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AARP Medicare Question and Answer Tool
WHAT ARE THE COSTS FOR MEDICARE PART A?
--------------------------------------------------------------------------------
By
Kimberly Lankford,
AARP
1 Comments
En español
Published December 21, 2022
/ Updated October 18, 2023
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Medicare Part A helps pay for inpatient stays in hospitals and skilled nursing
facilities, some home health services and end-of-life hospice care. Even though
most people don’t pay premiums for Medicare Part A, the coverage still has other
out-of-pocket costs.
* A deductible, which you must pay for each benefit period you're hospitalized,
not each year.
* A coinsurance, a set fee you pay if you're hospitalized or in skilled nursing
care for a long time.
* A premium, the plan’s monthly bill if you don’t qualify for free Part A.
* A late fee for Part A if you must pay for Part A but didn’t sign up at the
proper time.
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WHAT ARE THE MEDICARE PART A PREMIUMS?
Most people get Part A for free in retirement because they or their spouse
had Medicare taxes deducted from their paychecks for at least 40 quarters of
work. That’s the equivalent of 10 years or more.
Someone who has worked an entire year is credited with four quarters. But the 40
quarters total don’t need to be consecutive.
If you or your spouse has paid Medicare taxes for fewer than 40 quarters, you'll
have to pay premiums to receive Medicare Part A coverage. In 2023 and 2024, if
you or your spouse paid Medicare taxes for 30 to 39 quarters, you’ll pay $278 a
month for Part A. If you or your spouse paid Medicare taxes for fewer than 30
quarters, you’ll pay $506 a month for Part A in 2023 and $505 in 2024.
HOW MUCH IS THE LATE ENROLLMENT PENALTY FOR PART A?
If you don’t sign up for Medicare when you're first eligible and don’t qualify
for a special enrollment period, you may have to pay a late enrollment penalty.
People who qualify for premium-free Part A won’t have a Part A penalty although
they may have to pay a late enrollment penalty for Medicare Part B. If you must
buy Part A, you may have a late enrollment penalty of 10 percent of your current
Part A premiums for twice the number of years you didn’t sign up.
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WHAT IS THE MEDICARE PART A DEDUCTIBLE?
Even if you don't pay for Part A premiums, you may still have out-of-pocket
costs. You’ll have to pay a hospital deductible of $1,600 for each benefit
period you’re hospitalized in 2023, or $1,632 in 2024.
The Part A deductible isn't annual like you’ve probably encountered with private
insurance. A benefit period begins when you're admitted to a hospital or a
skilled nursing facility as an inpatient and ends when you’ve been out of the
hospital or skilled nursing facility for 60 days in a row.
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You pay a single deductible even if you have more than one hospital stay during
a benefit period. But if you're out of the hospital for 60 days and then have to
go back in, you could pay more than one deductible during a calendar year.
WHAT IS MEDICARE PART A COINSURANCE?
You may have to pay other costs for Part A coverage in addition to deductibles.
If you stay a long time in a hospital or skilled nursing facility, you may have
to pay a portion of that cost, called a coinsurance.
* Hospital costs. Medicare covers the first 60 days as an inpatient in the
hospital. But you may have to pay coinsurance for days 61 to 90 — $400 a day
in 2023 — and a $800 daily coinsurance in 2023 after day 90 for up to 60
lifetime reserve days. In 2024, those numbers rise to $408 and $816. Each
lifetime reserve day may be used once, but you may apply the days to
different benefit periods. You then will have to pay all costs after using
all your lifetime reserve days.
* Skilled nursing facilities. Medicare covers the first 20 days in a skilled
nursing facility after a qualifying hospital stay. But you have to pay
coinsurance for days 21 to 100 — $200 a day in 2023; $204 in 2024 — and all
costs beyond day 100.
* Hospice care. If you’re receiving end-of-life care through a hospice program,
you may need to pay up to $5 per prescription for pain and symptom management
and 5 percent of the Medicare-approved amount for inpatient respite care.
CAN I GET HELP PAYING MEDICARE PART A’S COSTS?
You may qualify for help through one of the Medicare Savings Programs in your
state, depending on your income and assets. The Qualified Medicare Beneficiary
(QMB) Program helps pay the premiums, deductibles, coinsurance and copayments
for Parts A and B.
In most states, you can qualify if your gross monthly income in 2023 doesn’t
exceed $1,235 for individuals or $1,663 for couples. The 2024 figures are not
available yet. In most states, individuals can’t have more than $9,090 in assets
and couples can’t have more than $13,630 in assets.
Other Medicare Savings Programs also can help with out-of-pocket costs for Part
B and some other expenses for people with slightly higher income levels. To find
out if you qualify for a Medicare Savings Program, contact your state Medicaid
office or State Health Insurance Assistance Program or call 800-MEDICARE.
Puerto Rico and the U.S. Virgin Islands don’t have Medicare Savings Programs.
But Medicaid, which provides health insurance to people with low incomes, may be
able to assist.
CAN A MEDIGAP POLICY HELP PAY PART A COSTS?
Yes. Medigap, also called Medicare supplement insurance, is private insurance
you can purchase to cover some of your out-of-pocket expenses in traditional
Medicare. Even though private insurers sell Medigap plans, federal rules
standardize the coverage.
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All types of Medigap policies cover the Part A hospital coinsurance and up to an
additional 365 days in the hospital after Medicare benefits are used up, and all
or part of the hospice cost sharing for drugs and respite care. Most Medigap
policies also cover the Part A deductible and skilled nursing facility care
coinsurance.
You can find costs and coverage for Medigap plans in your area at Medicare.gov
or your state insurance department.
KEEP IN MIND
These deductibles and coinsurance are for people who have Part A
through original Medicare. Another option is to enroll in a Medicare Advantage
plan through a private insurer, which may have different out-of-pocket costs.
If you decide to get coverage through a Medicare Advantage plan, you’ll still
have to enroll in Medicare parts A and B and pay the Part B premiums and any
Part A premiums that may be required. You may have an additional monthly premium
for the Medicare Advantage plan although more than half the plans charge no
premium.
Medicare Advantage plans must provide as least as much coverage as original
Medicare, but you may have different out-of-pocket costs. For example, an
Advantage plan may have a daily copayment for the first few days in the
hospital, such as $325 for each of the first five days as a hospital inpatient,
rather than the Part A hospital deductible.
These copayments can vary by plan and may add up to more than a Part A
deductible.
Return to Medicare Q&A main page
%{postComment}%
Kimberly Lankford is a contributing writer who covers Medicare and personal
finance. She wrote about insurance, Medicare, retirement and taxes for more than
20 years at Kiplinger’s Personal Finance and has written for The Washington
Post and Boston Globe. She received the personal finance Best in Business award
from the Society of American Business Editors and Writers and the New York State
Society of CPAs’ excellence in financial journalism award for her guide to
Medicare.
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This statement shows what was billed, paid in past 3 months
How to Create an Online Medicare Account
You can do a lot when you decide to look electronically
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Part A doesn’t cover doctor’s fees or long-term care
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MEMBERS ONLY
Health & Wellness
AARP® Dental Insurance Plan administered by Delta Dental Insurance Company
Dental insurance plans for members and their families
Learn More
See more Health & Wellness offers >
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Health & Wellness
The National Hearing Test
Members can take a free hearing test by phone
Learn More
See more Health & Wellness offers >
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Health & Wellness
AARP® Staying Sharp®
Activities, recipes, challenges and more with full access to AARP Staying Sharp®
Learn More
See more Health & Wellness offers >
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234
*
*
*
*
* Magazines & Resources
AARP Rewards
Learn, earn and redeem points for rewards with our free loyalty program
Learn More
See more Magazines & Resources offers >
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* MEMBERS ONLY
Health & Wellness
AARP® Dental Insurance Plan administered by Delta Dental Insurance Company
Dental insurance plans for members and their families
Learn More
See more Health & Wellness offers >
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* Health & Wellness
The National Hearing Test
Members can take a free hearing test by phone
Learn More
See more Health & Wellness offers >
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