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If you did not receive a 1099-HC, you can find out by asking your health insurance provider or reading the details of your plan on the Internet. Most Massachusetts-licensed health insurance plans and government-sponsored plans meet MCC.
Minimum creditable coverage (MCC) is the level of health insurance Massachusetts requires for full-year and some part-year adult residents.
Some examples of health insurance plans below automatically meet Massachusetts' health insurance standards are:
- Medicare Part A or B
- Any Qualified Health Plan purchased through the Massachusetts Health Connector or directly through a carrier, including catastrophic plans
- MassHealth (including temporary coverage)
- A Student Health Insurance Plan (SHIP) offered in Massachusetts or another state
- Eligibility for services through a tribal organization or the Indian Health Service
- TRICARE
- The U.S. Veterans Administration Health System
- A health insurance plan offered by the federal government to federal employees or retirees
- Health Arrangement provided by an established religious organization
- Peace Corps, VISTA or AmeriCorps or National Civilian Community Corps coverage
The 2021 minimum creditable standards include all of the following for most plans:
- Coverage for a comprehensive set of services (for example: doctor visits, hospital admissions, day surgery, emergency services, mental health and substance abuse, and prescription drug coverage)
- Doctor visits for preventive care, without a deductible
- A cap on annual deductibles of $2,700 for an individual and $5,400 for a family
- For plans with up-front deductibles or co-insurance on core services, an annual maximum on out-of-pocket spending of no more than $8,550 for an individual and $17,100 for a family
- No caps on total benefits for a particular illness or for a single year
- No policy that covers only a fixed dollar amount per day or stay in the hospital, with the patient responsible for all other charges
- For policies that have a separate prescription drug deductible, it cannot exceed $330 for an individual or $660 for a family
- All services must be provided to all of those covered (for example, a plan that covers dependents must extend maternity services to them)
- No cap on prescription drug benefits
If your plan meets the above qualifications, then you meet Minimum creditable coverage (MCC) and will not be subject to a penalty. As you are going through your state return, mark off that you have met minimum creditable coverage.
