How much does Part A cost?
You usually don’t pay a monthly premium for Medicare Part A (Hospital Insurance) coverage if you or your spouse paid Medicare taxes while working. This is sometimes called “premium-free Part A.”
If you buy Part A, you’ll pay up to $413 each month. But, 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.
In most cases, if you choose to buy Part A, you must also have Medicare Part B (Medical Insurance) and pay monthly premiums for both.
Some people automatically get Medicare Part A (Hospital Insurance). Learn how and when you can sign up for Part A by visiting your local Social Security office.