Obamacare vs. Medicare: What You Should Know

Obamacare vs Medicare

Original Medicare is a federal government health insurance program for those who qualify by age or disability. The Affordable Care Act (ACA), also known as Obamacare, is a federal health-care reform legislation. It’s for things like extending health coverage to those who otherwise can’t afford it and requiring that health-care plans meet certain coverage standards.

Medicare is not part of the ACA’s Health Insurance Marketplace. No matter how you get Medicare, you’ll still have the same benefits and security you have now. You won’t have to make any changes.

If you have Medicare Part A, Part B, or Medicare Part C, you’re considered to have “minimum essential coverage” and won’t owe the fee for not having health insurance.

 

Not eligible for Medicare? Can I get Obamacare?

If you’re not eligible for Medicare or employer-based insurance, you can get coverage through the Health Insurance Marketplace exchange. If you meet the qualifications based on income and family size, you may be eligible for cost-saving subsidies, too. 

Can I get health insurance from Medicare and from Obamacare at the same time?

If you are currently enrolled in Medicare, you cannot enroll in an Obamacare plan. In fact, it’s illegal for an insurance agent who knows you have Medicare to sell you a Marketplace plan. There are some situations when you can enroll in a QHP and drop your Medicare coverage.

However, if you’re already enrolled in a Marketplace plan when you become eligible for Medicare, you can generally keep your QHP. Be aware that there is no coordination of benefits between the two programs. The Marketplace plan doesn’t have to cover your health-care costs if you’re enrolled in Medicare.

Obamacare over Medicare?

Generally, you can’t sign up for Marketplace coverage (under the Affordable Care Act, also known as Obamacare) after you qualify for Medicare. But in some situations, you can choose Marketplace coverage instead of Medicare.


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