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Alicia Stern

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?

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

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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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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

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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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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

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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

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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

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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

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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

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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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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

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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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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

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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

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Thanks 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

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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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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

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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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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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This is exactly what I needed to hear! I was getting so worried that I was missing something important. It's really frustrating how the tax software makes it seem like everyone needs these forms when clearly that's not the case. Thanks for sharing your experience - it's reassuring to know that other people on Medicaid have successfully filed without any 1095-A forms. I'm going to go ahead and continue with my filing now instead of stressing about it.

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Taylor To

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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

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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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I had the exact same confusion when I was filing my taxes! The tax software kept asking about Form 1095-A and I panicked thinking I was missing something important. But like everyone else has confirmed, if you're only on Medicaid, you definitely don't need a 1095-A form. That form is specifically for people who bought insurance through the Healthcare Marketplace and got premium tax credits. What helped me was understanding that tax software asks EVERYONE these health insurance questions as part of their standard process, even if the questions don't apply to your specific situation. When the software asks about 1095-A, just select "No" and move on. Your Medicaid coverage is perfectly valid qualifying health coverage. I successfully filed my taxes last year without any 1095-A form and received my refund without any problems. Don't let the software's generic questions stress you out - you're all set to file normally with just your regular tax documents!

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Aisha Mahmood

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Thank you so much for sharing your experience! It's really reassuring to hear from someone who went through the exact same situation. I was definitely starting to panic when the software kept asking about the 1095-A form, especially since I couldn't remember needing it before. Your explanation about the software asking everyone the same questions regardless of their situation makes perfect sense - I wish they would make that clearer upfront instead of making people worry they're missing something important. I'm going to go ahead and select "No" for the 1095-A question and continue with my filing. Really appreciate everyone who took the time to explain this!

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Yuki Nakamura

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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

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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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Ryan Vasquez

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I'm really grateful for all the detailed explanations in this thread! As someone who's been on Medicaid for the past few years, I had the exact same panic when my tax software started asking about Form 1095-A. It's so confusing when the software doesn't explain WHY they're asking these questions - they just make it seem mandatory for everyone. What I found helpful was learning that Medicaid is considered "minimum essential coverage" under the ACA, which means it fully satisfies the health insurance requirement. The 1095-A form is completely separate and only applies to people who purchased insurance through the Healthcare Marketplace and received advance premium tax credits. For anyone else in this situation: you can confidently select "No" when asked about receiving a 1095-A form, and continue with your normal tax filing process. Your Medicaid coverage is all the health insurance documentation you need. I successfully filed last year this way and had no issues at all with my refund or the IRS. Thanks again to everyone who took the time to explain this - it really helps when people share their real experiences rather than just guessing!

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