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2022 Part A Premiums:

Medicare Part A covers inpatient hospital care. Most people do not have a premium for Part A if they or a spouse have paid into Medicare taxes for a certain amount of time. If you do not qualify for premium-free Part A, you can buy Part A.

People who buy Part A will pay a premium of either $274 or $499 each month in 2022 depending on how long they or their spouse worked and paid Medicare taxes. If you choose NOT to buy Part A, you can still buy Part B.

There are deductibles and coinsurance associated with each use of Medicare Part A during a Benefit Period. A Benefit Period begins the day you're admitted as an inpatient in a hospital or skilled nursing facility and ends when you haven't gotten any inpatient hospital or skilled nursing care for 60 days in a row. If you go into a hospital or a skilled nursing facility after one benefit period has ended, a new benefit period begins. You must pay the inpatient hospital deductible for each benefit period. There's no limit to the number of benefit periods.

Part A associated fees include:

  • A $1,556 deductible for each benefit period.

  • For Days 1–60 there is a $0 coinsurance for each benefit period.

  • For Days 61–90 you pay a $389 coinsurance per day of each benefit period.

  • For Days 91 and beyond, you pay a $778 coinsurance per each "lifetime reserve day". You are allowed 60 lifetime reserve days.

  • You are responsible for all costs incurred after you have used your lifetime reserve days.

Since Medicare Part A does not cover everything, most people will add on additional coverage to help offset their out-of-pocket expenses like a Medicare Advantage Plan (Part C) or a Medicare Supplement Plan (Medigap).

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