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Video: Who Qualifies for an Affordable Care Act Exemption (Obamacare)?

Updated for Tax Year 2018 / October 21, 2021 02:24 PM


OVERVIEW

The Affordable Care Act requires all Americans to have health insurance or pay a tax penalty. But, who qualifies for an Affordable Care Act exemption? Find out more about who qualifies for an exemption from the Affordable Care Act tax penalty.


Note: Beginning with the 2019 tax year, there is no longer a penalty for not having health insurance.

Video transcript:

The Affordable Care Act requires most Americans to have health insurance or pay a tax penalty. But, who qualifies for an exemption?
  • Members of certain religious groups opposed to insurance
  • Federally recognized Indian tribes
  • Health care sharing ministries
  • And those currently incarcerated are exempt

But you may also be exempt from the tax penalty if you’re experiencing financial or life hardships. For example, you may be exempt if:

  • The lowest insurance premium available to you is more than 8% of your household income
  • If you’re facing foreclosure
  • Filing bankruptcy
  • Your property was significantly damaged in a disaster (natural or human caused)
  • Medical expenses
  • Facing eviction
  • Death in the family
  • Or utilities shut off

You’re automatically exempt if you don’t have to file a federal income tax return because your income is too low. Depending on the reason, you may claim your exemption in one of two ways:

  1. Either apply for a certificate of exemption from the Marketplace
  2. Or simply claim the exemption on your tax return at the end of the year.

Most exemptions must be applied for through the Marketplace. But, if you’re applying based on coverage affordability, membership in a health care sharing ministry, federally-recognized Indian tribe, or incarceration, you may claim the exemption on your federal tax return.

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Affordable Care Act Exemption

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