Health Care Reform and Your Taxes

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Lately you may be hearing buzz about health care reform, Affordable Care Act, or Obamacare on the news.

These are the unofficial names for The Patient Protection and Affordable Care Act, a national health care plan signed into law by President Obama that aims to provide the majority of Americans with access to affordable health care.

Not sure what this new health care law is or if it changes anything for you and your family?  Don’t worry, TurboTax has you covered.

Here are the facts straight from our experts.

  • The Affordable Care Act requires that all Americans (with a few exceptions) have health insurance starting in 2014.
  • If you have health insurance, you’re all set.  80% of Americans already have health insurance through their employer, Medicaid, Medicare, or individual insurance and are already in compliance with the new law.  If you fall into this bucket, you don’t need to do anything.  You’re all set.
  • If you’re uninsured, you can shop for health insurance in the online Health Insurance Marketplace.  The Marketplace, which opens October 1, 2013, helps you compare your health insurance coverage options and costs.  You have until March 31, 2014 to purchase health insurance through the marketplace.  If you choose not to, you could face a health care tax penalty on your 2014 tax return (the one you file in 2015).
  • You may be eligible for financial assistance to help cover insurance cost.  If you purchase your health insurance through the online health insurance marketplace or exchange, you may be eligible for a government subsidy in the form of a tax credit.  Unlike most tax credits, you will not have to wait to receive the tax credit or subsidy; it will be applied to your insurance in 2014 when your coverage begins.
  • When it comes to the new health care law, TurboTax has you covered.  The requirement to purchase health insurance does NOT impact your 2013 tax return (the one you file in 2014).  TurboTax is up to date with all the latest tax and health care laws so you can be confident that your taxes are done right with TurboTax. 

Still have questions about how the new health care law impacts you and your family? TurboTax AnswerXchange will give you answers to your personal healthcare questions.

Just answer a few simple questions and it will tell you how the new law impacts you and whether you’re eligible for financial assistance, so that you can make the best choice for your health care needs and budget.

To find out more about the Affordable Care Act, or Obamacare,  you can also watch our video.

1,052 responses to “Health Care Reform and Your Taxes”

  1. Hi Lisa ,
    I have 1099 income only . I will buy insurance from exchange without any financial aid . So question is health insurance premium are tax-deductible ?

    • Medical expenses are deductible if they exceed 10% of your adjusted gross income (7.5% if you are 65 or older). As a self-employed individual, you may qualify to deduct your medical insurance premiums even if you don’t itemize deductions.

      For additional answers to your specific health insurance questions, please visit
      http://www.TurboTaxAnswerXchange.com

      Thank you,
      Mary Ellen

    • Hi Karen,
      When you purchase health insurance through the Health Insurance Marketplace lower premiums are based on your income and family size and not on your health or age unless you smoke.
      For more answers to your specific health insurance questions, go to TurboTaxAnswerXchange.com
      Thank you,
      Lisa Greene-Lewis

      • Im shocked at how much higher the new plans cost. I just used one of the turbotax links for the healthcare calculator and subsidies calculator – and we will qualify for a $300 tax credit if we buy $600/mo insurance. 2 years ago when I priced insurance it was only $200/mo. I think its safe to say this ACA is not at all affordable. Thank you for providing information and links, but this is certainly looking dismal.

    • Hi Andrew,
      Sorry if you already covered by a health insurance plan you would not receive a tax credit. This tax credit is only available to those who purchase health insurance in the Health Insurance Marketplace. For more answers to your specific health insurance questions go to TurboTaxAnswerXchange.com
      Thank you,
      Lisa Greene-Lewis

  2. If I live outside of the USA, but I am a USA citizen and don’t receive a W-2 as I am paid in the local countries currency, what do I need to do to avoid a penalty?

  3. So now, I have to pay taxes, pay child support, pay for othe rpeople to sit and get free health insurance, and now I have to pay for health insurance, communism.

  4. Hello Lisa,

    I have a brother that I claim as a dependent. He has no income whatsoever. Does this make me responsible for providing him healthcare?

    • Hi Jim,
      If your brother is a dependent on your tax return, he is considered a member of your household. You will be responsible for the penalty if he is not covered.

      For additional answers to your specific health insurance questions, please visit
      http://www.TurboTaxAnswerXchange.com

      Thank you,
      Mary Ellen

  5. For adult children (over 26) living with parents,
    are the parents’ income included in household income for tax subsidy qualifacation for the adult child?

  6. Family of two; Ages: 70 & 60; Income: 45000, with half from SS.

    Does the SS degraded the amount of assistance of the 60 yr.

    Is coverage firgured after deductions?

  7. I have a 58 year old sibling who’s been unemployed for years. Doesn’t have any health insurance and doesn’t file taxes. How do I advise him?

  8. If in 2014 my employer lays me off in March and my health insurance is covered up till June, will i have to pay a penalty for the other 6 months without health insurance?

    • Hi Dan,
      You will probably have to pay a penalty for not securing insurance after you are laid off. The exchange will be open to those who have changes in their situations such as lay-offs, births and the like.

      For additional answers to your specific health insurance questions, please visit
      http://www.TurboTaxAnswerXchange.com

      Thank you,
      Mary Ellen

  9. I do not have health insurance because I have been denied a few times because of my health now. Im low income and can’t afford anything to high. How will this affect my taxes?

    • Hi Kyle,
      I would try again. Part of the expansion under the Affordable Care Act is you cannot be denied coverage for a pre-existing condition. In addition, you may be eligible for Medicaid. You can check insurance eligibility by going to Healthcare.gov. Hopefully you will be able to get insurance and your taxes will not be impacted at all. Those who are required to purchase health insurance and do not by March 31, 2014, will receive a penalty of $95 per adult per year, capping out at $285 per family and about 1% of income if your income is more than $20,000.
      For more answers to your specific health care questions, visit TurboTaxAnswerXchange.com
      Thank you,
      Lisa Greene-Lewis

    • Hi Stephen,
      The Affordable Care Act will not impact you if you already have insurance. It’s only for those who are uninsured. For more answers to your specific health insurance questions, visit TurboTaxAnswerXchange.com
      Thank you,
      Lisa Greene-Lewis

  10. Family of 2; Ages 70 and 60; Family Income: 45000;

    Since SS is part of the family income, wouldn’t that be penalizing the under 60’s insurance payment?

    Will the insurance payment be figured before or after deductions?

    Thanks for any clarification you can give! !

  11. In 2011, Obamacare eliminated my ability to use my health savings account to purchase over-the-counter medication. In 2012 Obamacare slashed my health savings account limit by 50%. As more Obamacare rules roll out, are further cuts to health savings accounts on the way?

  12. I do not have insurance through my employer but my daughter has been covered in CHIPS for the past few years. Will she continue to recieve CHIPS or do I need to apply for her under the affordable healthcare act? Will I have the option to choose between the two for her?

  13. My wife and I both have insurance offered through our employers. However, my coverage is far superior to what her employer offers, so we don’t utilize hers and I cover her on mine. I have heard this could have penalty repercussions because she isn’t utilizing her companies policy and using mine instead. Is this correct?

    • Hi Nanc,
      Co-pays and co-insurance that you pay can be deducted on your taxes if you itemize your deductions. For 2013, your medical expenses need to exceed 10% of your adjusted gross income, so if your AGI is for example $50,000 then your medical expenses need to be more than $5,000. Individuals 65 and over can still claim medical expenses over 7.5% of adjusted gross income.
      If you have more health insurance questions you can go to our social community at TurboTaxAnswerXchange.com
      Thank you,
      Lisa Greene-Lewis
      Thank you,
      Lisa Greene-Lewis

  14. will i be able to put my disabled girlfriend on my insurance? she is not on SSDI,still fighting thru a lawyer for. i do claim her on my taxes.

    • Hi George,
      If you are able to claim her as a dependent on your taxes, you should be able to add her on your insurance. For more answers to your specific health insurance questions, go to
      TurboTaxAnswerXchange.com
      Thank you,
      Lisa Greene-Lewis

  15. My wife is on Medicaid. She is in a nursing Home. She has Medical Insurance from her employment before she retired in 1990 from the Social Security Administration. That coverage is by the Mail Handlers Benefit Plan. The Medical Insurance covered her before she was on Medicaid and I think she still is covered. Medicare automatically put her on United Health Care coverage, as of Nov. 1, 2013. Should she drop the coverage from United Health Care?

    • Hi Lewis,
      That would be up to you and dependent on if they provide all of the health services your wife requires.
      Please visit the TurboTaxAnswerXchange.com to get more answers to your specific health insurance questions.
      Thank you,
      Lisa Greene-Lewis CPA

    • Hi Cindy,
      If you do not get health insurance by March 31, 2014, in 2014 the penalty is $95 per adult in the household and caps at $285 per family for the year or it may be about 1% of your income if the household income is more than $20,000 if single and more than $55,000 for married couples.
      If you have more questions, please visit our social community at TurboTaxAnswerXchange.com
      Thank you,
      Lisa Greene-Lewis

      • Why is there a penalty? I thought the Supreme Court deemed it a tax? How do you tax something if you do not buy it?

  16. I will qualify for financial assistance to afford health care as I work full time but don’t make enough money. Seeing as I will get assistance, will that affect my taxes in the future? Should I expect less back because I’m not paying full price for health insurance?

    • Hi Arin,
      The amounts applied to your insurance premiums in 2014 will be reconciled on your 2015 taxes. As long as your income that determined your eligibility for the tax credit is not different in 2014, you will not see anything different on your taxes. If your income is less than expected you may receive a bigger credit when you file your 2014 taxes in 2015. If your income is more than expected, you may have to pay some of the credit back when you file in 2015. TurboTax software will be up to date and like with all tax laws will figure out the tax calculations for you so you will not have to worry about figuring this out. If you have more questions, please visit our social community at TurboTaxAnswerXchange.com
      Thank you,
      Lisa Greene-Lewis

    • Hi John,
      If you are native American and your health care is covered you don’t need to purchase health insurance and you will not receive a penalty.
      Thank you,
      Lisa Greene-Lewis

  17. I opened an HSA through my local bank and have a high deductible health policy through my wife’s employer. Are the contributions that I make to the HSA deductible or just the qualifying expenditures that are paid from the account?

  18. How is it that you have to buy insurance when you do not have a job and can’t find one and you do not qualify for Medicaid.

    • Hi Lisa,
      There are exceptions. If you make under the IRS filing requirement (about $10,000) or if the lowest priced plan is more than 8% of your household income you will not be required to purchase health insurance. Read more here https://www.healthcare.gov/exemptions/
      If you have additional health care questions, please visit TurboTaxAnswerXchange.com
      Thank you,
      Lisa Greene-Lewis

  19. I currently have insurance through my employer and they pay a portion of my premium which is a benefit. Under the Affordable Care Act will I be taxed on this amount my employer contributes? I understand the amount the employer contributes will now be on my W-2.

    • Hi Brian,
      No you will not pay taxes on the amount your employer contributes. That amount is an employee benefit provided by your employer. The amount your employer contributes is now reported on your W-2, but it is for reporting purposes only.
      Thank you,
      Lisa Greene-Lewis

    • Hi Katherine,
      If you are already covered, you don’t need to purchase health insurance.
      Thank you,
      Lisa Greene-Lewis

  20. My husband is covered by Medicare; I am not eligible for Medicare coverage until 2015 and will consider using ACA exchange to purchase however, if I opt not to purchase coverage will both my husband and I face a penalty on our IRS return filed jointly?

    • Hi Christine,
      Your husband is already considered covered if he continues his Medicare coverage and will not receive a penalty, however you would receive a penalty if you do not purchase health insurance by March 31, 2014. You would pay your penalty when you file your 2014 taxes in 2015.
      If you have more questions, you can go to our social community at TurboTaxAnswerXchange.com
      Thank you,
      Lisa Greene-Lewis

  21. Do we need to save all our receipts if we have an HSA? We also use it for optical and dental, as well as prescriptions. All medical insurance gap items are paid from that account. I fear a lost 11mo. receipt could cause a problem

  22. What about if I haven’t worked in this year and I have been a fulltime student in college? My husband has worked parttime and is a fulltime student at the same college I attend. We have earnings of 2,500 for this year for the YTD and well, we don’t have insurance of any kind for our financial struggle. Our kids are covered by Medicaid for the low income we have and well I have a worry about this since I have always had a YTD of 30,000 or more in my joint tax return. This year I am so sad to say this but it is not something to wish upon anyone. If anyone can let me know what penalty I am going to be facing it would be greatly appreciated. Thanks.

  23. Does Turbo Tax know when individuals will begin being taxed on the overall value of their healthcare, employer sponsored or otherwise?

    • If you don’t have insurance and don’t check your exchange, you may be sorry to hear about all the insured people who are paying $70 monthly premiums in states like Washington where we worked hard to set up a great exchange with lots of options.

  24. As a self-employed individual, will the health insurance still be deductible in the same way as it is now or will that change?

  25. Is it true all real estate sales beginning in 2014 will be subject to a 3.8% tax? Is this based on the profit, like a capital gain or on the gross sales price. Either way, how did this get into health care? The real estate owners are already hammered paying for public education.
    Thanks,
    Scott

  26. I want to get coverage, but have not been able to afford it. If I find that I still can’t afford it under the new system, how do I avoid being penalized in my taxes?

    • Check the exchange before you worry. Also, if your state did not proactively set up a health exchange a while back, call your senators and rep and complain. Prices are very competetive for even very low income, older people who are middle income or below.

  27. I am an expat living full time in Mexico. I have my health insurance through the Mexican government called Seguro Social. Does this type of insurance meet the new requirements or will I be subject to penalties or fines?

    • Citizens living outside the US are not subject to penalties. The Marketplace only carries insurance for those living in the US and for medical expenses incurred in the US.

      For additional answers to your specific health insurance questions, please visit
      http://www.TurboTaxAnswerXchange.com

      Thank you,
      Mary Ellen

  28. I am covered under the State retirement plan, but the premiums cost me more than my monthly benefit. Am I eligible for a subsidy? Alternately, am I eligible to shop in the Marketplace for new, less expensive coverage?

    • Hi TTL
      I’m thinking about NOT signing up for ACA!
      what is my penalty for income of $26,750 per year?
      Gary B.

      • You should sign up…if you live in a state with a healthy exchange, you may find affordable options. You will likely qualify for a subsidy.

  29. If I already have insurance and will not be purchasing through the exchange, will I be able to get a tax credit based on my income? Family of 3 making 55K.

    Thanks,

    Jereom

    • Hi Jerome,
      Unfortunatley, the tax credit is only for those who are eligible and purchase insurance through the Health Insurance Marketplace. If your insurance is self provided and not provided by an employer you can check your options and purchase health insurance through the marketplace and you may be eligible for the tax credit.
      Thank you,
      Lisa Greene-Lewis

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