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Part A costs
Part A costs
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 buy Part A, you'll pay up to $422 each month in 2018. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $422. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $232.
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). Learn how and when you can sign up for Part A.
Find out what you pay for Part A-covered services.
Part B costs
How much Medicare Part B (medical insurance) costs, including Income Related Monthly Adjustment Amount (IRMAA) and late enrollment penalty.
Costs for Medicare drug coverage
Learn about the types of costs you’ll pay in a Medicare drug plan.
Costs for Medicare Advantage Plans
Learn about what factors contribute to how much you pay out-of-pocket when you have a Medicare Advantage Plan (Part C).
Pay Part A & Part B premiums
Learn more about how you can pay for your Medicare Part A and/or Medicare Part B premiums. Find out what to do if your payment is late.
Medicare 2018 costs at a glance
Medicare Part A, Part B, Part C, and Part D costs for monthly premiums, deductibles, penalties, copayments, and coinsurance.