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Medicare Part A: What Does It Cover, When Does It Start, and What Is the Eligibility Age?

Medicare Part A is the hospital insurance component of Medicare, covering inpatient hospital stays, skilled nursing facility care following a qualifying hospital admission, hospice care, and some home health services.

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Most Americans become eligible for Medicare at age 65. If you are already receiving Social Security benefits, you are automatically enrolled in Parts A and B starting the first day of the month you turn 65. For those not yet receiving Social Security, the Initial Enrollment Period runs from three months before to three months after your 65th birthday. Most people pay no premium for Part A if they or their spouse paid Medicare taxes for at least 40 quarters, which is 10 years of covered employment. Those with fewer than 30 work credits can pay up to $505 per month for Part A in 2026. The standard monthly premium for Medicare Part B in 2026 is $202.90, an increase of $17.90 from the 2025 rate of $185.00. The Part B annual deductible is $283 in 2026. Missing your Initial Enrollment Period without qualifying employer coverage can result in a permanent late enrollment penalty of 10% of the standard premium for every 12-month period you could have enrolled but did not.

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