NotMyTaxes

Medicare Part A

Hospital Insurance (HI)

Quick Facts

Total Part A Spending

$451 Billion

Beneficiaries

65+ Million

Seniors & disabled

Your Tax Rate

1.45%

No income cap

Trust Fund Status

2036

Projected depletion

How Medicare Part A is Funded

Medicare Part A is funded through dedicated payroll taxes, similar to Social Security:

  • Employee contribution: 1.45% of all wages (no cap)
  • Employer contribution: 1.45% of all wages
  • Self-employed: 2.9% of net earnings
  • Additional Medicare tax: Extra 0.9% on wages over $200,000 (employee only)

Note: Unlike Social Security, Medicare taxes have no wage cap. You pay 1.45% on all earnings, and high earners pay an additional 0.9% above $200,000.

What Medicare Part A Covers

Hospital Inpatient Care

Semi-private room, meals, general nursing, drugs as part of inpatient treatment, and other hospital services and supplies. Includes critical access hospitals and inpatient rehabilitation facilities.

Skilled Nursing Facility Care

Up to 100 days per benefit period in a skilled nursing facility, but only after a qualifying hospital stay of at least 3 days. Includes semi-private room, meals, skilled nursing and rehabilitative services.

Hospice Care

For people with terminal illness (6 months or less to live). Includes pain relief, symptom management, support services, and respite care. Most hospice care is provided at home.

Home Health Services

Limited home health services including skilled nursing care, physical therapy, speech-language pathology, and occupational therapy. Must be homebound and services must be ordered by a doctor.

2024 Deductibles & Coinsurance

Hospital Deductible$1,632

Per benefit period

Days 61-90 (Hospital)$408/day

Coinsurance per day

Days 21-100 (SNF)$204/day

Skilled nursing facility coinsurance

Lifetime Reserve Days$816/day

60 days total lifetime

Hospital Insurance Trust Fund Status

According to the 2024 Medicare Trustees Report:

  • Current balance: $217 billion
  • Projected depletion: 2036 (5 years later than previous projection)
  • After 2036: Incoming taxes would cover 89% of scheduled benefits
  • Total Part A expenditures in 2024: $451.2 billion
  • Income in 2024: $443.3 billion (operating at deficit)

Learn More

2024 Medicare Trustees Report

Official Medicare financial status report

What Part A Covers

Medicare.gov coverage details

Medicare Facts & Data

Kaiser Family Foundation Medicare resources