Healthcare

Changing from Marketplace to Medicare

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If you will soon get or already have Medicare Part A (Hospital Insurance) or Medicare Advantage (Part C), you should end your Marketplace coverage.

You can't get savings on your Marketplace plan premiums or out-of-pocket costs once you're eligible for Medicare Part A, or once your Medicare Part A or Medicare Advantage (Part C) coverage starts. You'll have to pay full price for your Marketplace plan. 

Sign up for Medicare when you're first eligible

Your first chance to sign up for Medicare (called your "Initial Enrollment Period") is usually when you turn 65. It lasts for 7 months, starting 3 months before you turn 65, and ending 3 months after you turn 65. 

You may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig’s disease).

If you miss your Initial Enrollment Period, you may have to wait to sign up. You may also have to pay monthly late enrollment penalties that go up the longer you wait.

Find out how and when to sign up for Medicare.

End your Marketplace coverage

Marketplace coverage doesn’t end automatically when Medicare starts. Update your Marketplace application to end Marketplace coverage for those starting Medicare. You can report a Medicare start date on your application up to 3 months before Medicare starts. After you submit your application update, make sure you confirm the plan for others in your household who need to keep their Marketplace coverage. 

Get an example of when to update your Marketplace application.

Avoid paying back the premium tax credit
If you use the premium tax credit to lower your monthly premium and don't end your Marketplace coverage, you'll have to pay back the premium tax credit you use when you file your federal taxes.

Marketplace coverage doesn't lower your out-of-pocket costs in Medicare. Medicare offers:

Can I keep my Marketplace plan if I have Medicare?

What could happen if I keep both Marketplace and Medicare?

Get steps to end coverage

 


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