If you have a Marketplace plan and later become eligible for Medicare, your Marketplace coverage will not be cancelled automatically. You’ll need to take action to end it once your Medicare coverage begins.
What you should do
When your Medicare coverage is about to start, contact the Marketplace to cancel your Marketplace plan effective the day before your Medicare coverage begins.
This helps you avoid paying for two health plans at the same time.
If you have a family plan, you can update your existing policy to remove just yourself and keep coverage for your household members who are not eligible for Medicare.
Please note, if the Primary Applicant is the member who is Medicare eligible you will need to call HealthSherpa or Healthcare.gov to remove this member. The primary applicant cannot be removed by updating the application.
Important reminders
You are not eligible for premium tax credits (Marketplace savings) once you have Medicare Part A coverage.
If you keep your Marketplace plan after your Medicare starts, you’ll have to pay the full price without any savings.
Need help?
If you need assistance understanding or updating your Marketplace information, our Consumer Advocate team can help. Call 855-772-2663, Monday–Friday, 6 a.m.–4 p.m. PT, or visit www.healthsherpa.com to log into your account and make updates.
For help with Medicare enrollment or support, reach HealthSherpa Medicare Support at (855) 521-4984.