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Health coverage for retirees

If youโ€™re retired and need health coverage, you can use the Marketplace to buy an insurance plan.
If you have retiree health coverage, you have different choices to consider.
Have Medicare? Learn about Medicare and the Marketplace.

If you retire before age 65 without health coverage

If you retire before youโ€™re 65 and lose your job-based health plan when you do, you can use the Health Insurance Marketplaceยฎ to buy a plan.
Losing health coverage qualifies you for a Special Enrollment Period. This means you can enroll in a health plan even if itโ€™s outside the annual
If you want to enroll because you lost your job-based coverage, see our Special Enrollment Period page for more information.
When you fill out a Marketplace application, you'll find out if you qualify for a private plan with premium tax credits and lower out-of-pocket costs. This will depend on your income and household size.
Youโ€™ll also find out if you qualify for free or low-cost coverage through the Medicaid program in your state.

If you have retiree health benefits

If you have retiree coverage and want to buy a Marketplace plan instead, you can. But:
  • You canโ€™t get premium tax credits and other savings based on your income. This is true only if youโ€™re actually enrolled in retiree coverage. If youโ€™re eligible for but not enrolled in retiree coverage, you may qualify for premium tax credits and lower out-of-pocket costs based on your household size and income.
  • If you voluntarily drop your retiree coverage, you wonโ€™t qualify for a
    to enroll in a new Marketplace plan. You wonโ€™t be able to enroll in health coverage through the Marketplace until the next Open Enrollment period.

More answers: Coverage for retirees without Medicare