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There are three main costs associated with Medicare insurance, premiums, deductibles, and coinsurance rates. The premiums are based on how many Medicare-covered quarters of employment you or your spouse have logged. If either of you have logged at least 40 quarters of Medicare-covered employment, you do not pay a monthly premium for Medicare Part A (hospital) insurance. If you have logged 30-39 quarters, your 2006 monthly Part A premium is $216.00. For those with less than 30 quarters of Medicare-covered employment and who are not eligible for premium-free hospital insurance, the 2006 monthly premium is $393. The Medicare Part B 2006 monthly premium is $88.50.