Does Marketplace coverage work with Medicaid?

No. Generally, if you qualify for Medicaid, you will not qualify for any subsidy on a Marketplace plan.

When you shop for coverage on the Marketplace, after you have selected a plan and you go finalize your purchase, if you income level is below a certain threshold, your information will automatically be sent to Medicaid for review. If your state determines that you meet the criteria for Medicaid, you will instead automatically be enrolled in that system. If they determine that you are not eligible, you will instead be given a Special Enrollment Period during which you can enroll in a plan from the Marketplace.

If you already have a Marketplace plan and are determined to be eligible or Medicaid, you will need to end your Marketplace plan by calling to stop the coverage. If you do not, any subsidy that you had been receiving will need to be paid back when you pay your taxes.

It is possible to have different household members on Medicaid and a Marketplace plan, just not the same person on both systems.

Next Posts
Similar Questions

What is Medicare Part B?

Last Updated: July 26, 2025

Medicare Part B is one of Medicare’s four main parts. Medicare Part B covers the bulk of your medical needs...

What is Medicare?

Last Updated: July 26, 2025

Medicare is a federal insurance program that provides guaranteed health insurance for people age 65 and older and for younger people who qualify...

Do I need Medicare if I still have COBRA?

Last Updated: July 24, 2025

Yes, you need to sign up for both Medicare Parts A and B if you’re 65 or older, even if...

Do I need to sign up for Medicare if I use the VA for my health care?

Last Updated: July 24, 2025

You aren’t required to sign up for Medicare if you have health care coverage through the U.S. Department of Veterans...

Do I need to enroll in Medicare if I am a military retiree with Tricare?

Last Updated: July 24, 2025

Yes. To continue Tricare benefits after you turn 65, you must enroll in Medicare Part A and Part B. The key is to sign...

Share

Explore More

Solverwp- WordPress Theme and Plugin

Scroll to Top