Health coverage exemptions, forms & how to apply

If you qualify for a health coverage exemption, you don’t have to pay the fee for the months you didn’t have health coverage.

Note: Starting with the 2019 plan year (for which you’ll file taxes in April 2020), the penalty no longer applies. (The fee is sometimes called the “Shared Responsibility Payment” or “mandate.”) If you don’t have coverage during 2019 or later, you don’t need an exemption in order to avoid the penalty.

Find 2018 health coverage exemptions that may work for you

Answer a few questions to see health coverage exemptions that may apply to you for the 2018 plan year. We’ll tell you how to apply for each one.

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.

Looking for exemptions for previous tax years? Visit our 2017 exemptions pages or our 2016 exemptions pages.

Below are health coverage exemptions for the 2018 tax year.

  • You can claim most exemptions when you file your 2018 federal income tax return (which you’ll file 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.

Exemptions for 2018 and earlier, forms & how to apply

Follow the links below for exemption details, application forms, and instructions.

Income-related exemptions

Hardship exemptions

Health coverage-related exemptions

Group membership exemptions

Other exemptions

  • You’re incarcerated (serving a term in prison or jail). Get details about the incarceration exemption.
  • You’re a U.S. citizen living abroad, a certain type of non-citizen, or not lawfully present. (Learn more about the definition of “lawfully present.”) Get details about this exemption.
  • A member of your tax household was born or adopted during the year. This exemption applies only to the month of the event and the month before. You can claim this exemption only if you’re also claiming another exemption.
  • A member of your tax household died during the year. This exemption applies only to the month of the death and the month before. You can claim this exemption only if you’re also claiming another exemption.