You generally need 40 work credits, which most people earn over about 10 years of working and paying Medicare taxes, to get Part A without a monthly premium.
Medicare measures your work history in credits. In 2024, you earn one credit for every $1,730 in wages or self-employment income, and you can earn up to 4 credits per year. To qualify for premium-free Part A, the hospital coverage portion of Medicare, you need 40 credits total. For most people, that is roughly 10 years of work.If you are short of 40 credits, you may still be able to get Part A, but you will pay a monthly premium for it. The less work history you have, the higher that premium tends to be. Credits do not have to be consecutive, they accumulate over your lifetime, so gaps in employment do not reset the clock.You can also qualify through a spouse's work record, current or former, including in some cases a deceased or divorced spouse. If your spouse has the 40 credits and you are 65 or older, that typically opens the door to premium-free Part A for you as well.Social Security keeps track of your credits. You can check your record anytime at ssa.gov to see where you stand before you get close to 65.
For you, this means checking your Social Security earnings record now is worth a few minutes, especially if you had years out of the workforce or worked part-time for stretches of your career.
Our Commitment to Reliable Medicare Information
At Resting Sycamore Advisors, we work to provide accurate, current, and trustworthy information about Medicare Advantage, Medicare Part D, and Special Needs Plans.
To do that, we use data published by the Centers for Medicare & Medicaid Services (CMS), which is the official source for Medicare plan and enrollment information.
Our Medicare plan pages and comparison tools are powered by CMS datasets, including:
When possible, we link to the original CMS resources so you can review the source material directly.
We follow the CMS release schedule and update our website as new data becomes available.
We load new plan year Landscape and PBP files before the Medicare Annual Enrollment Period (October 15 through December 7). We also monitor CMS.gov for updates or revisions and refresh our content when needed.
We update enrollment and performance data as CMS publishes revised files, which are typically released monthly or quarterly.
We routinely monitor CMS announcements for corrections, reissued files, or other changes and update our pages accordingly.
Each plan page includes a Last Accessed date so visitors can see when the source information was most recently reviewed.
CMS data can be difficult to read in raw form. To make it easier to use, we format and organize the data for clarity.
This includes:
All data values come from CMS. We do not change the underlying values beyond formatting, organization, and presentation.
We keep internal records of the CMS dataset versions used on our site.
If CMS issues corrected or revised files, we update our website to reflect the latest available version.
Please keep the following in mind:
For personalized Medicare assistance, please use these official resources: