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Qualifying Health Coverage Notice & IRS Form 1095-B

What is it?

The Affordable Care Act requires people to have health coverage that meets certain standards (called qualifying health coverage or minimal essential coverage). The Qualifying Health Coverage (QHC) notice lets you know that your Medicare Part A (Hospital Insurance) coverage is considered qualifying health coverage.

If you have Part A, you may get IRS Form 1095-B from Medicare in the early part of the year. If you don't get Form 1095-B, don't worry. Not everyone will get this form from Medicare, and you don't need to have it to file your taxes.

Note

Part A coverage (including coverage through a Medicare Advantage plan) is considered qualifying health coverage.

Want to learn more about Form 1095-B and qualifying health coverage? Get official information from the IRS.

When should I get it?

No later than the beginning of March

Who sends it?

Medicare

What should I do if I get this notice?

  • Keep your Form 1095-B with your other important tax information, like your W-2 form and other tax records.
  • You don’t need to:
    • Take any immediate action.
    • Send this form to the IRS when you file your taxes.
    • Send this form back to Medicare.
  • If you had health coverage other than Medicare during the past tax year:
    • Your other health coverage provider should send you a separate Form 1095-B.
    • Contact the health care provider if you have questions about the Form 1095-B they sent you. You can find the name of the health care provider in Part III of the Form 1095-B.
  • You may have to pay a fee when you file your taxes if both of these apply:
    • You didn't have Part A coverage or other health coverage for all 12 months of the past tax year.
    • You don't qualify for an exemption from the requirement to have coverage.
  • If you need a replacement IRS Form 1095-B, call 1-800-MEDICARE.

Download a sample

Qualifying Health Coverage Notice [PDF, 85KB]

Get this notice in Spanish [PDF, 105 KB].

IRS Form 1095-B (Health Coverage) [PDF, 290 KB]

Publication, product, or other number

Product No. 11865

Unofficial name

Qualifying Health Coverage Notice