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In 2026, if you have worked and paid taxes for: 40 quarters or more, which is equivalent to around 10 years, you will pay no monthly premium for Part A between 30 and 39 quarters, you will pay a monthly premium of $311 per month less than 30 quarters, you will pay $565 per month Various out-of-pocket costs also apply to Part A, including a $1,736 deductible, which is payable per benefit period