Most people receive Medicare Part A without paying a monthly premium because:

a.It is entirely optional coverage that any resident may simply decline without affecting their other benefits
b.They or their spouse paid Medicare payroll taxes while working, typically for 40 quarters
c.It is funded from Part B premiums
d.It is means-tested for low income

解析

Part A is premium-free for those with a sufficient work history of Medicare payroll taxes (about 40 quarters). It is not means-tested, optional, or funded by Part B.

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