Medicare Answers: Does ACA Exempt Medigap Insurers From Tax?

  • Originally published September 30, 2013 , last updated December 23, 2014
  • Medicare
Medicare Answers: Does ACA Exempt Medigap Insurers From Tax?

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Chuck asks:

I have found text within the Affordable Care Act that points out Medigap insurers are exempt from this tax, however, the same text points to several other chains of rules and regulations that I have not pursued. Can you provide an answer to this?

Dear Chuck,

Earlier this year I had a column about the effects of Affordable Care Act on Medicare. I was sitting in a doctor’s office earlier this month, and an older women walked up to the counter asking to speak with someone who could explain what Obamacare will do to her Medicare and Medicare Supplement. They directed her to the claims office. I wanted to stand up and say, “I know, and I can answer that question in one word: NOTHING!”

On, it is explained this way:

Top 5 things to know about the ACA if you have Medicare

1. Your Medicare coverage is protected. Medicare isn’t part of the Health Insurance Marketplace established by ACA, so you don't have to replace your Medicare coverage with Marketplace coverage. No matter how you get Medicare, whether through Original Medicare or a Medicare Advantage Plan, you’ll still have the same benefits and security you have now.

You don’t need to do anything with the Marketplace during Open Enrollment.

2. You get more preventive services, for less. Medicare now covers certain preventive services, like mammograms or colonoscopies, without charging you for the Part B coinsurance or deductible. You also can get a free yearly "Wellness" visit.

3. You can save money on brand-name drugs. If you’re in the donut hole, you'll also get a 50% discount when buying Part D-covered brand-name prescription drugs. The discount is applied automatically at the counter of your pharmacy — you don’t have to do anything to get it. The donut hole will be closed completely by 2020.

4. Your doctor gets more support. With new initiatives to support care coordination, your doctor may get additional resources to make sure that your treatments are consistent.

5. The ACA ensures the protection of Medicare for years to come. The life of the Medicare Trust fund will be extended to at least 2029 — a 12-year extension due to reductions in waste, fraud and abuse, and Medicare costs, which will provide you with future savings on your premiums and coinsurance.