You need to take action to end your Marketplace coverage.
We periodically check Medicare and Marketplace enrollment data to be sure the people on your application have the correct coverage and are still eligible for financial help. If you have Medicare and don’t take action to end your Marketplace coverage when your Medicare coverage starts, we’ll send you a letter.
Once Medicare Part A (Hospital Insurance) or Medicare Advantage (Part C) coverage starts, you no longer qualify for premium tax credit or costs savings for Marketplace coverage.
Based on what you chose to happen for people who get Medicare when you applied for Marketplace coverage, we’ll end either:
- Premium tax credit and cost savings for those people — They’ll keep Marketplace coverage but have to pay full price.
- Marketplace coverage for those people — Others on your application will keep their coverage.
If you qualified for financial help, we’ll also re-check the amount of premium tax credit and cost savings for the others with Marketplace coverage.
Take action as soon as your Medicare coverage starts.
You no longer qualify for financial help for your Marketplace coverage based on when Medicare starts. If you don’t take action when Medicare starts, you may have to pay back all or some of the premium tax credit you got when you file your federal taxes.
Actions if you have Medicare:
- Log into your Marketplace account and let us know if the people on your application have Medicare. Check the “Marketplace & Medicare coverage” section of your Application Details page. This section will also show you a date you need to take action by.
- Cancel or update coverage based on your situation:
- If everyone is enrolled in Medicare: End Marketplace coverage for all.
- If no one is enrolled in Medicare: Update your application.
- If at least one person has Medicare: End Marketplace coverage for some people and update your application for others.
Get step-by-step instructions (PDF, 1.67 MB) on how to update your application or cancel your coverage depending on your situation. Answer a few questions to get more details about cancelling your coverage.
How do I know I’ve successfully completed the necessary actions?
You’ve successfully completed the necessary actions if you go to the “Marketplace & Medicare coverage” section of your Application Details page and see this message: “Our records show that you’ve resolved this issue. You don’t need to do anything else at this time.”
Sign up for Part B when first eligible
If you have Medicare Part A and don’t pay a premium for it, generally you’ll want to enroll in Medicare Part B (Medical Insurance) when you’re first eligible to avoid paying a monthly late enrollment penalty. You’ll pay the Part B penalty for as long as you have Part B and it goes up the longer you wait to sign up.
If you have Part A but haven’t signed up yet for Part B, consider signing up as soon as possible. To make sure you don’t have a gap in coverage, end your Marketplace coverage once your Part B coverage starts.
Get details about signing up for Medicare based on your situation and when coverage starts.
If you pay a Part B late enrollment penalty, you can request a penalty reduction.
You may qualify to have your penalty reduced or removed if all these apply — you:
- Had Marketplace coverage before signing up for Medicare between 2013-2020
- Signed up for Part B between 2015-2020
- Got a Part B late enrollment penalty
To request a reduced penalty, contact Social Security or call them at 1-800-772-1213 (TTY: 1-800-325-0778).
Have a copy of the letter you got from the Marketplace about your Medicare coverage and mention “equitable relief” when you make the request. If you made a request before and were told you didn’t qualify, you can ask again.
Where can I get help?
Call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325). Or you can get in-person help near you.