 The premium is not the only consideration when thinking of Medicare Part A. Like I said earlier, most folks get premium free Part A and there are deductibles associated with Medicare Part A. Those deductibles are determined by benefit periods. Benefit periods work differently depending on what coverage is being used. If you're in the hospital, the benefit period starts on the day you're admitted as an inpatient and ends when you haven't received any inpatient hospital care for 60 days in a row.