Medicare Part A typically doesn’t have a monthly premium, just cost-sharing. If you or your spouse paid Medicare taxes while working for a certain amount of time, you are entitled to “premium-free Part A.”

If you aren’t eligible for premium-free Part A, costs are set each year. For example, for 2020 will pay a premium of either $252 or up to $458 each month per person depending on how long you paid Medicare taxes while working.

Premiums aside, Part A also has cost-sharing amounts. For example for 2020:

  • Part A Deductible: $1,408 per benefit period.
  • Part A Coinsurance: After you meet the deductible $0 for days 1-60, $352 for days 61-90, $704 for days 91-on (you get 60 Lifetime Reserve days); after you pay the full cost. Also, skilled nursing coinsurance is $176.
  • Part A Out-of-Pocket Maximum: No out-of-pocket maximum.

TIP: Part A costs can be lowered based on income via state-based Medicare Savings Programs.

TIP: In most cases you need Part A to get Part B.

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