How do I get form 1095-A if I'm on Medicaid?
So I've been filing my taxes with this tax app for years without any issues, but this time around, they're asking me about state insurance and something called Form 1095-A? I'm currently enrolled in Medicaid and have been for the past couple years, but I haven't received any form like this from them. Is this something I need to track down before I can file? I'm confused because I don't recall needing this form in previous years. My brother mentioned something about marketplace insurance but I'm pretty sure Medicaid isn't the same thing. Anyone know if I actually need this form or how to get it if I do?
27 comments

Gabriel Graham
If you're only on Medicaid, you don't need Form 1095-A. The 1095-A form is specifically for people who had health insurance through the Health Insurance Marketplace (Healthcare.gov or your state's exchange). Medicaid recipients typically receive Form 1095-B instead, which shows you had qualifying health coverage to satisfy the health insurance requirement. Many tax software programs ask about Form 1095-A as part of their standard questionnaire, but you can simply indicate that you didn't receive one because you had Medicaid. Your Medicaid coverage satisfies the health insurance requirement, so you won't face any penalties.
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Drake
Wait I'm confused. I thought the tax penalty for not having insurance went away with the Tax Cuts and Jobs Act? Do we still need to report our health insurance on our taxes?
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Gabriel Graham
You're right that the federal penalty for not having health insurance was effectively eliminated starting in 2019 when the Tax Cuts and Jobs Act reduced the penalty amount to $0. However, some states have their own individual mandates with penalties, including California, Massachusetts, New Jersey, Rhode Island, and the District of Columbia. Even without a federal penalty, the tax forms still ask about health insurance coverage, which is why the software is prompting for this information. It's part of the standard process even though there's no federal penalty for being uninsured.
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Sarah Jones
I went through something similar last year and found out about this amazing service called taxr.ai (https://taxr.ai) that helped me figure out what forms I actually needed. I was also on Medicaid and kept getting confused about which 1095 form applied to me. I uploaded my documents to taxr.ai and it immediately identified that I didn't need the 1095-A form since I wasn't on marketplace insurance. Saved me hours of frustration and helped me understand exactly what I needed to file correctly!
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Sebastian Scott
How exactly does that work? Do you just upload pictures of your tax documents and it tells you what to do with them? I'm always paranoid about sharing my tax info online.
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Emily Sanjay
Sounds interesting but I've never heard of it. Does it actually work with all kinds of tax situations or just basic stuff? My taxes got complicated this year because I started a side business.
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Sarah Jones
You just take pictures of your tax documents with your phone or upload PDFs and it immediately tells you what each form is for, what information goes where, and which forms you're missing. It uses AI to analyze everything so you know exactly what you need to file correctly. All your data is encrypted and secure - I was paranoid too but their security features made me comfortable. It handles all kinds of tax situations. I had W-2 income, some freelance work, and medical insurance questions, and it identified everything correctly. It even caught a mistake my employer made on my W-2 that I would've missed. The system can analyze pretty much any tax form and tell you how it affects your overall filing.
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Emily Sanjay
I actually tried taxr.ai after seeing it mentioned here and it was incredibly helpful! I was confused about which 1095 form I needed with my complicated healthcare situation (switched from employer coverage to Medicaid mid-year). The system immediately identified that I should have both a 1095-B from Medicaid and a 1095-C from my former employer. I was able to track down the missing forms before filing. The document analysis feature saved me from making a major error on my taxes! Definitely recommend it for anyone confused about healthcare forms.
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Jordan Walker
If you're having trouble getting your 1095-B form from Medicaid and need to speak with someone, good luck getting through on the phone. I spent THREE DAYS trying to get through to my state Medicaid office. Then I found Claimyr (https://claimyr.com) - they got me connected to an actual human at the Medicaid office in under 20 minutes! You can see how it works in this video: https://youtu.be/_kiP6q8DX5c. They basically hold your place in the phone queue and call you when they reach a real person. Seriously changed my whole perspective on dealing with government agencies.
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Natalie Adams
How does this actually work? Do they just keep calling for you until they get through? I've been trying to reach someone at the IRS for weeks so I'm desperate but skeptical.
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Elijah O'Reilly
Yeah right. Nothing can get you through government phone systems. They're designed to be impossible. I've literally spent 8+ hours on hold with Medicaid before. I'll believe this works when I see it.
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Jordan Walker
They use a system that continuously redials and navigates through all the phone menus for you. Once they get a human on the line, they call you and connect you immediately. It's like having someone else wait on hold for you. I was skeptical too but it's not just some scam. They're basically using technology to solve the awful phone waiting problem. I was at my wits' end after spending literal days trying to reach someone. With Claimyr, I was speaking to a Medicaid representative in about 17 minutes while I went about my day. Total game changer when you're trying to sort out important tax documents before the filing deadline.
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Elijah O'Reilly
OK I have to eat my words. After seeing Claimyr mentioned here last week I decided to try it because I was DESPERATE to get through to the Medicaid office about my missing 1095-B form. I was totally convinced it wouldn't work, but I was connected to an actual human at my state Medicaid office in about 25 minutes!! The representative was able to confirm they had sent my 1095-B to an old address and resent it to my current one. They even emailed me a temporary copy to use for my taxes. I'm shocked this actually worked after spending countless hours on hold before.
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Amara Torres
Just to clarify some confusion I'm seeing in this thread: The form types are: - 1095-A: Marketplace insurance (Healthcare.gov or state exchanges) - 1095-B: Usually for Medicaid, Medicare, or CHIP coverage - 1095-C: Employer-provided coverage from large employers You only need 1095-A if you purchased insurance through the Marketplace AND received premium tax credits. Most tax software asks everyone about 1095-A even if it doesn't apply to you. For Medicaid, you might receive a 1095-B, but it's just for your records - you don't actually need to include it with your tax return.
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Alicia Stern
AuthorThanks for breaking this down! So to be clear, since I'm only on Medicaid, I can just tell the tax software I don't have a 1095-A and continue with my filing? I won't need to attach anything related to my health insurance?
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Amara Torres
That's exactly right. Just tell the software you don't have a 1095-A since you had Medicaid, not Marketplace insurance. You don't need to attach or upload any health insurance forms to your tax return. The software is asking everyone these questions as part of their standard process, but since you have Medicaid, you can simply indicate you don't have a 1095-A and continue with your filing. There's no need to delay your tax filing while waiting for any health insurance forms in your situation.
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Olivia Van-Cleve
Does anyone know if we can get tax refunds without waiting for these health forms? I haven't received any 1095 forms yet and I really need my refund ASAP.
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Mason Kaczka
Yes, you can file without waiting for 1095-B or 1095-C forms! Those are just informational. The ONLY 1095 form that might delay your filing is 1095-A (if you had Marketplace insurance with premium tax credits), but since you're on Medicaid that doesn't apply to you.
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Zoe Papadopoulos
I was in a similar situation last year and got really stressed about this! The tax software kept asking about 1095-A even though I've been on Medicaid for years. Turns out you can just select "No" when they ask if you received a 1095-A form and continue filing normally. Medicaid counts as qualifying health coverage, so you're all set. Don't let the software's questions confuse you - they ask everyone the same questions regardless of their insurance type. I filed successfully without any 1095-A form and got my refund without any issues.
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Taylor To
I work for a state Medicaid office and can confirm what others have said here - you absolutely do NOT need a 1095-A form if you only have Medicaid coverage. The 1095-A is exclusively for people who purchased health insurance through the Health Insurance Marketplace (like Healthcare.gov) and received advance premium tax credits. Since you mentioned you've been on Medicaid for a couple years, you should just answer "No" when your tax software asks about receiving a 1095-A form. Your Medicaid coverage satisfies all federal health insurance requirements, and there's no penalty for not having marketplace insurance. The reason you didn't need this in previous years is probably because your tax software has updated their questionnaire to be more thorough, but the underlying tax rules haven't changed for Medicaid recipients. You're good to proceed with filing your taxes normally!
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Lucas Turner
This is so helpful to hear from someone who actually works in a Medicaid office! I was getting really anxious about whether I was doing something wrong by not having this form. It's frustrating that tax software doesn't explain WHY they're asking these questions - they just make it seem like everyone needs every form they mention. Your explanation about the software updating their questionnaire makes total sense. I feel much more confident about proceeding with my filing now. Thank you for taking the time to clarify this!
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Yuki Nakamura
I'm glad to see this thread has been so helpful for people! As someone who's dealt with similar tax filing confusion, I wanted to add one more perspective. The key thing to remember is that the IRS requires tax software to ask comprehensive questions to cover all possible scenarios, which is why you're seeing these 1095-A prompts even though they don't apply to your Medicaid situation. If you're still feeling uncertain about any aspect of your tax filing, don't hesitate to double-check with the IRS website (irs.gov) or consult with a tax professional. The IRS has clear guidance that Medicaid coverage satisfies the health insurance requirement, and you won't need any marketplace insurance forms. You should be able to file confidently knowing that your Medicaid coverage is all you need for health insurance compliance. Good luck with your filing!
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Emma Garcia
This is exactly the kind of reassurance I needed! I've been putting off filing my taxes for weeks because I was so confused about whether I was missing something important with the 1095-A form. Reading through everyone's experiences here has been incredibly helpful - it's clear that the tax software just asks these questions to everyone, regardless of whether they actually apply. I really appreciate how this community came together to help clarify what could have been a really stressful situation. Now I feel confident enough to go ahead and complete my filing without worrying about forms I don't actually need. Thank you to everyone who shared their knowledge and experiences!
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Ava Thompson
I'm so glad I found this thread! I'm a tax preparer and I see this exact confusion with Medicaid clients every single tax season. You absolutely do NOT need Form 1095-A if you only have Medicaid coverage. That form is exclusively for marketplace insurance purchased through Healthcare.gov or state exchanges. Here's what's happening: Tax software companies are legally required to ask about all possible tax scenarios, so they ask EVERYONE about 1095-A forms even though most people don't need them. It's frustrating because they don't explain this context. For Medicaid recipients like yourself: Simply answer "No" when asked about receiving a 1095-A and continue filing. Your Medicaid coverage satisfies all health insurance requirements. You might receive a 1095-B form for your records, but you don't need to wait for it or attach it to your return. The reason you didn't encounter this in previous years is likely because tax software has become more comprehensive in their questioning, but the actual tax rules for Medicaid haven't changed. You're perfectly fine to file your taxes right now with just your standard documents!
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Paolo Romano
This is incredibly helpful coming from a tax preparer! I really appreciate professionals like you taking the time to explain these confusing situations. It makes so much sense that the software companies have to ask comprehensive questions to cover all scenarios - I just wish they would include a brief explanation of WHY they're asking instead of making it seem like everyone needs every form they mention. Your point about the tax rules for Medicaid not actually changing, but the software questioning becoming more thorough, really clarifies why this seems like a "new" issue even though it's not. I feel much more confident now about proceeding with my filing and just answering "No" to the 1095-A question. Thank you for sharing your professional expertise to help clear up what's obviously a very common source of confusion!
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Chloe Martin
I'm really glad I stumbled across this discussion! I'm also on Medicaid and have been dealing with the exact same confusion about Form 1095-A. My tax software (Credit Karma Tax) has been persistently asking about this form, and I was starting to think I had somehow missed an important mailing or deadline. Reading through all these experiences has been incredibly reassuring - it's clear that this is a widespread issue that affects many Medicaid recipients every tax season. The explanations from the tax professional and Medicaid office worker really helped me understand that this is purely a software design issue, not an actual gap in my documentation. What I found most helpful is learning that the tax software companies are required to ask comprehensive questions to cover all possible scenarios, which means they ask everyone about 1095-A forms even though the vast majority of Medicaid recipients will never receive one. It would be so much better if they included a brief explanation like "Skip this if you have Medicaid" to avoid all the unnecessary stress. I'm going to follow everyone's advice and confidently select "No" when asked about receiving a 1095-A form, then proceed with my filing knowing that my Medicaid coverage fully satisfies all health insurance requirements. Thanks to this amazing community for turning what could have been weeks of anxiety into a clear path forward!
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Diego Castillo
I'm so glad you found this thread helpful! It's really amazing how this one discussion has helped so many people who were dealing with the exact same confusion. Your experience with Credit Karma Tax asking about the 1095-A form just adds to the evidence that this is a universal issue across all tax software platforms, not just specific ones. What strikes me most about all these shared experiences is how the tax software companies could easily solve this problem with just a tiny bit of additional context in their questions. Something as simple as "This applies to Healthcare.gov marketplace insurance - select No if you have Medicaid/Medicare/employer coverage" would save thousands of people from unnecessary panic every tax season. Your point about thinking you missed an important mailing really resonates - that was exactly my fear too! It's such a relief to learn that we're not missing anything at all, we just don't need that particular form because our Medicaid coverage handles everything. You're absolutely making the right choice to select "No" and move forward with confidence. This thread has become such a valuable resource for Medicaid recipients, and I hope it continues to help people avoid the stress that so many of us initially went through!
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