Medicare Part A

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Medicare Part A Costs - 2022


Most people do not pay a premium for Medicare Part A (Hospital Insurance).  This is also known as “premium-free" Part A.  If you or your spouse paid Medicare payroll taxes for less than 7.5 years, you will have a monthly cost of $499 per month.  If you paid Medicare payroll taxes for 7.5 and 10 years, the standard premium is $274 per month.



What Medicare Pays

What you Pay


  • First 60 Days

All But $1556


  • Days 61-90

All but $389 a Day

$389 a Day

  • Days 91 and After (60 Reserve Days)

All but $778 a Day

$778 a Day

  • After Reserve (Additional 365 Days)


All Costs

  • Beyond lifetime reserve days


All Costs


Skilled Nursing Facility Care

  • Days 1-20

All Approved Amounts


  • Days 21-100

All but $194.50 a Day

$194.50 a Day

  • Days 101 and beyond


All Costs



  • First Three Pints


All Costs

  • Additional Amounts




Hospice Care

  • You must meet Medicare’s requirements, including a doctor’s certification of terminal illness

All but very limited copayment/coinsurance for outpatient drugs and inpatient respite care

$0 for hospice care, up to $5 for each prescription, and 5% of the Medicare-approved amount for respite care