274.

In most cases, if you choose to buy Part A, you must also:

  • Have Medicare Part B (Medical Insurance).
  • Pay monthly premiums for both Part A and Part B.

Contact Social Security for more information about the Part A premium.

Some people automatically get Medicare Part A (Hospital Insurance).

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Part A hospital inpatient deductible and coinsurance.

You pay:

  • $ 1,340 deductible for each benefit period.
  • Days 1-60: $0 coinsurance for each benefit period.
  • Days 61-90: $335 coinsurance per day of each benefit period.
  • Days 91 and beyond: $670 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to 60 days over your lifetime).
  • Beyond lifetime reserve days: all costs.
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