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Suffolk New York Form 1095-A: What You Should Know

Where should I mail in my 1095-A form? Fill out your form in this location with your payment. 2. Who is eligible to use a new health care plan or Medicaid? Non-New Workers are eligible to use healthcare plans approved by NY Health plans for qualified health plans if they are in NY State or reside in NY State. 3. Do I need to sign a waiver to use my new healthcare plan? No. You will have plenty of time to fill out the form, if you want to. You only need to fill out the form if you intend to be a New Yorker or an Out-of-State resident. 4. Is my 1095-A form good for more than one year? Yes. After the plan year begins — and even before it begins — you may wish to use it for as long as you need to stay on the plan. You have up to 45 days of use for this after you complete the form. You may use a 1095-A plan for a period more than once. 3. What type of health-insurance plans are on the 1095-A? Premium Tax Credits & Form 2108 | NY State of Health 2. Do I receive premium tax credits to help pay for my healthcare? No. The tax credit varies by your family size, income, and family coverage plan. 3. Do I receive health reimbursement accounts? Not if your household size is <1 and your household includes one full-time student and one parent or two dependents. 4. What if I need a physician outside NY State? If you must get a doctor outside of NY State, then we recommend one of the medical evacuation programs available through the American Medical Association and the State Department of Health. 5. What if my 1095-A form is lost or stolen? You can request an electronic copy of your 1095-A form to have added to your current 1095. To get your 1095-A form, you will need to create a secure NY State of Health account. 6. Does my 1095-A form have the name of my health insurer on it that pays medical expenses on my behalf? Yes, the Form 1095-A report includes your health insurer's name.

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