Are individuals with both Part A and Part B Medicare coverage eligible for the Advanced Premium Tax Credit?

Individuals with both Part A and Part B Medicare coverage are typically not eligible for the Advanced Premium Tax Credit (APTC). The APTC is designed to help those who purchase health insurance through the Health Insurance Marketplace and are not already covered by Medicare, Medicaid, or other qualifying health insurance. Since Medicare beneficiaries have access to health coverage through the federal program, they do not meet the criteria for APTC, which is aimed at providing financial assistance to those who need help affording the premiums for Marketplace plans.

The program caters specifically to people who do not have sufficient health coverage and whose income falls within certain brackets. Because individuals on Medicare are already receiving healthcare benefits, they are excluded from APTC eligibility, reinforcing the rationale behind the rules governing the program and emphasizing the importance of understanding the distinctions between different types of health coverage.