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Form 1095-A – Health Insurance Marketplace Statement: What You Should Know

I didn't get a Form 1095-A. What should I do? Check the status of your tax return. If you are eligible for tax credits, you should have received payment from Healthcare.gov. If you don't know how you got paid, you  might have a tax issue. See the IRS website if you don't know what to do or need more help. Where can I find Form 1095-A? The current version of the Form 1095-A can be found on Healthcare.gov. You can find the current version by looking at the column that says Tax Year. If your 2024 tax return is incomplete or inaccurate, you can get copies of the Form 1095-A on the IRS website. Get them here. My health care plan is not on Form 1095-A. What do I do about that? Check with your insurance company for information. They can determine which of your plans is in Form 1095-A, and you can report these plans on your 2. You might report on your 2 Form 1096. My health care plan is on Form 1095-A and I don't agree with the premium I am paying. How can I fix it? As soon as you know you're being undercharged, you can file a complaint with the Marketplace and your health plan's insurance administrator. If you don't disagree with the premium, you should try to reach an agreement with your plan's insurance administrator. Ask them what will happen if you don't agree. What benefits are covered in Form 1095-A? A health insurance plan that offers one or more of the following benefits must disclose that information in the 10-year form. Coverage of mental health coverage of vision-related items and services coverage of dental care coverage of long-term care services, including hospice care, home health care services and nursing facility services in this state coverage of prescriptions and medical foods used by the beneficiary in this state coverage of immunizations to prevent disease Coverage must be in a Form 1097 as a single line item with a code of the form, such as “1004” or “01”. The code can be a name, a state, the insurer, the employer-insurance premium, or a specific premium amount.

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