How Much is the Medicare Part A Premium?

Last Updated : 08/04/20192 min read

Who must pay a Medicare Part A premium every month? Some Medicare beneficiaries do, but most don’t. We’ll walk through the Part A premium – when it’s free, and when it’s not.

What’s Medicare Part A?

Medicare Part A is hospital insurance, and along with Medicare Part B (medical insurance) it’s also called Original Medicare.

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Some people are enrolled in Original Medicare (Part A and Part B) automatically. It depends on whether you’re getting Social Security benefits.

You generally don’t pay a monthly Medicare Part A premium if you’ve worked at least 10 years (40 quarters) while paying Medicare taxes.

But what if you don’t qualify for premium-free Part A? If you or your spouse haven’t worked for at least 10 years while paying Medicare taxes, you most likely will pay a Medicare Part A premium.

So how much is the Medicare Part A premium if you don’t qualify for premium-free Part A?

The Medicare Part A premium can change every year. In 2019:

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  • If you worked fewer than 30 quarters (7 1/2 years), you’ll typically pay $437 per month.
  • If you worked more than 30 but fewer than 40 quarters (around 7 1/2 to under 10 years), you’ll typically pay $240 per month.

There’s also a monthly premium for Medicare Part B, and most beneficiaries do have to pay the premium.

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