The Health Insurance Marketplace , created by the Affordable Care Act ( ACA ) , reserve the great unwashed who are not enrolled in Medicaid , Medicare , or an employer - based group health indemnity plan to purchase a plan throughHealthCare.gov .

In contrast , Medicare is a government - funded wellness insurance program for people ages 65 and elder and those with certaindisabilities .

The Health Insurance Marketplace does not affect a mortal ’s Medicare plan choices and benefit , as Medicare is an exclusively disjoined health insurance reportage system . This applies no matter of how someone get their Medicare coverage , include whether it is throughOriginal Medicareor aMedicare Advantageplan .

Can you have both Medicare and Marketplace health insurance?

When first becoming eligible for Medicare , a individual already inscribe in a Marketplace plan can pick out to keep their current plan while enrolling in Medicare .

However , they will lose any Marketplace taxation credits once Part A insurance coverage begins . However , enrolling in a new Marketplace plan after enrolling in Medicare isillegal .

A person who chooses to keep a current Marketplace plan along with their Medicare coverage will typically have Medicare Part B as their “ master ” payerand the other plan as their “ secondary ” payer . This mean that the private program ’s reportage will kvetch in after Medicare has pay its share .

Do you need private insurance if you have Medicare?

People on Medicare do not necessarily necessitate to have another health policy plan . That say , having another policy architectural plan can be beneficial , depending on a person ’s finances . This is because both Original Medicare and Medicare Advantage have out - of - pocket costs such as premium , deductible , and copays .

Those who are inemployment at 65 yearsand have group health insurance policy through their employer may choose to table enrolling in Medicare Part B. They may also enroll to cover additional expenses that their group programme does not include .

With Original Medicare , a person also has the option to purchase a supplement plan ( Medigap ) to facilitate pay for these costs .

How does the Affordable Care Act affect Medicare?

While Marketplace plans and their benefit do not strike Medicare , the ACA itself did affect the government health care program in some way .

agree to an analysis by theKaiser Family Foundation ( KFF ) , this included :