Medicare Part A

Understanding Medicare Part A

Part A is the hospital insurance piece of Original Medicare. For most people it's premium-free — but it still has deductibles and coinsurance worth knowing about.

What Part A covers

  • Inpatient hospital stays (semi-private room, meals, general nursing).
  • Skilled nursing facility care after a qualifying hospital stay.
  • Hospice care for those with terminal illnesses.
  • Limited home health services, such as part-time skilled nursing or therapy.

Who's eligible — and who pays a premium

Most people qualify for premium-free Part A at 65 if they (or their spouse) paid Medicare taxes for at least 10 years (40 quarters). If you don't qualify on work history, you may still enroll by paying a monthly premium.

What you'll still pay

Part A 2026 cost snapshot
CostAmount
Monthly premium (most people)$0
Hospital deductible$1,736 per benefit period
Days 1–60 in hospital$0 coinsurance after deductible
Days 61–90 in hospital$434/day
Lifetime reserve days (60 total)$868/day

Figures shown for reference. Confirm current amounts at medicare.gov.

A real-world example

If you're admitted to the hospital for a 5-day stay, Part A pays for the hospital costs after you meet the deductible. If you need follow-up care in a skilled nursing facility, Part A covers a portion of that too — but the amount you owe depends on the length of stay and any supplemental coverage.

Keep learning

Related Medicare topics

Still have questions?

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