It depends. If you live in a state that offers Medicaid and you were eligible for the coverage, then yes you will have to pay back the Advanced Premium Tax Credit for the months you could have received Medicaid coverage. If you live in a state that does not offer Medicaid coverage, then you will not be required to repay the APTC.
Also, when you make more income than initially stated on your Marketplace application, you will need to pay back some or all of your APTC.
You may not be required to repay the full amount as there are limitations. See the screenshots attached.
So let's say you were supposed to make $25,000 and got a tax credit according to that and were then laid off in February and have been unable to find another job. Unemployment + wages from early 2019 are not enough to qualify for the tax credits. What happens then?
@leubanks83 Income changes should be reported immediately to the exchange from which you applied (state based or federal exchange).You subsidy amount will change if you no longer qualify. If you receive more advance premium credits than eligible for, then yes they will need to be repaid when you file your tax return.
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