Medicare Part A vs. Part B: What’s the Difference in 2026?

Last Modified: 10/05/2026 | Reviewed by Keith Armbrecht (NPN 634015)

Quick Summary

Medicare Part A primarily covers inpatient hospital and related institutional care, while Medicare Part B primarily covers doctors, outpatient healthcare, preventive services and medical equipment.

Together, Part A and Part B make up:

Original Medicare

Most people don’t pay a monthly premium for Part A, while most beneficiaries pay the standard $202.90 monthly Part B premium in 2026.

Key Facts

Part A vs. Part B at a Glance

Medicare Part A

Known as: Hospital Insurance

Primarily covers:

  • Inpatient hospital care
  • Qualifying skilled nursing facility care
  • Hospice
  • Certain home health services

2026 premium:

$0 for most beneficiaries

2026 inpatient hospital deductible:

$1,736 per benefit period

Medicare Part B

Known as: Medical Insurance

Primarily covers:

  • Doctors
  • Specialists
  • Outpatient care
  • Preventive services
  • Durable medical equipment
  • Certain home health services
  • Certain medications under specific circumstances

2026 standard premium:

$202.90/month

2026 annual deductible:

$283

A Simple Hospital Example

Suppose you’re admitted to the hospital as an inpatient.

Part A

Generally handles the hospital facility portion of your qualifying inpatient stay.

Part B

Generally handles physician services you receive during that hospital stay.

This is why someone can receive both Part A and Part B charges during one hospitalization.

A Simple Doctor Example

You visit a cardiologist in an outpatient setting.

That generally falls under:

Medicare Part B

not Part A.

Part A Costs

Most people pay no monthly premium because they or a spouse paid Medicare taxes long enough.

But Part A can still have substantial cost sharing.

The 2026 inpatient hospital deductible is:

$1,736 per benefit period

Part B Costs

The 2026 standard monthly premium is:

$202.90

The annual deductible is:

$283

After the deductible, you commonly pay 20% of the Medicare-approved amount for many Part B services.

Do You Need Both?

For most people using Original Medicare as their primary Medicare coverage, having both Part A and Part B provides the core hospital and medical coverage they need.

You also generally need both Part A and Part B to purchase Medigap.

Video Explanation from Keith

Medicare Part A vs. Part B Explained

Keith's Take

The easiest way to remember this is:

Part A = primarily hospital

Part B = primarily medical

That’s not perfect because Medicare has exceptions and overlapping situations, but it’s a good starting point.

Where people get surprised is a hospital stay.

They think:

“I’m in the hospital, so everything is Part A.”

Not necessarily.

The hospital facility can be Part A while the physicians treating you are billing under Part B.

Keith Armbrecht
Keith Armbrecht
Medicare on Video

Frequently Asked Questions About Part A vs. Part B

Q. Is Part A hospital insurance?
A. Yes.
Q. Is Part B medical insurance?
A. Yes.
Q. Does Part A cover doctors?
A. Physician services are generally covered under Part B, even when you're an inpatient.
Q. Does Part B cover outpatient care?
A. Yes.
Q. Which part covers skilled nursing?
A. Qualifying skilled nursing facility care falls under Part A.
Q. Which part covers medical equipment?
A. Part B generally covers qualifying durable medical equipment.
Q. Is Part A free?
A. Most people pay no monthly premium, but deductibles and coinsurance still apply.
Q. Is Part B free?
A. No. The standard premium is $202.90 per month in 2026.
Q. Do I need both for Medigap?
A. Generally yes.

Official Government Sources

Explore Related Guides

Explore Related Guides

Medicare On Video Logo

Get Your Free Medicare Quote

Invalid Date Format

Have more questions?

Need Help Understanding Medicare?

GET MEDICARE HELP

Call 877-885-3484

Medicare On Video Logo Icon dark
Privacy Overview

This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.