Can I Have Medicare and Marketplace Insurance at the Same Time?

Can You Have Medicare and Marketplace Insurance?

Turning 65 while enrolled in HealthCare.gov? Learn how Medicare interacts with Marketplace health insurance and what you need to know.

Can You Have Medicare and Marketplace Insurance?

This question becomes especially important for people who purchase individual insurance through HealthCare.gov before turning 65.

FAQ

Can I have Medicare and Marketplace coverage?

Medicare and Marketplace coverage are separate systems.

HealthCare.gov states that Medicare isn't part of the Marketplace, and people with Medicare generally don't need Marketplace coverage.

Does Marketplace insurance replace Medicare?

No. Marketplace coverage isn't a replacement for Medicare Part B.

Can I receive Marketplace savings after getting Medicare?

Generally, no. HealthCare.gov explains that once you have Medicare Part A or Part C, you won't qualify for Marketplace savings to reduce your Marketplace costs.

Does Marketplace insurance automatically end when Medicare begins?

Not necessarily. HealthCare.gov specifically warns that Marketplace coverage doesn't automatically end when Medicare starts. You should update your Marketplace information and coordinate the transition appropriately.

What if my spouse is younger than 65?

This is where household planning becomes important. A person becoming eligible for Medicare may transition away from Marketplace coverage while a spouse or other household member may still need Marketplace coverage.

Should I cancel Marketplace coverage before Medicare begins?

Don't simply cancel your coverage without understanding the effective dates.

Coordinate the transition carefully.

Why is this important?

A mistake during the transition can potentially create an unexpected coverage gap or unnecessary expense.

JRF Services Tip

If you're currently insured through the Marketplace and approaching Medicare eligibility, start planning several months ahead.

JRF Services works with both Medicare consumers and individuals/families seeking health insurance coverage.