It all seems so simple to me.  Let anyone who currently is paying for an ACA policy buy a Medicare Advantage Plan at their current ACA premium rate or the Plan's rate, whichever is higher.  They would still have to pay their Medicare payroll taxes, too, just like everyone else.  Medicare Advantage is a type of Medicare health plan offered by a private company that contracts with Medicare to provide all Part A and Part B benefits. Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan and aren’t paid for under Original Medicare. Most Medicare Advantage Plans offer prescription drug coverage. Why Congress isn't looking at this I'll never know.