Haris Ashley
If you have Medicare insurance, you may need to prove that you had health insurance coverage when filing your federal taxes. This is not always necessary, but you may receive Form 1095-B, Health Coverage, by mid-March, which you should keep with your other important tax information. If you do not receive this form, you can still file your taxes using other information about your health insurance. If you have Medicare Part A, you can ask Medicare to send you an IRS Form 1095-B, which you will need to send to the IRS when you file your taxes.
| Characteristics | Values |
|---|---|
| Medicare Insurance | Part A (Hospital Insurance) |
| Qualifying Health Coverage | Qualifying health coverage under the Affordable Care Act |
| Form | IRS Form 1095-B |
| Other Health Coverage | Medicaid, CHIP, etc. |
| Premium Tax Credit | Form 8962, Premium Tax Credit |
| Form 1095-A | Health Insurance Marketplace Statement |
| Form 1095-B | Health Coverage |
| Form 1095-C | Verify that employer coverage was unaffordable |
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Medicare Part A coverage
Medicare Part A is considered qualifying health coverage under the Affordable Care Act. It is a federal health insurance program for people aged 65 and older, as well as certain younger people with disabilities, end-stage renal disease (ESRD), or amyotrophic lateral sclerosis (ALS).
For inpatient hospital stays, individuals must meet their deductible before Medicare Part A pays for any treatment. In 2025, this deductible is $1,676. Even after Medicare covers the costs, individuals may still need to pay copayments, depending on the length of their stay. For instance, Medicare Part A covers the initial 60 days of an inpatient stay, but for days 61 to 90, there is a charge of $419 per additional day. If an inpatient stay exceeds 90 days, Medicare provides 60 reserve days, costing $838 per day.
To prove Medicare Part A coverage for taxes, individuals can request an IRS Form 1095-B from Medicare by calling 1-800-MEDICARE. This form should be kept with other important tax documents, but it is generally not required for filing federal taxes.
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Form 1095-B
Since the 2015 tax year, health insurance providers and employers with fewer than 50 full-time employees have been required to send out Form 1095-B to individuals with health insurance coverage. If you receive health insurance through an employer with more than 50 full-time employees, you may receive Form 1095-C instead. If you have Medicare Part A, you can ask Medicare to send you a Form 1095-B, although you don't need this form to file your federal taxes.
You should keep your Form 1095-B with your other important tax information, such as your W-2 form and other tax records. You do not need to include Form 1095-B with your federal tax return, but you should send it to the IRS when you file your taxes.
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Premium tax credit
The Premium Tax Credit (PTC) is a refundable tax credit that helps eligible individuals and families with low or moderate incomes afford health insurance purchased through the Health Insurance Marketplace. The size of the Premium Tax Credit is based on a sliding scale, with lower incomes receiving a larger credit to help cover insurance costs.
When enrolling in a Marketplace plan, the Marketplace will determine whether you are eligible for advance payments of the PTC. Advance credit payments are amounts paid to your insurance company to lower your out-of-pocket expenses for health insurance premiums. You can choose to receive all, some, or none of your estimated credit in advance. If you choose to receive advance payments, you will need to reconcile the amount paid in advance with the actual credit you compute when you file your tax return for the year.
To receive the PTC, you must meet certain requirements and file a tax return with Form 8962, Premium Tax Credit (PTC). For tax years other than 2020, you must attach Form 8962 to your tax return. However, for tax year 2020, you are only required to attach Form 8962 if your PTC is more than the Advance Premium Tax Credit (APTC) paid on your behalf.
It is important to note that certain life changes, such as household, income, or family size alterations, may affect the amount of your Premium Tax Credit. Reporting these changes promptly will help ensure you receive the proper type and amount of financial assistance. Additionally, if you have other health insurance options, such as employer-sponsored insurance or government programs like Medicare, you may not qualify for the PTC.
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Form 1095-A
You should receive Form 1095-A by mail no later than mid-February. It may also be available in your online Marketplace account as early as mid-January. It is recommended that you do not file your taxes until you have received this form. Once you receive it, be sure to review the form carefully and verify that all the information is correct. If there are any discrepancies or errors, contact the Marketplace Call Center for assistance.
Keep your Form 1095-A with your other important tax documents, such as your W-2 forms and other tax records. You will need this form to complete your tax filings accurately and to ensure you are claiming the correct amount of premium tax credit. It is an important part of proving your health insurance coverage when filing your taxes.
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Form 1095-C
Eligible employees who decline to participate in their employer's health plan will still receive a 1095-C form. If an ALE does not offer its employees insurance, the 1095-C will indicate that fact, and they may be subject to financial penalties. Form 1095-C has been required since the 2015 tax year.
Form 1095-B, on the other hand, provides details of the employee's actual insurance coverage and is sent out by the insurance provider rather than the employer. This form includes information on who in the worker's family was covered. It is important to keep Form 1095-B with other important tax information, such as your W-2 form and other tax records.
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Frequently asked questions
Form 1095-B is a form that provides information about your health care coverage during the previous tax year. It is sent out by health insurance providers to individuals they cover.
You can request Form 1095-B from Medicare by calling 1-800-MEDICARE (1-800-633-4227). Alternatively, the form may be mailed to you by mid-March.
No, you do not need Form 1095-B to file your federal taxes. However, you should keep it with your other important tax information.
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