Real answers for your healthcare questions

What happens to my Marketplace plan when I become eligible for Medicare?

Answer

Marketplace coverage does not automatically become Medicare. When you become eligible for Medicare, you generally need to review your Marketplace plan and financial assistance because Medicare eligibility can affect your ability to receive Marketplace premium tax credits.

What to Know

Keeping a Marketplace plan after Medicare begins can sometimes result in paying full price for that plan, and it may not coordinate with Medicare the way employer coverage does. The timing of Medicare enrollment is especially important if you are approaching age 65.

What to Do Next

Before Medicare starts, compare your Medicare choices and plan the end date of Marketplace coverage so you do not create an unnecessary overlap or gap. Update the Marketplace when your coverage situation changes.

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