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The Daily Insight

Do you have to pay back premium tax credit?

Author

James Craig

Published Mar 05, 2026

A tax credit you can take in advance to lower your monthly health insurance payment (or “premium”). If at the end of the year you’ve taken more premium tax credit in advance than you’re due based on your final income, you’ll have to pay back the excess when you file your federal tax return.

Do you have to report health insurance on taxes?

You are no longer required to report your health insurance on your return UNLESS you or a family member were enrolled in health insurance through the Marketplace and advance payments of the Premium Tax Credit were made to your insurance company to reduce your monthly premium payment.

Which is the best way to file taxes for Obamacare?

ADVICE: You can use the IRS Interactive Tax Assistant (ITA) to help you figure out which forms you’ll need to fill out. If you have a more complex situation, get the help of a tax professional. There are some tax incentives and tax credits available, but most require you to take advantage of them by filing the correct forms.

Are there any changes to taxes under Obamacare?

One significant change is that the fee for not having coverage was reduced to $0 on a federal level for 2019 forward. The new tax-related provisions in the Affordable Care Act (ObamaCare) include tax hikes, limits to deductions, tax credits, tax breaks, and other changes.

When did the 3.8% Obamacare surtax take effect?

To help fund the Affordable Care Act (also dubbed Obamacare), there was a 3.8% surtax levied against higher incomes. This specific tax took effect in 2013 and, according to the Tax Policy Center, is expected to bring in nearly 30 billion dollars of tax revenue. This surtax begins for those making just $200,000.

When do you have to pay extra taxes for Obamacare?

If you don’t use FSA funds for medical expenses, the tax penalty increases to 20%. 12  If you make more than $200,000 a year, file jointly as a married couple earning at least $250,000, or married but filing separately and earn at least $125,000 yearly, you will pay extra income taxes.