How Do I Claim Ineligible For Medicaid Exemption?
I went to apply for medicaid and they said I couldn’t get it because they had not extended medicaid in Va for my age group. They said it was supposed to be extended but was not. As I try to apply for an exemption I’m not sure if the code would be C or where it says Determined ineligible for Medicaid in a state that did not expand medicaid. If it is the last one I need a ECN. It says see part one but 1 can’t find a part 1.
To claim the exemption for being ineligible for Medicaid write code "G" in column "C" of the 8965 - health care exemptions form. You don't need to apply for the exemption to the Marketplace with the rejection letter if you live in a state that rejected Medicaid (although you can do this to get a ECN and qualify for special enrollment).
See the instructions below from Healthcare.Gov
What you need to know about this exemption
- You must have lived in one of these states at any time in 2014: Alabama, Alaska, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Michigan, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wyoming, or Wisconsin.
- Your yearly income for 2014 must have been below 138% of the federal poverty level. In most U.S. states, that’s about $16,100 for an individual, $21,700 for a couple, or $32,900 for a family of 4.
- See the instructions for Form 8962 (PDF), pages 4 and 5, for federal poverty levels for the 48 contiguous states, Alaska, and Hawaii.
Do this first
- Download these 3 documents:
- See if you qualify for free tax preparation software through IRS Free File or free tax preparation through the Volunteer Income Tax Assistance Program. Visit IRS.gov/freefile and IRS.gov/VITAto learn more.
When you file your tax return
- Read IRS Form 8965 instructions. Pay special attention to the heading “Resident of a state that did not expand Medicaid (code ”G”)” on page 12.
- If you qualify to claim the exemption, on IRS form 8965, Part III: Enter code “G” in column “c.”
- Check the boxes for the months you didn’t have coverage in 2014 and want to claim this exemption.
- Do the same for every person on your tax return who also qualifies for this exemption.
- Be sure to include Form 8965 when you file your tax return.
What about for 2015 tax year I Live in Florida. ..And Im below %138 of FPL
If you applied to Medicaid and were rejected (in a state that itself rejected Medicaid) the rejection letter will act as grounds for an exemption (although you may need to get a ECN from the marketplace to confirm).
ECN = Electronic confirmation number. AKA code to use on form 8965 (the Exemption form).
If your taxable income is below the filing limit you don’t even need to worry about this, as you won’t file and thus will automatically be exempt.