Can I get obamacare if my employer offers insurance?

    Cancel
    You can decline employer provided insurance coverage in favor of purchasing insurance in the Health Insurance Marketplace.  Depending on how much the employer provided coverage costs (as a percentage of your total household income) you may or may not be eligible for a credit to help pay for Marketplace insurance.

    There is a new tax credit called the Advance Premium Tax Credit.  Its purpose is to help you afford insurance purchased through the Marketplace by offsetting part of the monthly cost of the premium. Eligibility is based on your family size and income.

    This credit will generally not apply to you if you have insurance through your employer. There are two exceptions to this rule:

    (1) The coverage from the employer is not considered affordable;

    (2) The coverage from the employer does not meet minimum essential coverage requirements.

    To be considered affordable, the employee's required contribution for the tax year for the lowest-cost self-only coverage under the eligible employer-sponsored plan cannot be more than 9.5% of the employee's household income for the tax year. Most plans will meet minimum essential coverage requirements – you can check with your insurance provider to make sure the plan you have does.

    Here is an online calculator that can help you determine if you may qualify for a credit.

    • My employer insurance is affordable for me as the employee, but it is not affordable to add any dependents, it would cost 60% of my paycheck. My children were on a CHIP program that has been discontinued. They no longer have medical, dental or vision insurance. Since I definitely fall in the category that would get a subsidy if my employer didn't offer any coverage for me, can I get subsidy for my uncovered children only?
    Cancel
    Contribute an answer

    People come to TurboTax AnswerXchange for help and answers—we want to let them know that we're here to listen and share our knowledge. We do that with the style and format of our responses. Here are five guidelines:

    1. Keep it conversational. When answering questions, write like you speak. Imagine you're explaining something to a trusted friend, using simple, everyday language. Avoid jargon and technical terms when possible. When no other word will do, explain technical terms in plain English.
    2. Be clear and state the answer right up front. Ask yourself what specific information the person really needs and then provide it. Stick to the topic and avoid unnecessary details. Break information down into a numbered or bulleted list and highlight the most important details in bold.
    3. Be concise. Aim for no more than two short sentences in a paragraph, and try to keep paragraphs to two lines. A wall of text can look intimidating and many won't read it, so break it up. It's okay to link to other resources for more details, but avoid giving answers that contain little more than a link.
    4. Be a good listener. When people post very general questions, take a second to try to understand what they're really looking for. Then, provide a response that guides them to the best possible outcome.
    5. Be encouraging and positive. Look for ways to eliminate uncertainty by anticipating people's concerns. Make it apparent that we really like helping them achieve positive outcomes.
    Cancel