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Module 1, Lesson B: Original Medicare Part A

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Medicare Part A Premiums

Most people do not have to pay a monthly premium for Medicare Part A because they (or their spouse) paid Medicare taxes while they were working.

The Social Security Administration (SSA) determines if an individual has to pay a premium for Medicare Part A. An individual qualifies for premium-free Medicare Part A coverage unless he or she, or his or her spouse:

  • Did not pay Medicare taxes while working
  • Did not work long enough (10 years in most cases) in Medicare-covered employment

If an individual does not qualify for premium-free Medicare Part A coverage, he or she may still be able to get the coverage by paying a monthly premium. The amount of the premium depends on the length of time the person worked in Medicare-covered employment. If he or she worked for less than 7 1/2 years in Medicare-covered employment, he or she will pay a higher premium than if he or she worked between 7 1/2 years and 10 years in Medicare-covered employment.

Joleen and Todd are ready to examine the details of their parents' coverage under Medicare Part A.

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Last Updated 11/02/2004