Medicare Blog

i've got obamacare my wife has medicare, how do i answer the questions on tax return?

by Mr. Cicero Romaguera Published 2 years ago Updated 1 year ago
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Should I file my own taxes for Obamacare?

The ideal is to file your own taxes for the year in which you hold your plan so your plan year and tax year line up when it comes to income and assistance based on income. Who Uses ObamaCare? ObamaCareFacts is a free informational site. It's privately owned, and is not owned, operated, or endorsed by the US federal government or state governments.

Does Medicare cover my spouse if I have Medicare?

Medicare will only cover you, not your spouse or children if they are not eligible on their own. This is where problems begin, especially when a working spouse is older than a non-working spouse. Say the working spouse turns 65, retires, and claims Medicare.

Can I claim Medicare benefits if my spouse hasn’t worked?

Most Medicare beneficiaries have worked and paid Medicare payroll taxes for at least 10 years to qualify for premium-free Medicare Part A as well as Part B coverage. If you have not worked for 10 years but your spouse has, you are allowed to claim benefits on their record.

Is Medicare better than my spouse's household income?

The one plus is that your spouse will still use household income to determine subsidies. Thus, at some incomes this works out to a great deal (in my opinion better than Medicare cost-wise), but only at some incomes. I am preparing to retire. My spouse is 58.

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Does Obamacare affect your tax return?

The premium tax credit was established by the Affordable Care Act. It makes health insurance premiums for coverage purchased through the Health Insurance Marketplace more affordable for eligible individuals. The premium tax credit is the main way that having Obamacare impacts your taxes.

Does Spouse Social Security count as income for Obamacare?

Yes, Social Security benefits are counted as income in determining eligibility for premium tax credits in the Marketplace.

Is my Obama care subsidy taxable?

A. No. The subsidies (both premium assistance tax credits and cost-sharing) are not considered income and are not taxed. Read more: How the American Rescue Plan has boosted premium subsidies and made health coverage more affordable.

Does married filing separately affect Obamacare?

People who use the “married filing separately” status are not eligible to receive premium tax credits (and also cannot claim certain other tax breaks, such as the child and dependent care tax credit, tuition deductions, or the earned income tax credit.)

Can I get Obamacare if my husband has Medicare?

Can I enroll in Medicare as his spouse? No. Although your husband now qualifies for Medicare, you will not qualify for Medicare until you turn 65. If you do not have health insurance now, you can consider signing up for health insurance coverage through a Marketplace plan.

Does Medicare count as income?

Medicare premium deductions are for your income taxes (federal, state, and local). They do not impact your self-employment taxes, which include taxes to fund the Medicare and Social Security programs. So you'll still pay the same amount in self-employment taxes, regardless of whether you deduct your Medicare premiums.

What happens to my spouse when I go on Medicare?

Your spouse can switch to health insurance from his or her employer until reaching Medicare age or beyond. Your spouse can qualify for a special enrollment period to switch to this coverage within 30 days of losing coverage under your plan or can enroll during the company's annual open enrollment period.

What happens to the ACA subsidy when one person goes on Medicare?

Individual market plans no longer terminate automatically when you turn 65. You can keep your individual market plan, but premium subsidies will terminate when you become eligible for premium-free Medicare Part A (there is some flexibility here, and the date the subsidy terminates will depend on when you enroll).

Do I need a 1095 B to file my taxes?

You do not need 1095-B form to file taxes. It is for your records. IRS 1095-B form is your proof of the month(s) during the prior year that you received qualifying health coverage.

Can you claim someone as a dependent if they are on Medicare?

Summary: Medicare is individual insurance, not family insurance, and coverage usually does not include spouses and children. Unlike other types of insurance, Medicare is not offered to your family or dependents once you enroll. To get Medicare, each person must qualify on their own.

How does marriage affect Obamacare?

2 If you get married mid-year, your premium tax credit eligibility is going to be based on your total combined income. Some couples will have an unpleasant surprise if their new combined income exceeds the limits and they claimed that credit upfront before getting married.

Can you get in trouble for filing single when married?

In short, you can't. The only way to avoid it would be to file as single, but if you're married, you can't do that. And while there's no penalty for the married filing separately tax status, filing separately usually results in even higher taxes than filing jointly.

When will Medicare be sent to you?

Your Medicare card will be sent to you after you enroll. Your enrollment window starts three months before the month you turn 65, includes the month you turn 65, and then continues for another three months. (Note that you’ll need to enroll during the months prior to your birth month in order to have coverage that takes effect the month you turn 65.

When will Medicare be sent out to my 65 year old?

If you’re already receiving Social Security or Railroad Retirement benefits, the government will automatically enroll you in Medicare Part A the month you turn 65, with your Medicare card arriving in the mail about three months before you turn 65. If you’re not yet receiving Social Security or Railroad Retirement benefits, ...

What happens if you don't sign up for Medicare?

And if you keep your individual market exchange plan and don’t sign up for Medicare when you first become eligible, you’ll have to pay higher Medicare Part B premiums for the rest of your life, once you do enroll in Medicare, due to the late enrollment penalty.

How long does it take to get Medicare if you are not receiving Social Security?

If you’re not yet receiving Social Security or Railroad Retirement benefits, you’ll have a seven-month window during which you can enroll in Medicare, which you’ll do through the Social Security Administration. Your Medicare card will be sent to you after you enroll. Your enrollment window starts three months before the month you turn 65, ...

When does Medicare coverage take effect?

If you complete the enrollment process during the three months prior to your 65th birthday, your Medicare coverage takes effect the first of the month you turn 65 ( unless your birthday is the first of the month ). Your premium subsidy eligibility continues through the last day of the month prior to the month you turn 65.

When does Medicare subsidy end?

If you enroll in Medicare during the final three months of your initial enrollment period, your premium subsidy will likely end before your Part B coverage begins, although your Part A coverage should be backdated to the month you turned 65.

When will Medicare be enrolled in Social Security?

Here are the details: If you’re already receiving retirement benefits from Social Security or the Railroad Retirement Board, you’ll automatically be enrolled in Medicare with an effective date of the first of the month that you turn 65. As is the case for people who enroll prior to the month they turn 65, premium subsidy eligibility ends on ...

How to contact Medicare and Medicaid?

Or go online to ssa.gov. Centers for Medicare & Medicaid Services at 800-633-4227 (TYY: 877-486-2048) for issues on Medicare coverage, Medicare Advantage plans and Part D drug plans. Or go online to medicare.gov.

When does Medicare end?

For example, if Medicare will begin May 1, you will want your Marketplace coverage to end April 30. To make this transition, it's important to cancel your Marketplace policy at least 15 days before you want the coverage to end and to specify that you want it terminated on the final day of the month. (Medicare coverage always begins on the first day ...

What is the Beneficiary Enrollment Notification and Eligibility Simplification Act?

The Beneficiary Enrollment Notification and Eligibility Simplification Act (BENES) would require official enrollment information to be sent to everyone on the verge of Medicare eligibility, so that fewer people would fall into the trap of missing their deadlines.

How long does it take to sign up for Medicare after it ends?

Throughout the time that you have this insurance, and for up to eight months after it ends, you'll be entitled to a special enrollment period (SEP) to sign up for Medicare without incurring any late penalties. This is also true if your health insurance comes from your spouse's employer through SHOP.

What is a small employer in Medicare?

But under Medicare rules, a small employer is one that has fewer than 20 employees. Larger employers are subject to laws that are designed to protect older workers — for example, by requiring these employers to offer to employees who are 65 and older exactly the same health benefits as they offer to younger workers.

Can you sell insurance before Medicare?

Insurance companies in the Marketplace are banned from knowingly selling new policies to people enrolled in any part of Medicare. However, if you're enrolled in a Marketplace plan before becoming eligible for Medicare, your plan cannot reduce or terminate your coverage unless you request it.

Is Medicare automatic?

You should know that this transition is not automatic. People approaching Medicare age will receive no official notification about how to make the change or when to do it. It's a new scenario ripe for mistakes, some of which can be costly for consumers. Medicare recently announced that it has begun sending notices to people who are both enrolled in ...

Are there income limits for ACA subsidy eligibility?

Normally, subsidy eligibility only extends to households with income up to 400% of the poverty level, with no subsidies available for households with income above that point. But for 2021 and 2022, the American Rescue Plan has eliminated that income threshold.

Will we qualify for a subsidy?

The exchange will look to see what percentage of your total household income is necessary to cover the full-price cost of the benchmark plan for your wife. If it’s more than the percentage of income that people are expected to pay for their coverage, she’ll qualify for a premium subsidy.

How long do you have to work to qualify for Medicare?

First, it is important to know how eligibility for Medicare works. Most Medicare beneficiaries have worked and paid Medicare payroll taxes for at least 10 years to qualify for premium-free Medicare Part A as well as Part B coverage. If you have not worked for 10 years but your spouse has, you are allowed to claim benefits on their record. Medicare benefits cannot start earlier than when you turn 65, unless you are disabled, have ALS, or have end-stage renal disease. Medicare will only cover you, not your spouse or children if they are not eligible on their own.

Can a spouse with a low income get medicaid?

Medicaid is a joint Federal and State program designed to help people with low incomes cover healthcare costs. If, by retiring, your income falls under a certain level, the younger spouse may be eligible for Medicaid coverage. Be aware, as a family, you have to have a very low income and very little assets, so many people will not qualify.

Can a spouse get health insurance after 65?

The other option would be for the younger spouse to find a job that offers health insurance until they turn 65. While this is a long-shot, some companies will provide coverage for the younger spouse even after the working spouse retires.

Can a non-working spouse claim Medicare?

If the working spouse is no longer employed, the non-working spouse should go ahead and apply for coverage fully from Medicare. If the working spouse is younger than 62, the non-working spouse will not be able to claim on the record.

Does Medicare cover spouse?

Medicare will only cover you, not your spouse or children if they are not eligible on their own. This is where problems begin, especially when a working spouse is older than a non-working spouse. Say the working spouse turns 65, retires, and claims Medicare. The other spouse is only 61.

Can a non-working spouse get Social Security?

If the non-working spouse is older than the working spouse, the non-working spouse can qualify on on the working spouses work record if they are at least 62, since that is when qualification for Social Security begins. In this case, if the working spouse is still working, the non-working spouse should stay on the work health insurance ...

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