Will Covered California affect my taxes?

Asked by: Kari Bahringer  |  Last update: November 25, 2023
Score: 4.7/5 (21 votes)

Whether you get financial help or not, health coverage is part of filing your taxes. Unless you report that you had health coverage, you may have to pay a state tax penalty. If you received federal or state financial help, you'll report that as well.

Does Covered California affect your tax return?

If you receive a tax credit through Covered California, you must file taxes for that benefit year. You will receive a 1095-A form, which shows how much Covered California paid to your insurance company to help with the cost of your health coverage. You will use the information on your 1095-A to fill out IRS Form 8962.

Does having health insurance affect tax return?

If you obtain your health insurance from the Marketplace, you may be eligible to receive a tax credit to offset some of your premium payments. If you qualify for the premium tax credit, you may also be eligible for the Advance Premium Tax Credit, which reduces your health insurance premiums throughout the year.

Does Covered California go off Adjusted Gross Income or taxable income?

Generally, the income section on your Covered California application should match your Adjusted Gross Income (line 37 of the 1040, Line 21 of the 1040A, or line 4 of the 1040EZ) from your most recent Federal Tax Return. This is the recommended method if your annual income stays at a constant level from year to year.

What income is reported to Covered California?

In 2022, an individual in a one-person household is eligible for some degree of Covered California subsidies if they earn up to $51,520. Meanwhile, that limit rises to $106,000 for a household size of 4. These numbers refer to your Adjusted Gross Income (AGI) as found on line 11 of your Form 1040.

Income limits to qualify for CoveredCa and Financial Help Repayment at tax time

21 related questions found

Does Covered CA check your income?

How will Covered California check my income? Covered California will check the income you reported on your application and compare it to what the IRS has on file for you.

Do you have to pay Covered California back?

And if the government determines that you received too much APTC (because your income changed and you didn't tell Covered California), you may have to pay back some of the money you received. This is called “reconciliation.”

What happens if you put the wrong income for Covered California?

If it changes during the year, you need to report it within 30 days. What happens if you don't? If your income turns out to be higher than expected, it means if you were cruising along all year with APTC based on a lower income, you actually got too much help and now you gotta pay it back.

What happens if you overestimate your income for Covered California?

Covered California subsidy bayback limits

Your estimated income for the year is reconciled when you file your taxes for the previous year. If you have overestimated your income, you will receive a tax credit based on your AGI (adjusted gross income).

Are taxes taken out of adjusted gross income?

Share: Adjusted Gross Income is simply your total gross income minus specific deductions. Additionally, your Adjusted Gross Income is the starting point for calculating your taxes and determining your eligibility for certain tax credits and deductions that you can use to help you lower your overall tax bill.

Does the IRS know if you have health insurance?

The Department of Health Care Services (DHCS) is required by state and federal law to send Form 1095-B information to the IRS and FTB for the purpose of validating months of health coverage reported by the person filing their state and/or federal taxes.

Does the IRS know if I had health insurance?

Companies report to the IRS whether or not employees participate in their health plans. They also send employees Form 1095-C to keep as a tax record. As with Form 1095-A, individuals who receive Form 1095-C do not need to attach it to their tax return.

How can I avoid paying back my premium tax credit?

Avoiding or Reducing Premium Tax Credit Repayments

The key to reducing the amount of premium tax credits you have to repay is keeping your household income below 400% of the federal poverty level. As long as your income is below this level, your repayments are capped.

What happens if you don t report an income change for Covered California?

Additionally, if you don't report your income change within the required time frame, it may affect what you're eligible for in terms of savings and coverage. Essentially, the amount you earn directly impacts the amount you pay for your health insurance plan.

What deductions can I claim for Covered California?

There are deductions that you may be able to use to reduce this gross income level:
  • Certain self-employment expenses.
  • Student loan interest deduction.
  • Tuition and fees.
  • Educator expenses.
  • IRA contribution.
  • Moving expenses.
  • Penalty on early withdrawal of savings.
  • Health savings account deduction.

How does Covered California work?

Covered California is a free service that connects Californians with brand-name health insurance under the Patient Protection and Affordable Care Act. It's the only place where you can get financial help when you buy health insurance from well-known companies.

Can I get Covered California if I make too much money?

Even if your income is too high to get help paying for a health plan, you can still buy a plan through Covered California. You can also sign up for a plan on your own. You can apply through the insurance company directly, through an insurance agent or broker, or through another online marketplace.

Can I get Covered California if I have a job?

You may have coverage as a current worker or retiree. You can shop for health coverage through Covered California, but you won't qualify for financial help in the form of premium tax credits if your employer offers a health plan that meets minimum value standards and is considered affordable.

Why am I eligible for Covered California?

California residents who don't have an offer of affordable coverage can get a health plan through Covered California. In addition, most immigrants qualify for health coverage, including the following groups: Lawful permanent residents (green card holders).

Does Covered California check gross or net income?

When you calculate your income, you'll need to include the incomes of you, your spouse, and anyone you claim as a dependent when you file taxes. 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.

Do I have to renew Covered California every year?

For most members, coverage is renewed automatically. Sometimes the county will send you a renewal form that you must review and return, along with any additional required information. Want to get started with Covered California?

Can you have assets to get Covered California?

Assets ≤ $2,000 for an individual or ≤ $3,000 for couple (Assets do not include residence or one car owned by applicant.)

Do you have to file taxes to get Covered California?

If you didn't file taxes last year, you can still apply for health insurance and get premium assistance or Medi-Cal. We will use your income to help us find the health insurance that is most affordable for you and your family.

Do I have to pay back my premium tax credit?

If at the end of the year you've taken more premium tax credit in advance than you're due based on your final income, you'll have to pay back the excess when you file your federal tax return. If you've taken less than you qualify for, you'll get the difference back.

What happens if you don't qualify for Covered California?

If you are uninsured and are not eligible for Medi-Cal or a plan through Covered California, you may qualify for limited health services offered by your county. These programs are not insurance plans and do not provide full coverage.