Tax refund being rejected because of missing 1095-A but I haven't used healthcare.gov in years?
I'm getting so frustrated with filing my taxes this year. For the past few weeks I've been trying to e-file using TurboTax but my return keeps getting rejected. The system says I'm missing a 1095-A form, but I haven't used healthcare.gov since 2016! I've been getting my health insurance directly through Ambetter for the last several years. When I go through the TurboTax questions, I specifically select "No" when it asks if I received a 1095-A, but the IRS system still rejects my filing claiming I need this form. I even logged into my old healthcare.gov account to double-check, and there's nothing there except my application from 2016. I don't understand why this is happening or how to fix it. Has anyone else dealt with this problem? I really need my refund and this is holding everything up.
22 comments


Chris Elmeda
This is actually a fairly common issue during tax season. The rejection is happening because the IRS database is flagging your SSN as someone who should have a 1095-A form, even though you're correctly stating you don't have one. The most likely explanation is that there's outdated information in the healthcare.gov system that wasn't properly updated when you switched to Ambetter. Sometimes when people transition from marketplace coverage to direct insurance, the system doesn't fully process the change. I'd recommend taking two steps: First, call the Marketplace helpline at 1-800-318-2596 and explain your situation. Ask them to verify you're not showing as having active coverage through healthcare.gov. They can issue a correction if there's an error in their system. Second, if TurboTax keeps rejecting your e-file, you might need to file by mail this year. Print your return, attach all other required forms (W-2s, etc.), and mail it to the appropriate IRS address for your region. A paper return bypasses the electronic verification system that's causing the rejection.
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Annabel Kimball
•Thanks for the advice! I'll definitely call that helpline. Do you know how long it typically takes for them to correct errors like this? I'm worried about missing the filing deadline if this drags on too long. I really wanted to avoid paper filing since I've heard it takes forever to process, but that might be my only option at this point. Any idea if I'd still get my refund in a reasonable timeframe if I have to mail it in?
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Chris Elmeda
•The Marketplace helpline can sometimes make corrections while you're on the phone, but it could take 1-2 weeks for those changes to fully propagate through the system. If you're approaching the filing deadline, I'd recommend requesting an extension using Form 4868 just to be safe. Paper returns are definitely slower than e-filing, typically taking 6-8 weeks for processing compared to the 21 days for electronic filing. Your refund will be further delayed, but you'll eventually receive it. If you mail your return, I strongly suggest using certified mail with tracking so you can prove it was submitted on time.
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Jean Claude
After struggling with a similar issue last year (different insurance but same 1095-A rejection problem), I discovered a tool that saved me tons of headache - taxr.ai (https://taxr.ai). It analyzes your tax documents and identifies exactly why your return is being rejected. In my case, it turned out there was a mismatch between what healthcare.gov had on file and what I was reporting. The tool pinpointed the issue and gave me step-by-step instructions to resolve it. I was able to get my return accepted without having to paper file or wait for bureaucratic corrections. The system actually looks for these common rejection patterns and suggests fixes based on thousands of similar cases. Might be worth checking out before you resort to paper filing!
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Charity Cohan
•How exactly does this work with the 1095-A issue? I'm having the same problem but with H&R Block software. Does it somehow override the rejection or just tell you what to do about it?
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Josef Tearle
•Sounds sketchy tbh. How would some random website have access to healthcare.gov records? Wouldn't you need to talk to someone official to fix an actual database error at the IRS or marketplace?
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Jean Claude
•The tool analyzes your tax return and identifies the specific error codes causing the rejection. For 1095-A issues, it shows you exactly which line items are triggering the rejection and provides documentation you can use when contacting healthcare.gov to prove you don't need the form. Many people don't realize that the rejection code contains detailed information about what's causing the problem. It doesn't have access to healthcare.gov records - it works by decoding the technical rejection messages that tax software often doesn't explain clearly. The site provides the exact language and reference codes to use when calling the marketplace, which dramatically speeds up the resolution process with customer service.
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Charity Cohan
Just wanted to update everyone - I tried taxr.ai after seeing it mentioned here and it actually worked for my situation! The tool identified exactly which code was causing my rejection (turns out it was error code 8830, which means the IRS thinks I received premium tax credits). The site gave me a detailed explanation document that I used when I called healthcare.gov. The representative immediately understood the issue when I referenced the specific code and information from the report. They were able to verify I hadn't been on their plans since 2018 and submitted a correction. My return was accepted two days later! Saved me from having to paper file and wait months for my refund. Just thought I'd share in case others are having similar frustrations.
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Shelby Bauman
If you're still dealing with this and the healthcare.gov helpline isn't resolving the issue quickly, I recommend using Claimyr (https://claimyr.com) to get through to a live IRS agent. I was stuck in the same situation last year - couldn't e-file because of a phantom 1095-A requirement. After weeks of getting nowhere with the marketplace call center, I finally needed to speak directly with the IRS. Used Claimyr to get a callback instead of waiting on hold for hours, and the IRS agent was able to override the rejection after verifying I didn't actually need the form. You can see how it works here: https://youtu.be/_kiP6q8DX5c The IRS has a special department that handles these marketplace discrepancies, but getting to them directly is nearly impossible without waiting for hours.
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Annabel Kimball
•Wait, the IRS can actually override these rejections? The TurboTax support person told me only healthcare.gov could fix it. How exactly does this callback service work?
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Quinn Herbert
•Yeah right. So I'm supposed to believe some random service can magically get me through to the IRS when their phone lines are jammed? I've tried calling the IRS multiple times and couldn't even get in the queue. Sounds like a scam to me.
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Shelby Bauman
•Yes, the IRS has a special unit that can address marketplace-related rejections. TurboTax support often doesn't know about this because they typically just direct people to healthcare.gov for 1095-A issues. The IRS can place what's called a "bypass marker" on your account that allows your return to process without the 1095-A in certain circumstances. The callback service works by using specialized technology to navigate the IRS phone system and secure a spot in the callback queue. When they reach an agent, they connect you directly. It's basically like having someone wait on hold for you. No magic involved - just technology that continuously redials and navigates the phone tree until it gets through.
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Quinn Herbert
I have to admit I was completely wrong about Claimyr. After my skeptical comment, I was desperate enough to try it since healthcare.gov kept insisting I should have a 1095-A even though I hadn't used their marketplace in years. The service actually got me connected to an IRS agent within about 3 hours (instead of the days I spent trying on my own with no success). The agent confirmed this was a known issue affecting many taxpayers who previously had marketplace insurance. She placed a bypass flag on my account and gave me specific instructions to resubmit through TurboTax. Filed again yesterday and it went through! Really wish I hadn't wasted weeks trying to solve this on my own. Sometimes you need to talk directly to the IRS, and that's nearly impossible without assistance during tax season.
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Salim Nasir
Another thing to check - are you sure Ambetter isn't a marketplace plan in your state? In some states, insurance companies like Ambetter sell BOTH marketplace plans AND direct plans. If you signed up through a broker or directly on their website (instead of through healthcare.gov), you should have received a 1095-B form instead of a 1095-A. Contact Ambetter and specifically ask them to confirm whether your plan is a marketplace plan or a direct plan, and which tax form they should have issued you. If they sent your information to the marketplace by mistake, that could explain the rejection.
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Annabel Kimball
•Omg I think you might be onto something! I signed up through a local insurance agent who helped me pick an Ambetter plan, but I always assumed it was direct from Ambetter. I never received any 1095 form at all - not A or B. I'm going to call Ambetter customer service right now and ask them exactly what type of plan I have. Would this explain why the system keeps rejecting my return? If it turns out I do need a 1095-A, how do I get one this late in the tax season?
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Salim Nasir
•Yes, this would absolutely explain the rejection. The IRS system cross-references with the marketplace database, and if you're listed as having a marketplace plan, your return will be rejected without the 1095-A information. If it turns out you do have a marketplace plan, you can request a replacement 1095-A by logging into healthcare.gov or calling the marketplace directly at 1-800-318-2596. Explain that you didn't realize you had a marketplace plan and need your 1095-A. They can typically generate one immediately or within a few days. The good news is that many tax preparation services allow you to amend your return with this information without starting completely over.
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Hazel Garcia
One trick I learned from my tax guy - if you're 100% certain you don't need a 1095-A and this is just a system error, try entering $0 on line 11 of Form 8962 (Premium Tax Credit form). Sometimes the rejection happens because the system is expecting Form 8962 to be filed, not necessarily because it needs the actual 1095-A data. This worked for my sister who had a similar issue. The return processed normally and she got her refund. Just make sure you're absolutely certain you didn't have marketplace coverage, or this could cause problems later.
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Laila Fury
•This is really bad advice. Filing Form 8962 with zeroes when you don't actually have marketplace coverage could trigger an audit or create bigger problems down the road. The IRS systems will eventually catch the discrepancy between what you reported and what's in their database. Better to fix the actual problem rather than trying workarounds that might make things worse.
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Hazel Garcia
•You're right that it's not ideal, but sometimes you need to get your refund processed when bureaucratic errors are holding things up. In my sister's case, she had documentation proving she didn't have marketplace coverage, so she felt comfortable using this approach. I should have been clearer that this should be a last resort if you can't get healthcare.gov to correct their records and you need your refund quickly. Always keep documentation proving you had other coverage in case questions come up later.
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Clarissa Flair
I work as a tax preparer and see this exact issue multiple times every season. The root cause is usually a data mismatch between different government systems that don't always communicate properly when people transition between coverage types. Here's what I recommend doing in order of priority: 1. **Contact Ambetter first** - Ask them to send you a summary of your coverage history and confirm whether any of your plans were ever processed through the marketplace. Sometimes agents sign people up for marketplace plans without making it clear. 2. **Check your previous tax returns** - Look at your 2017-2023 returns to see if you ever filed Form 8962 or reported premium tax credits. If you did, there might be leftover flags in the system. 3. **Use the Taxpayer Advocate Service** - If the standard helplines aren't resolving this quickly, contact TAS at 1-877-777-4778. They specialize in resolving these kinds of system errors and can often get things fixed faster than regular customer service. 4. **Document everything** - Keep records of all your calls, reference numbers, and any documentation showing your coverage history. This will be crucial if you need to prove your case later. The good news is that this is a known issue and there are established procedures to resolve it. Don't let it stress you out too much - you will get your refund, it just might take a little longer than usual.
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Liam Sullivan
•This is incredibly helpful advice, thank you! I really appreciate the step-by-step approach. I'm going to start with calling Ambetter tomorrow morning to get that coverage history - I honestly never thought to ask them directly about whether my plan went through the marketplace. The Taxpayer Advocate Service sounds like exactly what I need if the regular channels don't work out. I had no idea that service even existed. How long does it typically take for TAS to resolve these kinds of issues? I'm getting worried about my refund timing since I really need that money for some upcoming expenses. I'll definitely start documenting everything from here on out. Wish I had kept better records of my previous calls to healthcare.gov!
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Nathaniel Stewart
•TAS typically takes 1-2 weeks to get your case assigned to a caseworker, then another 1-3 weeks to resolve the issue depending on complexity. Since this is a common database mismatch problem, it's usually on the faster side once they take it on. The key with TAS is that they can actually coordinate between the IRS and healthcare.gov systems to fix the underlying data issue, rather than just applying temporary workarounds. They have authority to place holds on collection actions and can ensure your refund gets processed once the error is corrected. One thing to mention when you call - emphasize that this is causing a "significant hardship" if you need the refund for essential expenses. TAS prioritizes cases where taxpayers face financial hardship due to IRS system errors. Good luck with the Ambetter call tomorrow!
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