What is a health care penalty exemption?
Henry Morales
Published Apr 05, 2026
You can get an exemption so that you won’t have to pay a penalty for not having qualifying health insurance. Some exemptions require an exemption application through Covered California. Other exemptions do not require an application – instead, you can claim them when you file your state tax return.
What is the affordability exemption?
There’s also an “affordability exemption” for people who would be spending more than 8.24% of their income on the cheapest plan in their area from Covered California, the state’s health insurance marketplace. People who qualify for Medi-Cal, the state’s Medicaid program for low-income individuals,are also exempt.
Who is exempt from the health care penalty?
If you spend 330 days of the year or more outside the U.S., you don’t need to submit an application to be exempt from the health care penalty fee. We can handle it on your taxes. If you come back to the U.S. and are unemployed, you could qualify for Medicaid in your state.
When do you qualify for a health coverage exemption?
Some taxpayers will have coverage or qualify an exemption for some months and owe a payment for other months. If you or anyone in your family were without qualifying health coverage for any month during the year, you should determine if you qualify for a health coverage exemption.
What are the exemptions for the Affordable Care Act?
Most people must have health care coverage or pay the tax penalty, but here’s a list of specific cases where you may be able to get an exemption. Exemptions include: You’re uninsured for less than 3 consecutive months of the year. Your lowest-priced coverage option is more than 8% of your household income.
What’s the penalty for not having health insurance?
If you have coverage for part of the year, the fee is 1/12 of the annual amount for each month you (or your tax dependents) don’t have coverage. If you’re uncovered only 1 or 2 months, you don’t have to pay the fee at all. Learn about the “short gap” exemption.