Get help paying costs

Learn about programs that may help you save money on medical and drug costs.

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 Part A covers.

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.

 

 

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