How health coverage affects your 2022 federal income tax return (2024)

FAQs

How health coverage affects your 2022 federal income tax return? ›

2022 health coverage & your federal taxes

You will use the information from the Form 1095-A to calculate the amount of your premium tax credit. You will also use this form to reconcile advance payments of the premium tax credit made on your behalf with the premium tax credit you are claiming on your tax return.

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.

Health insurance premiums are deductible on federal taxes, in some cases, as these monthly payments are classified as medical expenses. Generally, if you pay for medical insurance on your own, you can deduct the amount from your taxes.

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.

Health insurance can impact your tax return in several ways, including through the Premium Tax Credit (PTC) and the Individual Shared Responsibility Payment (ISRP). The Premium Tax Credit can lower your out-of-pocket health insurance costs if you meet certain income and coverage criteria.

This form is absolutely required for taxpayers who received advance payments of the Premium Tax Credit (APTC) to help pay for health insurance coverage during the year. You'll use the information on the 1095-A to see if you got too much or too little of the premium tax credit.

Normally, you should only claim the medical expenses deduction if your itemized deductions are greater than your standard deduction (TurboTax can also do this calculation for you). If you elect to itemize, you must use IRS Form 1040 to file your taxes and attach Schedule A.

Form 1095-C provides information about the health coverage offered by your employer and, in some cases, about whether you enrolled in this coverage. Use Form 1095-C to help determine your eligibility for the premium tax credit.

If you didn't get your Form 1095-A in the mail, or you can't find it, check your Markteplace account. Under "Your Existing Applications," select your 2023 application. Select “Tax Forms” from the menu on the left. Download all 1095-A forms shown on the screen.

Do health insurance premiums reduce your taxable income? ›

For most people, their portion of employer-sponsored health insurance premiums aren't enough to get deducted from taxable income. Most group health insurance premiums are subsidized by your employer and the business pays a large portion of the cost. The rest comes out of your paycheck, tax-free.

You may be able to deduct 100% of your health insurance premiums for yourself, your dependents or your spouse as a non-itemized deduction if you are self-employed. Report this amount on line 16 of the IRS Schedule 1 form.

If you don't claim 100% of your paid premiums, you can include the remainder with your other medical expenses as an itemized deduction on Schedule A (Form 1040).

The credit is “refundable” because, if the amount of the credit is more than the amount of your tax liability, you will receive the difference as a refund. If you owe no tax, you can get the full amount of the credit as a refund.

To be eligible for the premium tax credit, your household income must be at least 100 percent and, for years other than 2021 and 2022, no more than 400 percent of the federal poverty line for your family size, although there are two exceptions for individuals with household income below 100 percent of the applicable ...

The APTC equals the difference between (1) the cost of the “second-lowest cost silver plan” available to you (based on your age, family size, and county of residence) and (2) the maximum amount you are expected to pay towards your health insurance premiums.

If your income was more than you expected during a year when you received advance credit payments, and your income is above 400% of the federal poverty level, the entire amount of advance credit payments you received must be paid back.

The credit is “refundable” because, if the amount of the credit is more than the amount of your tax liability, you will receive the difference as a refund. If you owe no tax, you can get the full amount of the credit as a refund.

The purpose of Form 1095-A is to reconcile any advance premium tax credits you received during the year with the amount of credits you were eligible to receive. If you fail to file a tax return reconciling those payments, you will not be eligible for premium tax subsidies in the next year.

No. You do not need to include Form 1095-B with your federal or state tax return. But, the IRS and the California State Franchise Tax Board suggest that you save it with your tax records.