Is it illegal to not be on health insurance?

Asked by: Maeve Haag  |  Last update: April 6, 2025
Score: 4.9/5 (74 votes)

On a federal level, having health insurance is no longer a legal requirement. However, a handful of states in the U.S. require citizens to obtain coverage or pay a tax penalty. People buy health insurance for protection against the risk that they may get sick or injured.

Is it illegal to not use health insurance if you have it?

While it is not illegal to self-pay if you have insurance, we always encourage individuals to have the right health plans to ensure they are prepared for significant medical expenses. Still, we know that there are times when it does not make sense to file a claim with the insurance company.

Is health insurance legally required in the US?

Key Takeaways

Health insurance coverage is no longer mandatory at the federal level, as of Jan. 1, 2019. Some states still require you to have health insurance coverage to avoid a tax penalty.

In what states is it illegal to not have health insurance?

Presently there are six states with individual mandates:
  • California.
  • D.C.
  • Massachusetts.
  • New Jersey.
  • Rhode Island.
  • Vermont (but there's currently no financial penalty attached to the mandate)

Is it mandatory to have health insurance in KY?

Kentucky does not have a state-specific law requiring residents to have health insurance and there is no longer a federal insurance mandate.

Is It Illegal To Not Have Health Insurance? - CountyOffice.org

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Is there a federal penalty for no health insurance?

The fee for not having health insurance (sometimes called the "Shared Responsibility Payment" or "mandate”) ended in 2018. This means you no longer pay a tax penalty for not having health coverage. If you don't have health coverage, you don't need an exemption to avoid paying a tax penalty.

What is the cheapest health insurance in KY?

Cheapest health insurance companies in Kentucky

Ambetter has the cheapest health insurance in Kentucky, with Silver plans starting at $393 per month.

What states require you to have insurance?

Car insurance is mandatory in almost every state. State minimums and coverage types vary, but nearly all states that mandate insurance require liability coverage for property damage and bodily injury. The sole exception is Florida, which only requires liability coverage for property damage, in addition to PIP coverage.

Does the IRS still require proof of health insurance?

Health care coverage documents

You are not required to send the IRS information forms or other proof of health care coverage when filing your tax return. However, it's a good idea to keep these records on hand. This documentation includes: Form 1095 information forms.

What happens if you don't pay health insurance?

If you miss a monthly premium payment

Your health insurance company could end your coverage if you fall behind on your monthly premiums. A short period after your monthly health insurance payment is due to pay all owed premiums to avoid losing coverage.

Can I choose to not use my health insurance?

You may choose not to use insurance if the service you need isn't covered, or it's less expensive if you pay out of pocket. In most cases, providers and facilities must give you an estimate when you schedule care at least 3 business days in advance, or if you ask for one.

Can I stay in US without health insurance?

The United States government does not require most expatriates or even US citizens to obtain health insurance in America.

What happens if I go to the ER without insurance?

Despite the financial hurdles, uninsured emergency patients are provided with legal safeguards. The Emergency Medical Treatment and Active Labor Act (EMTALA) is a federal law that requires anyone coming to an emergency department to be stabilized and treated, regardless of their insurance status or ability to pay.

Do you have to accept health insurance?

The short answer is no, you don't have to enroll in your employer's health insurance coverage.

How much is a hospital bill without insurance?

The average per-day hospital cost in the U.S. is $2,883, with California ($4,181) the most expensive, and Mississippi ($1,305) the least. The average hospital stay is 4.6 days, at an average cost of $13,262. If surgery is involved, hospital costs soar through the roof.

Is $200 a month good for health insurance?

Health insurance that costs $200 per month is a good deal in California. Silver plans typically cost $513 per month for a 21-year-old or $656 per month for a 40-year-old. The best way to get cheap rates is to use health insurance subsidies, which lower the cost of an insurance plan based on your income.

What is the most expensive health insurance?

Platinum health insurance is the most expensive type of health care coverage you can purchase. You pay low out-of-pocket expenses for appointments and services, but high monthly premiums. Plans typically feature a small deductible or no deductible and cheap copays or coinsurance.

What states is it illegal to not have health insurance?

New Jersey, California, Rhode Island, Massachusetts, and the District of Columbia require their residents to have health insurance coverage or face penalties. Vermont recommends that residents have coverage, but there's no noncompliance penalty.

What does 15/30/10 mean in insurance?

If your limits are 15/30/10, this means: No more than $15,000 would be paid per person for Bodily Injury. No more than $30,000 would be paid per accident for Bodily Injury. No more than $10,000 would be paid per accident for Property Damage.

What state doesn t require insurance?

New Hampshire and Virginia are the only states that do not require auto insurance. However, if you choose not to purchase car insurance in these states, you would still be held liable for any property damage or bodily injury caused by their vehicle. Do you live in an at-fault or not-at-fault state?

Is it cheaper to go without health insurance?

The Bottom Line. Healthcare is expensive—even with insurance. However, those who don't have insurance coverage will be at a much greater disadvantage. The inability to seek treatment for health conditions and the crushing weight of medical bills are two big reasons to obtain coverage.

How do I qualify for the Affordable Care Act?

To be eligible to enroll in health coverage through the Marketplace, you must:
  1. Live in the United States (U.S).
  2. Be a U.S. citizen or national, or be lawfully present non-citizen in the U.S. Learn about eligible immigration statuses.
  3. Not be incarcerated.

How can I make my health insurance cheaper?

Check if you might save on Marketplace premiums, or qualify for Medicaid or Children's Health Insurance Program (CHIP), based on your income. Or, find out who to include in your household and how to estimate income before you apply. You'll get exact plan prices and savings by filling out a Marketplace application.