Is there a penalty for not having insurance in the US?

Asked by: Sarina Howell  |  Last update: September 24, 2025
Score: 5/5 (47 votes)

There is no longer a federal penalty for not having health insurance. But in DC, Massachusetts, New Jersey, Rhode Island, and California, the state imposes its own penalty (collected via state tax returns) if a person doesn't maintain health insurance and isn't eligible for an exemption.

Can you be fined for not having health insurance in the US?

Exemptions from the requirement to have 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.

What happens if you have no insurance in the US?

Driving without insurance is against the law in virtually every U.S. state. The consequences of driving without insurance can vary dramatically, with penalties ranging from a slap on the wrist to large fines and even jail time. Penalties can be particularly serious for repeat offenders and severe situations.

Does the IRS charge you for not having insurance?

The Tax Cut and Jobs Act (TCJA) repealed the penalty (made the penalty amount $0) starting with tax year 2019. But you may wonder, “Do I need health insurance to file taxes after the ACA penalty was repealed?” The answer is no. You no longer will be penalized for not having health insurance.

Is it legal to stay in US without health insurance?

There currently is no federal law that makes health insurance a legal requirement. However, a few states across the U.S. make it mandatory to have healthcare coverage. If you live in a state where having health insurance is the law, you will have to pay a tax penalty for not complying.

How Much Is No Health Insurance Penalty? - InsuranceGuide360.com

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What happens if you are ill in USA without insurance?

If you have a serious medical problem, hospitals must treat you regardless of whether you have insurance. This includes situations that meet the definition of an emergency. Some situations may not be considered true emergencies, such as: Going to the ER for non-life-threatening care.

Do tourists need health insurance in USA?

Nationalized or government sponsored health plans rarely provide adequate coverage for visitors for injuries or illnesses that occur in the United States, which is why it's important to get travel medical insurance.

What is the IRS penalty for not having health insurance in 2024?

If you had no health coverage

If you didn't have coverage during 2024, the fee no longer applies.

Are Americans still required to have health insurance?

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)

Can you get healthcare in the US without insurance?

Medicaid and the Children's Health Insurance Program (CHIP)

Medicaid and CHIP provide free or low-cost health coverage to millions of Americans, including low-income adults, families and children, pregnant individuals, older adults, and people with disabilities.

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.

What happens if you have an accident in America with no health insurance?

Can I Get Treatment After a Car Crash if I Don't Have Insurance? If you were injured in an accident, you should go to the emergency room on the day of your injuries. Federal Law requires hospitals to treat medical patients regardless of whether they have medical insurance.

What happens if you don't have insurance in us?

What are the financial implications of being uninsured? Uninsured individuals often face unaffordable medical bills when they do seek care. These bills can quickly translate into medical debt since most people who are uninsured have low or moderate incomes and have little, if any, savings.

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.

Can I go to USA without insurance?

While travel insurance is a compulsory requirement for visiting some countries and territories, the USA is not one of them. But that doesn't mean it's not worth taking out.

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.

Are public hospitals free in the USA?

There is no universal healthcare. The U.S. government does not provide health benefits to citizens or visitors. Any time you get medical care, someone has to pay for it.

Why are so many Americans uninsured?

uninsurance has been attributed to a number of factors, including rising health care costs, the economic downturn, an erosion of employer-based insurance, and public program cutbacks. Developing effective strategies for reducing uninsurance requires understanding why people lack insurance coverage.

What is the penalty for not having health insurance in the US?

There is no longer a federal penalty for not having health insurance.

Are US citizens required to have health insurance?

The federal government has since repealed the health coverage requirement and penalty known as the individual mandate. But, some states still require their residents to have health insurance. Having a qualified health plan to avoid fines is essential in these locations.

Is Obamacare free?

How much does the average person pay for Obamacare? Obamacare costs an average of $621 per month for a 40-year-old with a Silver plan. Your age affects your monthly rates. A 21-year-old pays an average of $494 per month for a Silver plan, while a 60-year-old pays an average of $1,263 per month, before subsidies.

What happens if a tourist gets sick in USA without insurance?

If a tourist gets sick in the USA without insurance, they are responsible for covering all medical expenses out of pocket. Healthcare in the USA is expensive, and even basic treatments or emergency services can result in significant bills.

Can I travel to USA without medical insurance?

While travel insurance isn't mandatory for entering the US for most, it offers crucial protection against unforeseen medical emergencies. Without it, travelers risk accumulating substantial medical debt. The decision to purchase travel insurance ultimately rests with each individual traveler.

Which insurance is mandatory in USA?

Car insurance is required by law in all states, except in New Hampshire and Virginia. In New Hampshire, drivers are only required to show proof of their financial capability to cover for injuries and damages for accidents that they cause.