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Individuals & Families

Affordable Care Act (ACA) Tax Provisions

The law requires you and your dependents to have health care coverage, an exemption, or make a payment with your return.  If you purchased coverage from the Health Insurance Marketplace, you may be eligible for the premium tax credit.


Marketplace Open Enrollment


IRS Health Care Tax Tip 2015-73, November 10, 2015                                Español

When you apply for assistance to help pay the premiums for health coverage through the Health Insurance Marketplace, the Marketplace will estimate the amount of the premium tax credit that you may be able to claim.  The Marketplace will use information you provide about your family composition, your projected household income, whether those that you are enrolling are eligible for other non-Marketplace coverage, and certain other information to estimate your credit.

Here are three things you should consider during the Health Insurance Marketplace Open Enrollment period:


  1. Advance credit payments lower premiums - You can choose to have all, some, or none of your estimated credit paid in advance directly to your insurance company on your behalf to lower what you pay out-of-pocket for your monthly premiums.  These payments are called advance payments of the premium tax credit or advance credit payments.  If you do not get advance credit payments, you will be responsible for paying the full monthly premium.


      2.  A tax return may be required - If you received the benefit of advance credit payments,  

           you must file a tax return to reconcile the amount of advance credit payments made on your

           behalf with the amount of your actual premium tax credit.  You must file an income tax return

           for this purpose even if you are otherwise not required to file a return.


      3.  Credit can be claimed at tax time - If you choose not to get advance credit payments, or get

           less than the full amount in advance, you can claim the full benefit of the premium tax credit

           that you are allowed when you file your tax return. This will increase your refund or lower the

           amount of tax that you would otherwise owe.


For more information about open season enrollment, which runs through January 31, 2016, visit See our Questions and Answers on for information about the premium tax credit.


What to do with the New Health Care Forms

This year, you may receive one or more forms that provide information about your 2015 health coverage.  Check out these tax tips about what to do if you receive a Form 1095-A,1095-B or 1095-C.  For more information see our questions and answers to find out how the new forms may affect your individual income tax return.

File Electronically

Remember, that filing electronically is the easiest way to file a complete and accurate tax return as the software guides you through the filing process. Electronic filing options include: free Volunteer Assistance, IRS Free File, commercial software, and professional assistance.

The Affordable Care Act includes the individual shared responsibility provision and the premium tax credit that may affect your tax return. 

The individual shared responsibility provision requires you, your spouse, and your dependents to have qualifying health insurance for the entire year, report a health coverage exemption, or make a payment when you file.  In addition, you may be eligible for the premium tax credit if you purchased health coverage through the Health Insurance Marketplace.

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