I turn 65 in September 2021. I want to keep my ACA policy as long as possible assuming I qualify for a premium tax credit (PTC) until Medicare Part B starts. I’m looking for responses from people that have tried this. I’m asking because existing documentation from the IRS and CMS contradict one another.
IRS Pub 974, example 1, clearly states that if I sign up for Medicare during December, the final month of my initial enrollment period, Medicare Part B starts March 1 and I would be eligible to continue to purchase an ACA plan and receive a PTC until March 1.
Publication 974 (2020), Premium Tax Credit (PTC) | Internal Revenue Service (irs.gov)
However, documentation on the CMS web site contradicts this:
“Once your Medicare Part A coverage starts, you won’t be able to keep any premium tax credits or lower out of pocket costs for a Marketplace plan based on your income. You’ll have to pay full price for the Marketplace plan.”
Regarding when Part A starts:
https://www.cms.gov/Medicare/Eligibility-and-Enrollment/OrigMedicarePartABEligEnrol
“Part A coverage begins the month the individual turns age 65, provided he or she files an application for Part A (or for Social Security or RRB benefits) within 6 months of the month in which he or she becomes age 65. If the application is filed more than 6 months after turning age 65, Part A coverage will be retroactive for 6 months.”
submitted by /u/mitchmiller9
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I turn 65 in September 2021. I want to keep my ACA policy as long as possible assuming I qualify for a premium tax credit (PTC) until Medicare Part B starts. I’m looking for responses from people that have tried this. I’m asking because existing documentation from the IRS and CMS contradict one another. IRS Pub 974, example 1, clearly states that if I sign up for Medicare during December, the final month of my initial enrollment period, Medicare Part B starts March 1 and I would be eligible to continue to purchase an ACA plan and receive a PTC until March 1. Publication 974 (2020), Premium Tax Credit (PTC) | Internal Revenue Service (irs.gov) However, documentation on the CMS web site contradicts this: https://www.cms.gov/Medicare/Eligibility-and-Enrollment/Medicare-and-the-marketplace/Downloads/Medicare-Marketplace_Master_FAQ_4-28-16_v2.pdf “Once your Medicare Part A coverage starts, you won’t be able to keep any premium tax credits or lower out of pocket costs for a Marketplace plan based on your income. You’ll have to pay full price for the Marketplace plan.” Regarding when Part A starts: https://www.cms.gov/Medicare/Eligibility-and-Enrollment/OrigMedicarePartABEligEnrol “Part A coverage begins the month the individual turns age 65, provided he or she files an application for Part A (or for Social Security or RRB benefits) within 6 months of the month in which he or she becomes age 65. If the application is filed more than 6 months after turning age 65, Part A coverage will be retroactive for 6 months.”
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