Can I have Marketplace and Medicare coverage at the same time
Answered by 9 licensed agents
No. Once you become eligible for Medicare and enroll in it, you generally cannot receive Marketplace premium subsidies, and it usually doesn't make financial sense to keep a Marketplace plan. Medicare and Marketplace coverage do not coordinate benefits the way other insurance can.
If you have Medicare, you should typically transition to Medicare-based coverage rather than paying for both. Delaying Medicare and staying on a Marketplace plan when you're eligible for Medicare can also expose you to late enrollment penalties for Part B and Part D.
No. Once you are enrolled in Medicare Part A or Part B, you are not eligible for premium tax credits (subsidies) on a Marketplace plan. It is against the law for an agent or insurer to knowingly sell you a new Marketplace plan if you have Medicare. You can technically keep an existing Marketplace plan after enrolling in Medicare, but:
*You will pay the full premium (no subsidies).
*The insurer may not renew the plan at the end of the year.
*It is almost always a waste of money because Medicare duplicates much of the coverage.
Rare Exceptions:
*If you pay premiums for Part A (not premium-free) and choose not to enroll in Medicare, you may keep subsidized Marketplace coverage.
*ESRD (End-Stage Renal Disease): Limited flexibility to keep or enroll in Marketplace with subsidies in some cases.
It is generally illegal to have both. It also does not benefit you because Marketplace plans do not coordinate with Medicare to pay your our of pocket costs.
No, you're not suppose to have both Medicare and Marketplace coverage at the same time. You can get a Marketplace plan if you're 65 and over if you don't qualify for Medicare.
The short answer is that once you are enrolled in Medicare Part A, you generally should not have a Marketplace plan at the same time, as the two are not meant to work together. If you are already on Medicare, you are no longer eligible to receive any premium tax credits or financial assistance for a Marketplace plan, which means you would be paying full price for coverage you may not even need. In most cases, if you have Medicare, it makes much more sense to focus on plans designed to work alongside it — like a Medicare Supplement or Medicare Advantage plan — to help fill in the gaps of your coverage. There are some very specific situations where people may have both temporarily, such as when someone is transitioning onto Medicare for the first time, but those situations are usually short-term. This is exactly why working with someone who understands both systems is so valuable — so you're not paying for overlapping coverage or missing out on benefits you're entitled to!
Generally, no—if you have Medicare, you usually should not also keep a Marketplace plan. Medicare says you don’t need Marketplace coverage once you have Medicare, and it’s illegal for someone to knowingly sell you a Marketplace plan if they know you have Medicare.
You can have Marketplace coverage and Medicare. You will pay full price for the ACA plan. This makes no sense. Medicare A&B with a part D plan with a Medicare Supplement would be less expensive. Find a local broker to explain your options.
No you cannot. You would be paying for 2 different types of insurance. Once you turn 65, your Marketplace insurance should not even work, plus Medicare coverage is better than Marketplace coverage.
