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Do VA Benefits Count as Medical Insurance Coverage Under Obamacare?

Updated for Tax Year 2015


OVERVIEW

The Affordable Care Act, often referred to as Obamacare or the ACA, requires most Americans to have health insurance coverage. Those without coverage must pay a penalty when they file their taxes. According to the U.S. Department of Veterans Affairs, VA health benefits count as medical coverage under the ACA.


Minimum essential coverage

The ACA is built around a requirement that everyone either obtain health insurance or qualify for an exemption from the law. Otherwise, a penalty applies, due when you pay your income taxes. The law requires that health plans provide a certain basic level of care, referred to as minimum essential coverage. So long as your health plan provides this level of care, you're all set and meet the requirements of Obamacare.

do va benefits count as insurance under obamacare

VA coverage that qualifies

The Department of Veterans Affairs says that your benefits meet the standards of the Affordable Care Act if you are enrolled in one of the following programs:

  • The standard veterans' health care program
  • The Civilian Health and Medical Program, commonly called CHAMPVA, covers certain spouses and children of service members
  • VA Spina Bifida Health Care Program covers certain veterans' children who are living with spina bifida
  • The Tricare program for active-duty service members and their families also meet the standards of the law

Enrollees in these programs will not have to pay the penalty fee when filing their taxes, because these plans meet the minimum essential coverage requirement.

No further action required

Veterans and others receiving qualifying VA health benefits do not have to do anything further to comply with the law. The Affordable Care Act requires health insurers and other coverage sources, including the VA, to provide policyholders or beneficiaries with any documentation needed for reporting their coverage when filing their taxes.

Other ways to qualify for minimum essential coverage

Veterans and their families who aren't enrolled in a VA-backed health plan may still have qualifying coverage. Nearly all employer-sponsored health plans meet the Affordable Care Act's standards for minimum essential coverage, as do government programs such as Medicare, Medicaid and the Children's Health Insurance Program.

Coverage purchased through the online exchanges set up under ACA also qualify, as do many individual policies bought directly from insurers. Your plan provider can tell you whether your coverage qualifies.

Finally, you may be able to avoid paying a fee with your taxes if you qualify for an exemption to the coverage requirement. Exemptions are allowed for, among other things, people with one of the following:

  • Incomes below the tax-filing minimum
  • People who can't find affordable coverage
  • Members of federally-recognized Indian tribes
  • People who go without coverage for less than three months
  • People with religious objections to any health insurance

Not sure if you are exempt from the tax penalty or from the requirement to purchase health insurance? The TurboTax Exemption Check, is a free, online tool to help determine whether you might be eligible to waive the tax penalty entirely and apply for a health care exemption.

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The above article is intended to provide generalized financial information designed to educate a broad segment of the public; it does not give personalized tax, investment, legal, or other business and professional advice. Before taking any action, you should always seek the assistance of a professional who knows your particular situation for advice on taxes, your investments, the law, or any other business and professional matters that affect you and/or your business.


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