Health coverage exemptions: Forms & how to apply

Exemptions from the requirement to have health insurance

The fee for not having health insurance (sometimes called the "Shared Responsibility Payment" or "mandate”) ended in 2018. This means you no longer pay a tax penalty for not having health coverage. If you don’t have health coverage, you don’t need an exemption to avoid paying a tax penalty.

However, if you’re 30 or older and want a "Catastrophic"

Health plans that meet all of the requirements applicable to other Qualified Health Plans (QHPs) but don't cover any benefits other than 3 primary care visits per year before the plan's deductible is met.

Refer to glossary for more details.

health plan, you must apply for a hardship exemption

An exemption that’s needed when applying for Catastrophic coverage for people 30 and older who faced a "hardship" that prevented them from getting insurance. Hardship exemptions are one type of exemption that someone can claim to qualify for Catastrophic coverage, along with affordability exemptions.

Refer to glossary for more details.

affordability exemption

An exemption that’s needed when applying for Catastrophic coverage for people 30 years or older whose coverage is unaffordable. Affordability exemptions are one type of exemption that someone can claim to qualify for Catastrophic Coverage, along with hardship exemptions.

Refer to glossary for more details.

to qualify. Learn about exemptions and Catastrophic coverage.

Live in California, the District of Columbia, or Maryland?

These states have their own exemptions processes. Visit their websites to apply for an exemption:

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Learn more about health coverage exemptions