What Is The Penalty For Not Having Health Insurance?

Having health insurance was mandatory until Trump came into power.

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Having health insurance today has become an absolute necessity because health treatments in the country are super expensive. Even a basic consultation or a routine check up can have you spend a couple hundred dollars- the treatment and surgeries will of course be more than a grand.

Health Insurance

Health insurance plans are given out by insurance companies to cover health expenses of the insured. These plans cover medical expenses, hospital visits, treatments and surgeries, and prescriptions. Even the slightest health condition can cost you hundreds of dollars, so it is always better for you to have insurance.

A monthly premium is paid towards keeping the policy alive, and when the time comes, the money is used for the healthcare of the insured.

A typical health insurance plan provides coverage to policyholders, employees and students if they are engaged in any unfortunate incidents. The insurance coverage offers:

  • Medical expenses
  • Hospital visits
  • Treatment for injuries
  • Recovery cost

Are Health Insurance Premiums Pre-Tax?

Usually people are not permitted to deduct pre-tax premiums for medical coverage on their tax return. They are already receiving the tax benefit by paying the premiums with their pre-taxed earnings.

Medical insurance premiums are deducted from your pre tax pay. This implies that you are paying for your medical protection before any of the government, state, and different charges are deducted. After-tax medical costs can be deducted on the off chance that you organize your tax return, however you can only deduct the amount of your total medical expenses that exceed 10% of your adjusted gross income.

Are Health Insurance Premiums Tax Deductible for Retirees?

The medical expense tax deduction covers the cost insurance of premiums, long-term care insurance premiums, and Medicare. Basically all restoratively essential costs endorsed by a doctor are charge deductible.

This implies that if your primary care physician advised you to add a humidifier to your home warming and cooling framework to alleviate your breathing issues, the gadget could be somewhat deductible. Travel costs to and from clinical medicines are deductible.

You are able to deduct 20 cents per mile for medical needs travel. The expense of in-home consideration can be deducted in case you’re persistently sick and the consideration is recommended by your primary care physician.

Deductible uninsured clinical expenses can incorporate everything from an additional pair of eyeglasses, a request for contact focal points, dentures, portable amplifiers, or prosthetic limbs. Substance misuse treatment costs, for example, liquor and drug rehabilitation programs, are potential ordered derivations, as is laser vision corrective surgery.

If you itemize your deductions, medical and dental expenses are deductible from your income taxes on Schedule A of your tax return. However, they are subject to a limit. The limit is 7.5% of a taxpayer’s adjusted gross income (AGI) for 2019 and 2020. This means that only those expenses in excess of 7.5% of a taxpayer’s AGI are deductible. For example, if someone’s AGI is $100,000, only those medical and dental expenses above $7,500 (7.5% x $100,000 = $7,500) would be deductible. The limit increases to 10% of AGI in 2021.

Is Health Insurance mandatory?

Health insurance was mandatory until the Trump Administration came along- Obamacare was a healthcare initiative that made health insurance mandatory for all people. However, as of 2019, this doesn’t apply anymore.

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Affordable Care Act’s Coverage Mandate

Under the ACA, likewise called Obamacare, Americans who were not in any case qualified for an exception were needed to have health care coverage included for themselves and their families. Inability to have least medical coverage set off an expense punishment; simultaneously, the ACA considered the production of a top notch tax reduction to assist Americans with counterbalancing a portion of the expense of getting health care coverage through the medical care commercial center.

While the ACA actually still exists, Americans who decide not to keep up medical coverage for themselves or their relatives in 2019 and past won’t be penalized at tax-time. It’s assessed that more than 4,000,000 Americans will decide not to have medical coverage inclusion this year because of the penalty being eliminated.

What States require Health Insurance?

While the government no longer expects you to have health care coverage, there are a modest bunch of states that have mandates on the books regarding coverage of health insurance.

California individual mandate

  • Effective date: January 1, 2020
  • Requires individuals and their dependents have ACA-compliant health insurance
  • Imposes a tax penalty on Californians who go without health insurance but can afford it
  • Provides state subsidies to help lower income residents afford health insurance

Massachusetts individual mandate

  • Effective date: January 1, 2006
  • Requires individuals have ACA-compliant health insurance
  • Imposes a penalty on state residents who go without health insurance but can afford it
  • Provides state subsidies to help lower-income residents afford health insurance

New Jersey individual mandate

  • Effective date: January 1, 2019
  • Requires individuals and their dependents have ACA-compliant health insurance
  • Imposes a penalty on New Jersey residents who go without health insurance but can afford it
  • Provides state subsidies to help lower income residents afford health insurance

Washington D.C. individual mandate

  • Effective date: January 1, 2019
  • Requires individuals and their dependents have ACA-compliant health insurance
  • Imposes a penalty on residents who go without health insurance but can afford it
  • Provides exemptions to the tax penalty for circumstances such as financial hardship, pregnancy, or eviction

Rhode Island Individual Mandate

  • Effective date: January 1, 2020
  • Requires individuals and their dependents have ACA-compliant health insurance
  • Imposes a penalty on residents who go without health insurance but can afford it
  • Provides state subsidies to help lower income residents afford health insurance

What is the penalty for not having Health Insurance in 2020?

Obamacare is still in effect, but there is no more penalty for not having medical coverage.

The punishment for inability to have ACA-agreeable health insurance is equivalent to it would have been under the federal level. It cost a family $695 for each uninsured adult and $347.50 for each uninsured kid or 2.5% of the family unit pay, whichever sum is more prominent.

Health Insurance Penalty Exemption

As per health insurance penalty exemption, the following data is extracted online, from the official government website of healthcare: HealthcareGov.

Exemptions for 2019 and beyond

  • For the 2019 plan year, the Shared Responsibility Payment (“mandate,” “penalty”) no longer applies. You don’t need an exemption for 2019 or beyond.
  • If you’re 30 or older and want a “Catastrophic” health plan, see details about exemptions and catastrophic coverage.

Below are health coverage exemptions for the 2018 tax year.

  • You can claim most exemptions when filing your 2018 federal income tax return (which you probably filed in April 2019).
  • In a few cases you need to fill out an application and mail it to the Marketplace. These are marked “application required” below.

From 2014 through 2018, there was a tax penalty for non-compliance. During this time, in any case, numerous Americans had the option to get exemptions from the individual mandate penalty. The exclusions included:

  • Religious exemption.
  • Hardship exemptions- available for a broad range of situations.
  • Affordability exemption.
  • Exception in light of the fact that the individual would have been qualified for Medicaid however wasn’t on the grounds that their state hadn’t extended Medicaid.
  • Exemption on the grounds that the individual chipped in through AmeriCorps, VISTA, or the National Civilian Community Corps, with a transient arrangement through the volunteer association.
  • Exemption for a short gap in coverage.

Those are only a couple of the exclusions that were accessible. Also, during the years that the penalty applied, a huge number of uninsured individuals didn’t need to take care of the penalty since they qualified for exceptions. In 2018, the federal government made it easier for people to obtain hardship exemptions, likely increasing the number of people who qualified for exemptions when they filed their 2018 tax returns.

Conclusion

Having health insurance was mandatory for everyone before the Trump Administration came into effect. Before that, under Obamacare started by former President Barack Obama, health insurance was mandatory.

Now, even though Obamacare is still in effect, other than a few states (that have their own individual mandate), health insurance is not mandatory, thus after 2019 there has been no penalty for not having health insurance.

Before that there was a tax penalty on the federal level, and apart from some exemptions on cases, most people had health insurance. And not only because it was mandatory, but also because health care was extremely expensive.

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Charles Bains

Charles Bains

Charles Bains started his insurance career as a marketing intern before pounding the pavement as a commercial lines agent in Orlando, FL. As an industry journalist, his articles have appeared in a variety of trade publications. His insurance television career, short-lived but glorious, once saw him serve as the expert adviser on an insurance-themed infomercial (yes, you read that correctly). Having recently worked for various organizations, coupled with his broader insurance knowledge, Charles is able to understand our client’s needs and guide them accordingly. He is a gem for Insurance Noon as his wide area of expertise and experience have been beneficial in conducting further researches to come up with solutions and writing them in a manner which is easy for everyone including beginners to comprehend.

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