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Marketplace

The health insurance Marketplace is a way for individuals, families, and employees of small businesses to get health coverage.  But it is generally not a place for someone with Medicare to look for health care coverage.

It’s against the law for someone who knows that you have Medicare to sell you a Marketplace plan. The Marketplace plans are not designed to coordinate with Medicare.

But, there are a few situations where you can choose a Marketplace plan instead of Medicare and you would be eligible for the tax credit and cost-sharing reductions:

  • You can choose Marketplace coverage if you’re eligible for Medicare but haven’t enrolled in it because you would have to pay a premium for Part A and Part B, or
  • You haven’t enrolled in Medicare because you’re not collecting Social Security benefits, or
  • If you’re paying a premium for Part A, you can drop your Part A and Part B coverage and get a Marketplace plan instead.

Click here to view SHIIP's factsheet on Medicare and the Health Insurance Marketplace.