Can I keep my Marketplace plan after I get Medicare?

You can keep it, but you will lose premium tax subsidies once you are eligible for Medicare — and keeping a Marketplace plan does not protect you from Part B late enrollment penalties.

Does a Marketplace plan count as employer coverage for Medicare?

No. Marketplace plans are not employer coverage and do not allow you to delay Part B without penalty. The Medicare Part B late enrollment rules treat Marketplace plans the same as having no qualifying coverage.

When should I switch from Marketplace to Medicare?

You should enroll in Medicare during your Initial Enrollment Period — the 7-month window around your 65th birthday — and cancel your Marketplace plan. Waiting past this window may result in a permanent Part B penalty.

Will I owe back subsidy payments if I keep Marketplace with Medicare?

If you received premium tax subsidies after becoming Medicare-eligible, you may need to repay some or all of them when you file your taxes. Transitioning to Medicare on time avoids this issue.

Does the Affordable Care Act Affect Medicare? ACA vs Medicare

Medicare is separate from ACA Marketplace insurance. Learn how ACA rules, Marketplace subsidies, and Part B penalty timing work when you turn 65.

Frequently Asked Questions

Can I keep my Marketplace plan after I get Medicare?: You can keep it, but you will lose premium tax subsidies once you are eligible for Medicare — and keeping a Marketplace plan does not protect you from Part B late enrollment penalties.
Does a Marketplace plan count as employer coverage for Medicare?: No. Marketplace plans are not employer coverage and do not allow you to delay Part B without penalty. The Medicare Part B late enrollment rules treat Marketplace plans the same as having no qualifying coverage.
When should I switch from Marketplace to Medicare?: You should enroll in Medicare during your Initial Enrollment Period — the 7-month window around your 65th birthday — and cancel your Marketplace plan. Waiting past this window may result in a permanent Part B penalty.