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Medicare open enrollment

Medicare Open Enrollment FAQs

This list of Frequently Asked Questions (FAQs) about the Medicare Open Enrollment period covers a range of topics related to enrollment, including Medicare Advantage, Part D, Medigap, and more.

View the Latest: FAQs

  • My employer offers health benefits to me. My spouse works and has coverage through her job. To figure out whether my coverage is affordable, do I just count my income, or do I count my spouse’s salary as well?

  • I’m offered health insurance at work, but it’s not very good. I’m applying for better coverage and subsidies in the Marketplace. The application asks whether I’m offered health coverage through a job and whether it meets the minimum value standard. What does that mean?

  • My employer offers a plan with very limited benefits. It only covers preventive services and a few doctor visits each year. I want better coverage. Can I apply for coverage and subsidies in the Marketplace?

  • My employer offers a plan with very limited benefits. It only covers preventive services and a few doctor visits each year. However, this plan option is free. My employer also offers a more comprehensive plan option, but I can’t afford to sign up for that one. Can I apply for subsidies in the Marketplace instead?

  • I’m leaving my job and will be eligible for COBRA. Can I shop for coverage and subsidies on the Marketplace instead?

  • Does my eligibility for COBRA or other continuation coverage affect my eligibility for premium tax credits or cost-sharing reductions in the Marketplace?

  • I’m eligible for health benefits at work. However, I forgot to turn in my enrollment papers on time during the company’s open enrollment season, so now I’m not covered. Can I get a plan in the Marketplace instead? Can I apply for subsidies?

  • My employer’s workplace wellness program increases premiums for employees who don’t participate and/or can’t meet certain targets for healthy behavior. Can I leave my employer-sponsored plan and get Marketplace coverage?

  • I’m 62 and already collecting Social Security. Are my Social Security benefits counted in determining my eligibility for subsidies in the Marketplace?

  • I’m a retired Veteran collecting VA disability pension and benefits. Are those benefits counted in determining my eligibility for subsidies in the Marketplace?