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MEDICARE PART A

How much does Part A cost?


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 Part A."


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 don't qualify for premium-free Part A, you can buy Part A.

If you buy Part A, you'll pay up to $458 each month. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $458. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $252.


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


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

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