Cost ReferenceยทUpdated August 2026

Medicare Part A Costs in 2026: Hospital Deductibles, SNF Copays, and Premium-Free Rules

MC
By Margaret Chen, PharmD

Frequently Asked Questions

How much does Medicare Part A cost per month?

Most people pay $0 โ€” premium-free for those who worked 40+ quarters. Those with 30โ€“39 quarters pay $278/month; fewer than 30 quarters pay $505/month in 2026.

What is the Medicare Part A deductible in 2026?

$1,676 per benefit period โ€” not per year. A benefit period begins with each hospital admission and ends 60 days after leaving all inpatient facilities.

What is a Medicare benefit period?

Begins at hospital/SNF admission, ends 60 days after discharge. Multiple periods possible per year, each with its own $1,676 deductible.

Does Medicare Part A cover the full hospital stay?

Days 1โ€“60: only the $1,676 deductible. Days 61โ€“90: $419/day. Days 91โ€“150 (lifetime reserve): $838/day. Day 151+: full cost. Medigap Plan G covers all of this.

Medicare Part A is premium-free for most Americans โ€” but hospital and SNF stays come with significant cost-sharing. Here is every Part A cost for 2026.

Part A Premium โ€” Who Pays $0

Premium-free if you or your spouse worked 40+ quarters (10 years) in the US. This covers the vast majority of Medicare beneficiaries. Fewer quarters = monthly premium of $278โ€“$505.

2026 Hospital Cost-Sharing

DurationOriginal MedicareWith Medigap G
Days 1โ€“60$1,676 deductible$0
Days 61โ€“90$419/day$0
Days 91โ€“150 (lifetime reserve)$838/day$0
Day 151+Full costFull cost

Skilled Nursing Facility 2026

After a qualifying 3-day hospital stay: Days 1โ€“20 free. Days 21โ€“100: $209.50/day. Day 101+: full cost. Medigap Plan G covers the days 21โ€“100 copay.

Hospice โ€” $0 Copay

Hospice care under Part A has essentially no cost-sharing โ€” only $5 maximum per prescription drug and 5% for inpatient respite care. One of the most comprehensive coverage benefits in all of Medicare.

  • Budget $1,676 per benefit period if you don't have Medigap
  • Deductible applies per benefit period โ€” multiple hospitalizations per year = multiple deductibles
  • Always confirm "inpatient" admission status โ€” not observation status
  • Medigap Plan G is the most complete protection against Part A exposure
๐Ÿ“š Continue Reading

โ†’ Medicare Part B Costs 2026
โ†’ Medigap Plan G Guide