What do I pay for Medicare Part A?

You usually don't pay a monthly premium for Part A if you or your spouse paid Medicare taxes while you were working.

You can get Part A without a premium if:

  • You already get a Social Security or Railroad check for retirement
  • 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

Usually, if you choose to buy Part A, you must also have Part B. If you buy Part A, you'll pay up to $413 each month, plus Part B costs. Then, you must also pay coinsurance or copayments for most care.