Does Social Security count as income for health insurance?

Asked by: Robert Turner II  |  Last update: July 4, 2025
Score: 4.4/5 (27 votes)

The HealthCare.gov application asks whether consumers receive “Social Security benefits.” When answering this question, consumers must report the following Social Security benefits: SSDI, Social Security retirement income, and Social Security survivor's benefits.

Is Social Security considered income for health insurance?

Is Social Security considered income when I'm enrolling in a plan through the exchange? A. Yes. Social Security income is included in the income calculation to determine your subsidy eligibility.

Does your Social Security count as income?

You report the taxable portion of your Social Security benefits on line 6b of Form 1040 or Form 1040-SR. Your benefits may be taxable if the total of (1) one-half of your benefits, plus (2) all of your other income, including tax-exempt interest, is greater than the base amount for your filing status.

What disqualifies you from the premium tax credit?

For tax years other than 2021 and 2022, if your household income on your tax return is more than 400 percent of the federal poverty line for your family size, you are not allowed a premium tax credit and will have to repay all of the advance credit payments made on behalf of you and your tax family members.

What income is not counted?

Inheritances, gifts, cash rebates, alimony payments (for divorce decrees finalized after 2018), child support payments, most healthcare benefits, welfare payments, and money that is reimbursed from qualifying adoptions are deemed nontaxable by the IRS.

ACA Income Estimation: Accurately Estimate Income for Health Insurance Coverage

20 related questions found

What types of income are not considered earned income?

Earned income does not include:
  • Pay you got for work when you were an inmate in a penal institution.
  • Interest and dividends.
  • Pensions or annuities.
  • Social Security.
  • Unemployment benefits.
  • Alimony.
  • Child support.

How much can you make to get tax credit for health insurance?

What are the income limits? (updated Feb. 9, 2024) A7. In general, individuals and families may be eligible for the Premium Tax Credit if their household income for the year is at least 100 percent but no more than 400 percent of the federal poverty line for their family size.

Who is not eligible for Obamacare?

Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses. Cannot be incarcerated in prison or jail.

Why do I have to pay back my health insurance tax credit?

If you use more advance payments of the tax credit than you qualify for based on your final yearly income, you must repay the difference when you file your federal income tax return. If you use less premium tax credit than you qualify for, you'll get the difference as a refundable credit when you file your taxes.

At what age is Social Security no longer taxed?

Social Security income can be taxable no matter how old you are. It all depends on whether your total combined income exceeds a certain level set for your filing status. You may have heard that Social Security income is not taxed after age 70; this is false.

Do I have to pay taxes if my only income is Social Security?

Generally, if Social Security benefits were your only income, your benefits are not taxable and you probably do not need to file a federal income tax return.

Does Social Security count as income for extra help?

We will count only part of the applicant's earnings toward the income limit if the applicant: Works; ▪ Receives Social Security benefits based on a disability or blindness; and ▪ Has work-related expenses that are not reimbursed.

Does my Social Security count as income?

85%: Maximum portion of Social Security benefits subject to income taxes. The amount of Social Security you can count on as part of your retirement income is mainly determined by two things: Your Social Security disbursement, which depends on your lifetime earnings and contributions (via Social Security taxes)

How can I avoid paying back my premium tax credit?

Report any changes in your income during the year to the Marketplace, so your credit can be adjusted and you can avoid any significant repayments at the end of the year.

Can I get Obamacare if I collect Social Security?

Are my Social Security benefits counted in determining my eligibility for subsidies in the Marketplace? Yes, Social Security benefits are counted as income in determining eligibility for premium tax credits in the Marketplace.

What is considered income for marketplace insurance?

Your total (or “gross”) income for the tax year, minus certain adjustments you're allowed to take. Adjustments include deductions for conventional IRA contributions, student loan interest, and more.

Can you have Medicare and marketplace insurance at the same time?

The Marketplace doesn't affect your Medicare choices or benefits. This means no matter how you get Medicare, whether through Original Medicare or a Medicare Advantage Plan, you don't have to make any changes.

What happens if I underestimate my income for Obamacare in 2024?

For the 2024 tax year, if you underestimated your income and received a larger tax credit than you were eligible for, you must repay the difference between the amount of premium tax credit you received and the amount you were eligible for.

How do you calculate income for Obamacare?

You can start by using your adjusted gross income (AGI) from your most recent federal income tax return, located on line 11 on the Form 1040. Add any foreign income, Social Security benefits and interest that are tax-exempt. Then, add or subtract any income changes you expect in the next year.

Does medical count social security as income?

Income-based Medi-Cal counts most types of earned and unearned income you have. However, some income is not counted, including Supplemental Security Income (SSI) benefits and some contributions to retirement accounts.

Why am I not eligible for premium tax credit?

In addition, to be eligible for the premium tax credits, individuals must not be eligible for public coverage—including Medicaid, the Children's Health Insurance Program, Medicare, or military coverage—and must not have access to health insurance through an employer.

What counts as income?

Income can be money, property, goods or services. Even if you don't receive a form reporting income, you should report it on your tax return.