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Sofia Price

Filing with 1095-B instead of 1095-A in TurboTax? Need help with healthcare forms

I'm trying to help my wife file her taxes through TurboTax free edition and I'm completely stuck on this healthcare form issue. She had Medicaid coverage for most of 2024 until I added her to my employer's health plan in November. She received a 1095-B form in the mail, but TurboTax keeps asking for information from a 1095-A which she doesn't have. What's confusing me is that TurboTax has this little sidebar that says information from 1095-B forms "DOES NOT need to be entered" - but then it keeps prompting me for the 1095-A details and I can't seem to bypass this section. I'm worried that if I just skip this somehow and get her refund, we might end up owing a bunch back to the IRS later when they realize something's missing. Does anyone know if she should be expecting a 1095-A form to arrive separately? Or how to properly proceed with just the 1095-B form in TurboTax? I really don't want to mess this up and have her get hit with penalties.

Alice Coleman

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The good news is you can absolutely file with just the 1095-B! The sidebar in TurboTax is correct - you don't need to enter any information from the 1095-B form into your tax return. Let me explain the difference: The 1095-A form is only for people who had Marketplace (Healthcare.gov or state exchange) coverage and possibly received premium tax credits. Since your wife had Medicaid and then employer coverage, she correctly received a 1095-B instead. The 1095-B is basically proof that she had qualifying health coverage and won't face any penalties. You just need to keep it with your records - there's no information from it that needs to be entered on the return. You can simply indicate that she had full-year coverage when TurboTax asks about health insurance. If TurboTax is stuck on a screen asking for 1095-A information, look for an option like "I don't have this form" or "Skip this section" - there should be a way to indicate she didn't have Marketplace coverage.

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Sofia Price

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Thanks so much for the quick response! I think I see the issue now. When I look closer at the TurboTax questions, it's asking "Did you purchase health insurance through the Marketplace?" and I've been overthinking it. So I should just select "No" for that question since Medicaid isn't purchased through the Marketplace, right? Also, for the months she was on my employer plan (Nov-Dec), do I need to do anything special to indicate that change, or just mark that she had full year coverage?

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Alice Coleman

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You've got it exactly right! Just select "No" for the question about purchasing insurance through the Marketplace. Medicaid is definitely not considered Marketplace coverage, so that's the correct answer. For the months she was on your employer plan, you don't need to do anything special in TurboTax. Both Medicaid and employer-sponsored insurance are considered qualifying coverage, so you can simply indicate she had full-year coverage. The 1095-B from Medicaid and whatever form you received for your employer coverage (probably part of your 1095-C) are just for your records - neither needs specific information entered in TurboTax.

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Owen Jenkins

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I went through the exact same nightmare last year trying to figure out these healthcare forms! After hours of frustration, I finally discovered taxr.ai (https://taxr.ai) which saved me so much stress. It's a tool that can analyze your tax documents and explain exactly what you need to do with them. I uploaded my 1095-B and some other tax forms I wasn't sure about, and it clearly explained that the 1095-B was just for my records and didn't need to be entered in TurboTax at all. It also walked me through exactly which buttons to click in TurboTax to bypass those screens that kept asking for 1095-A info that I didn't have. Might be worth checking out if you're still confused or have other tax documents you're unsure about. Way easier than trying to decipher IRS instructions!

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Lilah Brooks

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Does this taxr.ai thing actually work with TurboTax specifically? I'm having similar problems but with H&R Block's software. Would it help with that too? I've got a stack of tax forms and I'm not sure which ones I need to enter.

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I'm always skeptical of these tax document services. How does it know the difference between forms that need to be entered vs just kept for records? And is it secure? I'm not crazy about uploading my tax docs to some random website.

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Owen Jenkins

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Yes, it absolutely works with TurboTax specifically! I used it with TurboTax last year, but it also works with H&R Block, FreeTaxUSA and other tax software. It's basically software-agnostic since it focuses on explaining what each tax form means and whether you need to enter it. The security is actually pretty solid - they use bank-level encryption for all uploads and don't store your docs long-term. It analyzes the documents to identify form types, then applies tax rules to explain which ones need to be entered in your return vs just kept for records. It's based on the official IRS guidelines for each form type.

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Lilah Brooks

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Just wanted to update after trying out that taxr.ai site that was mentioned. It was actually super helpful! I uploaded my 1095-B and a couple other forms I was confused about, and it gave me really clear explanations about each one. For the 1095-B specifically, it confirmed what was said above - that I don't need to enter anything from it into my tax software, it's just proof of coverage that I should keep with my records. It also explained exactly how to navigate past those confusing healthcare screens in my tax software. What was really helpful was that it explained WHY the 1095-B is different from the 1095-A (something about Medicaid vs Marketplace insurance). Makes way more sense now. If anyone else is confused about which healthcare forms need to be entered, I'd definitely recommend checking it out.

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Kolton Murphy

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If you're struggling to get through to the IRS to ask about these healthcare forms, I had success using Claimyr (https://claimyr.com). I was in the same boat last year with these healthcare forms and needed to confirm whether my 1095-B needed to be reported. After being on hold with the IRS for over an hour and getting disconnected twice, I was ready to throw my phone through a window! Then I found Claimyr which basically holds your place in the IRS phone queue and calls you when an agent is about to answer. You can see how it works in this video: https://youtu.be/_kiP6q8DX5c I got through to an actual IRS agent who confirmed that the 1095-B is just for my records and explained exactly how to handle it in TurboTax. Saved me hours of hold music and frustration!

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Evelyn Rivera

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How does this actually work? I've spent literal days trying to get through to the IRS about a different issue. Does it really get you to a human faster or is it just saving you from listening to the hold music?

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Julia Hall

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This sounds like a scam. Why would I pay a third party to call the IRS when I can just do it myself? Plus giving access to your phone number sounds risky. I bet they sell your info or something.

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Kolton Murphy

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It doesn't actually get you through faster - you still wait the same amount of time that you would normally. The difference is you don't have to sit there listening to hold music the whole time. Their system waits on hold for you and monitors the call. When it detects that a human agent is about to pick up (based on the change in hold pattern), it calls your number and connects you. So instead of being stuck by your phone for 2+ hours, you can go about your day and only get called when an agent is actually available. They definitely don't sell your info - they're just solving the hold time problem. I was skeptical too, but after wasting an entire afternoon on hold and getting disconnected, I was desperate enough to try it. Totally worth it for IRS calls which can have ridiculous wait times.

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Julia Hall

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I need to eat my words about Claimyr from my previous comment. After another failed 3-hour attempt to reach the IRS yesterday about my tax issue, I decided to try it out of pure frustration. It actually worked exactly as described. I entered my number, and about 2.5 hours later (during which I was able to actually get work done instead of listening to that awful hold music), I got a call connecting me to an IRS agent who was already on the line. The agent confirmed what others have said here about the 1095-B form - it's just for your records and doesn't need to be entered in your tax software. You only need to enter information from a 1095-A if you had Marketplace insurance with premium tax credits. I asked about several other tax questions I had while I had them on the line too. Definitely a better use of my time than being stuck on hold myself.

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Arjun Patel

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I'm a volunteer tax preparer, and we see this confusion ALL THE TIME with the healthcare forms. Here's a quick breakdown that might help others: 1095-A: Marketplace insurance (Healthcare.gov or state exchanges) - MUST be entered in tax software 1095-B: Medicaid, Medicare, CHIP, or certain employer plans - Just keep for your records 1095-C: Large employer health insurance - Just keep for your records (unless Parts II and III are filled out) TurboTax and other tax software programs are designed primarily around people who need to reconcile premium tax credits with the 1095-A. If you didn't get insurance through the Marketplace, you can just indicate you had full-year coverage and move on.

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Jade Lopez

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Quick question - what if you had both? I had Marketplace coverage for Jan-April (got a 1095-A), then got a job with benefits and had employer coverage May-Dec (got a 1095-C). Do I need to enter both somehow?

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Arjun Patel

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You'll need to enter the information from your 1095-A for the January-April period to reconcile any premium tax credits you received during that time. TurboTax will have specific screens for entering the information from each month you had Marketplace coverage. For the employer coverage period (May-December), you don't need to enter any specific information from your 1095-C. You'll just indicate that you had qualifying coverage for those months when TurboTax asks about your health insurance coverage month by month.

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Tony Brooks

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Has anyone else noticed that TurboTax's free edition keeps trying to upsell you to deluxe when you hit the healthcare screens? I swear they made this part confusing on purpose so people would upgrade thinking they need the paid version to handle these forms correctly.

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Absolutely! I've used FreeTaxUSA the last few years and it handles the healthcare stuff way better than TurboTax. They're much clearer about which forms need to be entered and don't try to scare you into upgrading. Plus it's free for federal and only $15 for state.

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Amara Okafor

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I just went through this exact same situation last month! My husband had Medicaid for the first half of 2024, then switched to my employer plan. We got so confused by TurboTax asking for 1095-A information that we almost paid for an accountant. What finally worked for us was being very literal with the questions. When TurboTax asks "Did you have health insurance from the Marketplace?" the answer is NO for Medicaid coverage. When it asks "Did you have qualifying health coverage?" the answer is YES for both Medicaid and employer plans. The key is not overthinking it. Both types of coverage satisfy the ACA requirement, so you just indicate full-year coverage. Keep that 1095-B form with your tax records but don't stress about entering any numbers from it. The IRS already knows you had Medicaid coverage from their own records anyway. One tip: if you get stuck on a screen that seems to require 1095-A info, look for tiny links that say "I don't have this form" or "Continue without entering" - they're easy to miss but they're usually there somewhere!

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Jean Claude

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This is such helpful advice! I'm in a similar situation and was getting really stressed about whether I was doing something wrong. Your tip about looking for the tiny "I don't have this form" links is gold - I completely missed those and kept thinking I had to enter something. It's reassuring to know that both Medicaid and employer coverage count as qualifying coverage and that the IRS already has records of Medicaid enrollment. Makes me feel much more confident about just indicating full-year coverage and moving forward with the return. Thanks for sharing your experience!

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