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In reply to the discussion: Penalties for not buying your mandated insurance... [View all]kestrel91316
(51,666 posts)120. Thank you for conveniently omitting the many EXEMPTIONS from the fine.
http://www.cleveland.com/healthfit/index.ssf/2012/06/affordable_care_acts_mandate_d.html
Who doesn't have to buy insurance?
American Indians, prisoners and undocumented immigrants.
Some religious groups. Those that have historically been exempt from the Social Security system, such as the Old Order Amish, are one example. Religious groups whose members pay for one another's health care instead of buying insurance are also exempt.
Those whose family income is so low they don't have to file a tax return. Those numbers vary depending on several factors, including how old you are, whether you're married and whether you're the head of your household.
Those who earn so little that health insurance premiums, after federal subsidies and employer contributions, would total more than 8 percent of their income.
Those who already have insurance through Medicaid, Medicare, an employer or veteran's health program.
~~~~~~~~~~~~~~~~~~~~~
http://www.csmonitor.com/USA/Politics/2013/1001/Obamacare-101-What-to-know-if-you-opt-out-of-buying-health-insurance
Who is eligible for such exemptions?
You can be exempted from the requirement to buy health insurance and hence, from the penalty if you meet one of the following requirements:
You are uninsured for less than three months of the year.
You live illegally in the United States.
Youre incarcerated, and not awaiting disposition.
Youre a member of a recognized Indian tribe.
Your income is officially deemed too low.
The lowest-priced converge would cost more than 8 percent of your household income.
Youre a member of a recognized religious sect with religious objections to insurance, including Social Security and Medicare.
Youre a member of a recognized health-sharing ministry. (Note: Christian Scientists do not currently qualify for the exemption.)
Healthcare.gov also provides a list of hardship exemptions that qualify an individual for exemption.
~~~~~~~~~~~~~~~~~~~~~~~~~~~
https://www.healthcare.gov/exemptions/
Starting 2014, most people must have health coverage or pay a fee (the individual shared responsibility payment). You can get an exemption in certain cases.
The individual shared responsibility payment
If you can afford health insurance but choose not to buy it, you must pay a fee known as the individual shared responsibility payment.
The fee in 2014 is 1% of your yearly income or $95 per person for the year, whichever is higher. The fee increases every year. In 2016 it is 2.5% of income or $695 per person, whichever is higher.
In 2014 the payment for uninsured children is $47.50 per child. The most a family would have to pay in 2014 is $285.
You make the payment when you file your 2014 taxes, which are due in April 2015.
Exemptions from the payment
Under certain circumstances, you wont have to make the individual responsibility payment. This is called an exemption.
You may qualify for an exemption if:
Youre uninsured for less than 3 months of the year
The lowest-priced coverage available to you would cost more than 8% of your household income
You dont have to file a tax return because your income is too low (Learn about the filing limit.)
Youre a member of a federally recognized tribe or eligible for services through an Indian Health Services provider
Youre a member of a recognized health care sharing ministry
Youre a member of a recognized religious sect with religious objections to insurance, including Social Security and Medicare
Youre incarcerated, and not awaiting the disposition of charges against you
Youre not lawfully present in the U.S.
Hardship exemptions
If you have any of the circumstances below that affect your ability to purchase health insurance coverage, you may qualify for a hardship exemption:
You were homeless.
You were evicted in the past 6 months or were facing eviction or foreclosure.
You received a shut-off notice from a utility company.
You recently experienced domestic violence.
You recently experienced the death of a close family member.
You experienced a fire, flood, or other natural or human-caused disaster that caused substantial damage to your property.
You filed for bankruptcy in the last 6 months.
You had medical expenses you couldnt pay in the last 24 months.
You experienced unexpected increases in necessary expenses due to caring for an ill, disabled, or aging family member.
You expect to claim a child as a tax dependent whos been denied coverage in Medicaid and CHIP, and another person is required by court order to give medical support to the child. In this case, you do not have the pay the penalty for the child.
As a result of an eligibility appeals decision, youre eligible for enrollment in a qualified health plan (QHP) through the Marketplace, lower costs on your monthly premiums, or cost-sharing reductions for a time period when you werent enrolled in a QHP through the Marketplace.
You were determined ineligible for Medicaid because your state didnt expand eligibility for Medicaid under the Affordable Care Act.
How to apply for an exemption
If you are applying for an exemption based on: coverage being unaffordable; membership in a health care sharing ministry; membership in a federally-recognized tribe; or being incarcerated:
You have two options--
You can claim these exemptions when you fill out your 2014 federal tax return, which is due in April 2015
You can apply for the exemptions in the Health Insurance Marketplace
Note: If you get an exemption because coverage is unaffordable based on your expected income, you may also qualify to buy catastrophic coverage through the Marketplace. This may be more affordable than your other options.
If youre applying for an exemption based on: membership in a recognized religious sect whose members object to insurance; eligibility for services through an Indian health care provider; or one of the hardships described above:
You fill out an exemption application in the Marketplace
If your income will be low enough that you will not be required to file taxes:
You dont need to apply for an exemption. This is true even if you file a return in order to get a refund of money withheld from your paycheck. You wont have to make the shared responsibility payment.
If you have a gap in coverage of less than 3 months, or you are not lawfully present in the U.S.:
You dont need to apply for an exemption. This will be handled when you file your taxes.
~~~~~~~~~~~~~~~~
You're welcome.
Who doesn't have to buy insurance?
American Indians, prisoners and undocumented immigrants.
Some religious groups. Those that have historically been exempt from the Social Security system, such as the Old Order Amish, are one example. Religious groups whose members pay for one another's health care instead of buying insurance are also exempt.
Those whose family income is so low they don't have to file a tax return. Those numbers vary depending on several factors, including how old you are, whether you're married and whether you're the head of your household.
Those who earn so little that health insurance premiums, after federal subsidies and employer contributions, would total more than 8 percent of their income.
Those who already have insurance through Medicaid, Medicare, an employer or veteran's health program.
~~~~~~~~~~~~~~~~~~~~~
http://www.csmonitor.com/USA/Politics/2013/1001/Obamacare-101-What-to-know-if-you-opt-out-of-buying-health-insurance
Who is eligible for such exemptions?
You can be exempted from the requirement to buy health insurance and hence, from the penalty if you meet one of the following requirements:
You are uninsured for less than three months of the year.
You live illegally in the United States.
Youre incarcerated, and not awaiting disposition.
Youre a member of a recognized Indian tribe.
Your income is officially deemed too low.
The lowest-priced converge would cost more than 8 percent of your household income.
Youre a member of a recognized religious sect with religious objections to insurance, including Social Security and Medicare.
Youre a member of a recognized health-sharing ministry. (Note: Christian Scientists do not currently qualify for the exemption.)
Healthcare.gov also provides a list of hardship exemptions that qualify an individual for exemption.
~~~~~~~~~~~~~~~~~~~~~~~~~~~
https://www.healthcare.gov/exemptions/
Starting 2014, most people must have health coverage or pay a fee (the individual shared responsibility payment). You can get an exemption in certain cases.
The individual shared responsibility payment
If you can afford health insurance but choose not to buy it, you must pay a fee known as the individual shared responsibility payment.
The fee in 2014 is 1% of your yearly income or $95 per person for the year, whichever is higher. The fee increases every year. In 2016 it is 2.5% of income or $695 per person, whichever is higher.
In 2014 the payment for uninsured children is $47.50 per child. The most a family would have to pay in 2014 is $285.
You make the payment when you file your 2014 taxes, which are due in April 2015.
Exemptions from the payment
Under certain circumstances, you wont have to make the individual responsibility payment. This is called an exemption.
You may qualify for an exemption if:
Youre uninsured for less than 3 months of the year
The lowest-priced coverage available to you would cost more than 8% of your household income
You dont have to file a tax return because your income is too low (Learn about the filing limit.)
Youre a member of a federally recognized tribe or eligible for services through an Indian Health Services provider
Youre a member of a recognized health care sharing ministry
Youre a member of a recognized religious sect with religious objections to insurance, including Social Security and Medicare
Youre incarcerated, and not awaiting the disposition of charges against you
Youre not lawfully present in the U.S.
Hardship exemptions
If you have any of the circumstances below that affect your ability to purchase health insurance coverage, you may qualify for a hardship exemption:
You were homeless.
You were evicted in the past 6 months or were facing eviction or foreclosure.
You received a shut-off notice from a utility company.
You recently experienced domestic violence.
You recently experienced the death of a close family member.
You experienced a fire, flood, or other natural or human-caused disaster that caused substantial damage to your property.
You filed for bankruptcy in the last 6 months.
You had medical expenses you couldnt pay in the last 24 months.
You experienced unexpected increases in necessary expenses due to caring for an ill, disabled, or aging family member.
You expect to claim a child as a tax dependent whos been denied coverage in Medicaid and CHIP, and another person is required by court order to give medical support to the child. In this case, you do not have the pay the penalty for the child.
As a result of an eligibility appeals decision, youre eligible for enrollment in a qualified health plan (QHP) through the Marketplace, lower costs on your monthly premiums, or cost-sharing reductions for a time period when you werent enrolled in a QHP through the Marketplace.
You were determined ineligible for Medicaid because your state didnt expand eligibility for Medicaid under the Affordable Care Act.
How to apply for an exemption
If you are applying for an exemption based on: coverage being unaffordable; membership in a health care sharing ministry; membership in a federally-recognized tribe; or being incarcerated:
You have two options--
You can claim these exemptions when you fill out your 2014 federal tax return, which is due in April 2015
You can apply for the exemptions in the Health Insurance Marketplace
Note: If you get an exemption because coverage is unaffordable based on your expected income, you may also qualify to buy catastrophic coverage through the Marketplace. This may be more affordable than your other options.
If youre applying for an exemption based on: membership in a recognized religious sect whose members object to insurance; eligibility for services through an Indian health care provider; or one of the hardships described above:
You fill out an exemption application in the Marketplace
If your income will be low enough that you will not be required to file taxes:
You dont need to apply for an exemption. This is true even if you file a return in order to get a refund of money withheld from your paycheck. You wont have to make the shared responsibility payment.
If you have a gap in coverage of less than 3 months, or you are not lawfully present in the U.S.:
You dont need to apply for an exemption. This will be handled when you file your taxes.
~~~~~~~~~~~~~~~~
You're welcome.
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This is why I rejected RomneyCare for something better. But, alas, there was no political will in DC
blkmusclmachine
Oct 2013
#1
"because you don't have a couple hundred extra a month, that's what you are going to owe"
NYC_SKP
Oct 2013
#3
From what I can tell, my cost would be $103 a month for a crappy "bronze" plan if I can get the
Erose999
Oct 2013
#59
Yep, you're better off with zero coverage. 100% of medical costs is less than 40%.
TroglodyteScholar
Oct 2013
#200
Couldn't have said it better myself. Unless I get a 100% subsidy, a pay raise without a hike in
Erose999
Oct 2013
#212
The poor are already taxed and have been for eons. It's called capitalism. nt
kelliekat44
Oct 2013
#229
What's a little more regressive tax as long as it benefits those on top. nt
adirondacker
Oct 2013
#6
If you can't afford the insurance, you will almost certainly qualify for Medicaid.
Gravitycollapse
Oct 2013
#7
By that time it was too late, as Republicans controlled the House and the Democrats
PoliticAverse
Oct 2013
#138
Well they're trying to delay the entire PPACA's implementation right now. n/t
PoliticAverse
Oct 2013
#148
Most states Medicaid programs have been running patients through private insurer's plans for years.
Hoyt
Oct 2013
#79
"You could always get Medicaid if you couldn't afford to pay for your HC." <---- False.
winter is coming
Oct 2013
#92
Not true, It was rather difficult to get Medicaid before the PPACA expansion. n/t
PoliticAverse
Oct 2013
#141
Well if you are in one of the states that went with the PPACA's expanded Medicaid...
PoliticAverse
Oct 2013
#163
Yes they should still remain on Medicaid. What state in particular is this concerning? n/t
PoliticAverse
Oct 2013
#188
None of these people would be elegible in ANY state, nor were any of them evil smokers...
Demo_Chris
Oct 2013
#151
You keep bringing up that I am a smoker, yet none of the numbers I have posted are for smokers...
Demo_Chris
Oct 2013
#164
You need to do some reading so you can stop sounding so foolish and uninformed.
kestrel91316
Oct 2013
#140
The caps are delayed only for certain plans using multiple-administrators, not for most plans.
PoliticAverse
Oct 2013
#157
Wow! Healthcare.gov has answers, including exemptions from fee due to hardship.
ProSense
Oct 2013
#23
Thank you Democrats for supporting the Health Insurance and Healthcare industry bailout
Puzzledtraveller
Oct 2013
#26
Surprise, surprise more anti-ACA lies from a certain crowd, And they are LIES
geek tragedy
Oct 2013
#29
On Monday it was "hey, why not agree to the Republicans' demand to delay the mandate"
geek tragedy
Oct 2013
#34
You are not including the subsidies that should be subtracted from the total so that is inaccurate.
appleannie1
Oct 2013
#33
Take the penalty, save up, and immigrate to a country that cares about its citizens
NoOneMan
Oct 2013
#38
Yep. The Obama Administration even argued before the Supreme Court that it was a tax.
AnotherMcIntosh
Oct 2013
#78
A mandate-solution would not be perfect, but it would help some and we could fix it later.
AnotherMcIntosh
Oct 2013
#85
You've definitely struck a chord. It's telling that in all this falderal, no one seems to want to
Egalitarian Thug
Oct 2013
#86
Their only "teeth" is deducting the penalty from any refund you may be entitled. n/t
lumberjack_jeff
Oct 2013
#119
If you get a refund, but choose not to spend it on medical insurance, then good.
lumberjack_jeff
Oct 2013
#129
I've never been so poor that my life wouldn't have been a top 5 priority.
lumberjack_jeff
Oct 2013
#107
I don't know anyone 400% or more of FPL who is struggling for any reason other than medical debt.
lumberjack_jeff
Oct 2013
#133
Bull shit. Plenty of DUers have serious financial struggles. Some ongoing, some sporadic.
kestrel91316
Oct 2013
#152
It's astonishing. They are flat refusing to admit that there are millions...
Demo_Chris
Oct 2013
#165
any SPHC system would have likely resulted in across the board tax increases, as well.
Warren DeMontague
Oct 2013
#211
Wouldn't anyone who couldn't afford Obamacare get a subsidy or qualify for Medicaid?
ecstatic
Oct 2013
#109
Yes. A childless couple making $62,039 without employer provided ins. qualifies for subsidy. nt
lumberjack_jeff
Oct 2013
#115
There are a number of preventive services with no deductibles and copays. If you get really sick
Hoyt
Oct 2013
#154
If you need a kidney transplant, do you honestly think most hospitals will say no over $2,500.
Hoyt
Oct 2013
#173
I believe more people will be helped. And those that aren't should be on short-list for help.
Hoyt
Oct 2013
#177
Nope. If your state hasn't expanded Medicaid, it's possible to be ineligible for a subsidy
winter is coming
Oct 2013
#122
Yes if you'd be eligible for Medicaid except your state isn't participating you don't have to pay
PoliticAverse
Oct 2013
#181
You are referring to the Medicaid Estate Recovery program, more info which can be found here...
PoliticAverse
Oct 2013
#179
that's what I thought until I read that under a certain income level you are exempt from the penalty
magical thyme
Oct 2013
#142
Can anyone familiar with the subject truly take this post seriously?
TroglodyteScholar
Oct 2013
#201
Facts are facts. You can, if you prefer, live in a fox news type fantasy. That's on you. nt
Demo_Chris
Oct 2013
#210
I know, right? Facts and information are always stupid. What matters are FEELINGS! nt
Demo_Chris
Oct 2013
#242