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Claiming a Health Coverage Exemption

IRS logoUnder the Affordable Care Act, everyone who can afford to is now required by law to have health coverage. If you can afford health coverage but chose not to buy it, you may have to pay a fee.

However, those who can’t afford coverage or meet other conditions may qualify for an exemption. It is important for individuals to know that exemptions are available and to understand the steps they need to take to request one.

If you qualify, receiving an exemption is simple and easy, and means you won’t have to pay a fee. There are a variety of exemptions available. You can claim most exemptions on your tax return, but some exemptions are only available through the Health Insurance Marketplace. See this chart for more information on the types of exemptions available and how to apply.

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3 Tips About Marketplace Coverage & Taxes

TIP #1: Consumers should watch their mail for Form 1095-A. It will help them file 2014 federal taxes.

TIP #2: Consumers’ final premium tax credit for 2014 will be computed with their income tax return.

TIP #3: If consumers didn’t have health coverage for part of 2014, they should use Form 8965.

Help Is Available

  • For more information about how the Connect for Health Marketplace will affect taxes, visit HealthCare.gov/taxes or call the Marketplace Call Center at 1-800-318-2596. TTY users should call 1-855-889-4325.IRSlogo
  • Many people who signed up for Marketplace coverage can get free assistance with filling out their taxes. This may include free access to tax software programs or free in-person assistance. For more information, visit IRS.gov/freefile or IRS.gov/VITA
  • If consumers have questions about their taxes, need Form 8962 or Form 8965, or want to learn more about the fee for not having health coverage, they should visit IRS.gov/ACA.