Health Insurance & Taxes - Filing Taxes if You Have a Marketplace Health Insurance Plan

Sep 19, 2026

Upload by Violet

Explains how marketplace health insurance affects annual federal income tax filing. Covers Advanced Premium Tax Credit (APTC) guidance, how choosing monthly credit amounts can change refunds or balances due, and what to do when income changes. Details Form 1095-A delivery, timing, and key items to verify, including benchmark premium and APTC amounts. Describes using Form 1095-A to complete Form 8962, repayment limits, and available free tax preparation through IRS VITA and AARP.

LanguageEnglish

CategoryLetters

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Pages4

Reading Time2 min

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Filing Taxes if You Have a Marketplace Health Insurance Plan

Health insurance affects your taxes

Before you file your taxes

Form 1095-A

When you get your Form 1095-A

When you are ready to file your taxes

If you owe money, repayment options

Free and reliable tax preparation

ENROLLMENT TOOL KIT Health Insurance & Taxes PAGE 1 OF 3 Filing Taxes if You Have a Marketplace Health Insurance Plan When you file your taxes each year, you have to tell the IRS about your health insurance coverage. If you (or anyone in your household) purchased health insurance through the Health Insurance Marketplace (also called [healthcare.gov](healthcare.gov)), there is important information that you need to know before you file your income taxes. Health insurance affects your taxes If you buy your health insurance through the Marketplace, you may get some financial help. That is called an Advanced Premium Tax Credit (APTC) . Think of the APTC like a coupon that you get every month to lower the cost of your health insurance premium. APTCs are only available for plans purchased through the Marketplace and your income must fall within a certain range to qualify. If you qualify for an APTC, you can decide how much of it you want to use each month. How much of your tax credit that you decide to use will affect your tax return. For example, if you use all of your available tax credit each month, you may get a smaller refund or even owe money back. If you use only part of your available tax credit, you are more likely to get the rest of it back as a tax refund or owe less back. If you are worried about owing money back, be sure to contact the Marketplace anytime your income changes during the year. That way, they can adjust your APTC to make sure you are getting the right amount. | Family Size | Income Range for the next Open Enrollment Period
(for 2016 Coverage)
You may get financial help if your income falls between these amounts. | | --- | --- | | Single Person | $11,770 to $47,080 | | Family of 2 | $15,930 to $63,720 | | Family of 3 | $20,090 to $80,360 | | Family of 4 | $24,250 to $97,000 | | Family of 5 | $28,410 to $113,640 | 33 / ENROLLMENT TOOL KIT 2016 v1 [healthyfuturega.org](healthyfuturega.org) Health Insurance & Taxes continued PAGE 2 OF 3 Before you file your taxes Form 1095-A You will get Form 1095-A in the mail from the Marketplace if you or anyone in your household enrolled in health insurance through the Marketplace. It should arrive by early February. You can also download the form through your Marketplace account. Form 1095-A tells the IRS how much you received from the Marketplace in Advance Premium Tax Credits. You will get a Form 1095-A even if you only had Marketplace coverage for part of 2015. Important: DO NOT file your taxes until you have your Form 1095-A. Form 1095-A includes: • Information about anyone in your household who enrolled in health insurance through the Marketplace for 2015 • Information about the monthly premiums you paid to your health insurance company • Information about a “benchmark” premium used to decide your APTC • The amount of your APTC When you get your Form 1095-A, make sure that the information on the form matches your records. Check things like the number of people in your household and the start and end dates of your coverage. If you haven’t received your Form 1095-A by early February OR if you think your Form 1095-A is incorrect, call the Marketplace Call Center at 1-800-318-2596 (TTY users call 1-855-889-4325) . You may get more than one Form 1095-A. This will happen if: • Anyone in your household switched plans in 2015 • Anyone in your household reported life changes (like getting married or having a baby) after coverage began • You had more than one health insurance policy covering people in your household in 2015 When you are ready to file your taxes You will use the information from your Form 1095-A to fill out another form. The second form is called Form 8962. (This is like when you use your W2 form to fill out your income tax return.) Form 8962 tells the IRS the amount of APTC you received. If your income changed during the year and you did not report it The amount of your APTC is based on how mu

FAQs

What is the Advanced Premium Tax Credit (APTC) and how does it affect taxes?

The APTC is financial help that lowers the monthly premium for marketplace plans. The amount you use affects whether you get a smaller refund, owe money, or receive more of the credit back at tax time.

When should you file taxes in relation to Form 1095-A?

Do not file until you have Form 1095-A. It is expected by early February and can also be downloaded from your marketplace account.

What forms are involved after you receive Form 1095-A?

Use information from Form 1095-A to complete Form 8962, which reports the APTC amount to the IRS. This applies even if marketplace coverage existed only for part of the previous year.

Sep 19, 2026

Upload by Violet