Medicare only comes in if the recipient is over 65 (or some edge cases of disability).
Paying for health insurance premiums with pre tax dollars is tied to employers, or you can do it if you are self employed.
By and large, you can purchase the same health insurance that an employer offers on healthcare.gov, that meets the minimum ACA coverage standards.
However, there is no reason for employers to be able to compensate employees with pre tax dollars via subsidizing health insurance, but an individual cannot buy health insurance with pre tax dollars. That is just a handout to big businesses to give them an advantage over smaller businesses.
Also, employers compensating employees only in straight pay only also makes it easier for employees to compare compensation offers.
Paying for health insurance premiums with pre tax dollars is tied to employers, or you can do it if you are self employed.
By and large, you can purchase the same health insurance that an employer offers on healthcare.gov, that meets the minimum ACA coverage standards.
However, there is no reason for employers to be able to compensate employees with pre tax dollars via subsidizing health insurance, but an individual cannot buy health insurance with pre tax dollars. That is just a handout to big businesses to give them an advantage over smaller businesses.
Also, employers compensating employees only in straight pay only also makes it easier for employees to compare compensation offers.