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If I’m eligible for other coverage but haven’t enrolled in it yet, can I qualify for premium tax credits in the Marketplace?

For certain types of coverage, if you are eligible but not enrolled, then you can still qualify for premium tax credits. These include:

  • Retiree health coverage offered by a former employer
  • COBRA coverage
  • Student health plan coverage
  • Medicare Part A coverage requiring payment of premiums

In addition, during Open Enrollment, if you are already enrolled in these types of coverage, you can apply for Marketplace coverage and subsidies and then drop your other coverage as of the date your new Marketplace coverage will take effect.

However, if you are eligible for job-based coverage (that is affordable and meets minimum value) or for Medicaid or CHIP, but you didn’t enroll, then you are not eligible for premium tax credits.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.