Is HealthCare.gov the same as Medicare?
Asked by: Alan Abshire | Last update: July 11, 2025Score: 4.2/5 (50 votes)
Can you have HealthCare.gov and Medicare at the same time?
Can I get a Marketplace plan in addition to Medicare? No. It's against the law for someone who knows that you have Medicare to sell or issue you a Marketplace policy.
Is the HealthCare marketplace the same as Medicare?
No. Medicare's Open Enrollment isn't part of the Marketplace. During the Medicare Open Enrollment Period (October 15–December 7), you can join or switch Medicare health and drug plans or switch to Original Medicare.
Does everyone have to pay $170 a month for Medicare?
Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.
Do I still need health insurance if I have Medicare?
In general, you do not need additional health insurance if you have Medicare. There is also no compulsion to have other health insurance legally speaking. However, most people will want to have additional health insurance even when they have Medicare. This is because Medicare doesn't cover everything.
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Is it better to have Medicare or private health insurance?
Medicare may be preferable to private insurance for some people, possibly due to the cost. Typically, Medicare costs less than private insurance. However, if a person's employer covers their premiums, this can offset those costs. People with dependents may prefer private insurance over Medicare.
What is the best health insurance for seniors on Medicare?
Best Medicare Supplement: AARP/UnitedHealthcare. AARP/UnitedHealthcare is the best company for Medigap plans in 2025. For most people, the best company for Medigap coverage is AARP/UnitedHealthcare. Medicare Supplement (Medigap) plans cover many of the costs that you usually pay if you have regular Medicare.
Is Medicare free at age 65 for seniors?
People age 65 or older, who are citizens or permanent residents of the United States, are eligible for Medicare Part A. You're eligible for Part A at no cost at age 65 if 1 of the following applies: You receive or are eligible to receive benefits from Social Security or the Railroad Retirement Board (RRB).
How much money can you have in the bank if you're on Medicare?
eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.
Why is Social Security no longer paying Medicare Part B?
There could be several reasons why Social Security stopped withholding your Medicare Part B premium. One common reason is that your income has exceeded the threshold for premium assistance. Another reason could be that there was a mistake or error in your records.
Can I keep my marketplace insurance when I get Medicare?
End your Marketplace coverage when your Medicare coverage starts. Your premium tax credit or extra savings won't stop automatically once you're eligible for Medicare. If you don't end your Marketplace coverage, you may have to pay back some or all of the premium tax credit you use when you file your federal taxes.
Do I really need supplemental insurance with Medicare?
Supplemental insurance is advisable for those with Medicare to help cover out-of-pocket costs and gaps in coverage, offering financial protection for deductibles, coinsurance, and other medical expenses not fully covered by Medicare.
What if you can't afford Medicare?
Californians with an annual income of less than $20,121 for an individual or $27,214 for a couple are eligible for a Medicare Savings Program. These programs provide help from the State of California to pay for your Medicare premiums, and sometimes your deductibles and copayments.
Is healthcare gov different than Medicare?
No. The Marketplace doesn't affect your Medicare choices or benefits. This means no matter how you get Medicare, whether through Original Medicare or a Medicare Advantage Plan, you don't have to make any changes.
What disqualifies you from the premium tax credit?
For tax years other than 2021 and 2022, if your household income on your tax return is more than 400 percent of the federal poverty line for your family size, you are not allowed a premium tax credit and will have to repay all of the advance credit payments made on behalf of you and your tax family members.
Does Medicare cover dental?
In most cases, Medicare doesn't cover dental services like routine cleanings, fillings, tooth extractions, or items like dentures.
Does Medicare look at your savings account?
Medicare examines your bank accounts and other assets when you seek financial help with Medicare costs. However, eligibility criteria and verification procedures differ by state of residence. In certain states, there are no asset limits for Medicare savings programs.
What does social security extra help pay for?
The Extra Help program helps with the cost of your prescription drugs, like deductibles and copays. You can apply for Extra Help any time before or after you enroll in Part D.
How do you qualify for $144 back from Medicare?
- Be enrolled Original Medicare (Parts A and B)
- Pay your own Part B premium.
- Live in the service area of a plan that offers a Part B giveback.
Can I get Medicare if I never worked but my husband did?
If you do not have at least 40 calendar quarters of work during which you paid Social Security taxes in the U.S., but your spouse does, you may be eligible for premium-free Medicare Part A based on your spouse's work history when you turn 65.
How much do seniors pay for Medicare per month?
If you don't get premium-free Part A, you pay up to $518 each month. If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($185 in 2025).
What are the 6 things Medicare doesn't cover?
- Eye exams (for prescription eyeglasses)
- Long-term care.
- Cosmetic surgery.
- Massage therapy.
- Routine physical exams.
- Hearing aids and exams for fitting them.
Who has the cheapest insurance for seniors?
Our research found that Auto-Owners, Travelers, Geico, USAA and Nationwide may be the cheapest car insurance companies for seniors based on average rates from Quadrant Information Services. Rates provided are for a 70-year-old driver with a clean driving record.
Why are people leaving Medicare Advantage plans?
Key takeaways: People leave Medicare Advantage plans because out-of-pocket costs vary between plans, network restrictions can cause frustration, prior authorization requests can delay care, and it can be difficult to use the additional benefits they provide.