Health Plan (QHP) due to Medicare eligibility. Shari is a tax payer, so her MAU includes herself and her 2 dependents. Her MAU would only include herself. Visit www.wahealthplanfinder.org to get started!. Cash assistance from other agencies or supplemental security income (SSI), Title IV-E and state foster care payments, Enter your actual monthly income, and report the new amount any time your income changes; or. Call your doctor to confirm they are in-network and call the insurance company to ensure drug information is correct. (2)(b)(ii)(B) Clarified: The tax dependent expecting to be claimed by a noncustodial parent only applies to a child under age 19. Have income at or below the Medicaid standard (see income chart below). health care expenses for the people on the health plan. Educational expenses, which are tuition and fees paid for out-of-pocket. It is part of the Affordable Care Act (ACA) and is intended to make it easier for consumers to shop for coverage. Essential services are covered like visits to the doctor and emergency room, prescriptions, maternity care, preventive care, and more. Smart Planfinder will recommend a few health plans that are most likely to meet your needs based on the information you provide. Since Jill is a nonfiler and is not claimed by another person nonfiler rules apply. Visit www.wahealthplanfinder.org to apply and enroll today. WAC 182-506-0012 Determining a person's medical assistance unit. Online: Go to Washington Healthplanfinder: Sign in and select "Report a Change" in Quick Links. Allowable business expenses are available from IRS instructions for Schedule C, E, F, 1065, 1120, and 1120 tax forms. She states that she is a tax filer and will claim John as a dependent. Since Shari is not his parent (tax dependent, exception 1), nonfiler rules apply for Alex. Tax filer + spouse + tax dependents = household . This section applies to people whose financial eligibility for Washington apple health coverage is based on modified adjusted gross income If you were enrolled in more than one plan during the year, you’ll get a 1095-A for each plan. Smart Planfinder calculates an estimate of the costs that you might pay in a 12-month period for a health plan. Learn more about how to report a change to your application. The 1095-A and IRS Form 8962 help you determine the final amount of tax credit due and also ensure that you have the opportunity to get a tax credit in the future. • Standalone dental will only be offered to Medicare recipients, at this time. (2)(b)(ii)(B) Clarified: A child being claimed as a tax dependent by a custodial parent who is living with both parents who are not married to each other would fall under this exception. Average your monthly income over a period of time. After you submit your application, you’ll find out if you qualify for a Qualified Health Plan, tax credits, or free coverage through Washington Apple Health. Example 5: Sarah, age 19, applies for herself and her younger brother John, age 9. If you would like to meet with a navigator or broker, you can find one in your community by using the WAPlanfinder Mobile App or by visiting wahealthplanfinder.org. Washington Healthplanfinder, Olympia, Washington. For example, if a married couple separates but still plans to file Married Filing Jointly for the current year, they would enter their tax filing status as Married Filing Jointly and indicate that their spouse is not living in the home. Program requirements You may be eligible for Apple Health for Pregnant individuals coverage if you: Are pregnant. Example 9: Carlos applies for himself, his spouse, Sebastian, and their 17 year old niece, Ana. We salute all of the strong women that have fought for quality and affordable healthcare for all. Hint: If you want to apply for financial help or free or low-cost Apple Health: Select "No" to the question "My household wants to apply for a full cost Qualified Health Plan and no longer wants health Insurance Premium Tax Credits or Apple Health." Spouses, parents and siblings for children under age 19 are considered for each individual. Customers enrolled in a catastrophic health plan will not receive a 1095-A. Results: Since Nick is a nonfiler, use nonfiler rules. On January 5, Governor Inslee announced the Healthy Washington - Roadmap to Recovery plan, which lays out the process to safely reopen Washington state. Jim, who lives in a different town, applies separately for himself. Find more information on 1095-A Tax Form . If you miss the annual open enrollment period to buy an individual and family health plan, you can still enroll if you qualify for Apple Health (www.hca.wa.gov) or a special enrollment period. The countable income used to determine a person's eligibility is the sum of the countable income of everyone in the person's MAU. The first 2 pages your most recent tax return 3. Individuals are eligible for this if their income is under a certain amount. For the Health Insurance Marketplace®, a household usually includes the tax filer, their spouse if they have one, and their tax dependents. Washington Healthplanfinder offers a new way to find, compare, and enroll in coverage that fits your needs and budget. Determining a tax filer's medical assistance unit (MAU). If your income changes from month to month, you can either: If your income changes by more than $150 a month, update your account. All plans offered through Washington Healthplanfinder meet strict benefit and quality standards. A tax dependent is a person who expects to be claimed as a tax dependent on a tax filer's federal income tax return. AI/AN individuals can select either Fee for Service (FFS) or a MCP. Renew or Enroll today. She has an MAU of 2, her and her son, Kyle. This is called your eligibility status. It is important to keep you application information current. Birthdates for household members . 1095-A (Other health and dental insurance Members) Customers enrolled in a Qualified Health Plan will receive a 1095-A tax form by early February. Even if you are not eligible for financial help, you can still enroll through Washington Healthplanfinder. John is a tax dependent who is claimed by a person who is not his parent or spouse (tax dependent, exception 1), therefore nonfiler rules apply to him and he has an MAU of one. Subscribe to get reminders and other coverage information. The tax dependent expects to be claimed by a noncustodial parent. Earned income that is equal to or greater than $12,000 or; Unearned (investment) income that is equal to or greater than $1,050 or; If there is both earned and unearned income and it is equal to or greater than the larger of  a)  $1,050; or b) earned income (up to $11,650) plus $350. If you’re self-employed, you may purchase health insurance through Washington Healthplanfinder as an individual. Give us a call at 1-855-923-4633 1. Effective April 3, 2016. Expects to file a federal income tax return; and. Jill is a tax filer and applies for herself and Kyle. Does not expect to be claimed as a tax dependent on a federal income tax return. If you were enrolled in more than one plan during the year, you’ll get a 1095-A for each plan. Shari applies for herself and Joan. Description. The next qualified health and dental plans open enrollment period for Washington Healthplanfinder from Nov. 1, 2020 to Jan. 15, 2021. For each individual on the application, make sure to confirm the following: Relationships with every other individual, and. Natalia files taxes and claims both her daughter, Catalina and granddaughter, Mia. Results: Even though Kyle does not live with Jim he would still be included in Jim’s MAU since he is claimed as a tax dependent. Not eligible for free or low-cost Apple Health? Before sharing sensitive information online, make sure you’re on a .gov or .mil site by inspecting your browser’s address (or “location”) bar. Washington Healthplanfinder uses Social Security data and other electronic data available from various federal agencies to verify household income provided on an application. Cody is a tax dependent who is claimed by a person who is not his parent or spouse (tax dependent, exception 1), therefore nonfiler rules apply for him and he has an MAU of one. Washington Health Benefit Exchange (Exchange) announced today the start of the 2020 open enrollment period that will feature more plan options and … Other ways to apply Call (toll free) 1-855-923-4633 TTY/TTD 1-855-627-9604. College students, including those age 19 or older, are treated as any other tax filer, tax dependent, or nonfiler according to the rules under WAC 182-506-0010. OLYMPIA, Wash. – Washington Healthplanfinder reminds Washingtonians that open enrollment has started, encouraging those seeking health coverage to visit WAhealthplanfinder.org to shop, choose, and save on health and dental coverage. If the applicant or recipient is a tax dependent: The following people constitute the tax dependent's MAU unless the tax dependent meets one of the exceptions in (b)(ii) of this. Self-employment Profit and Loss document for the past 3 months 4. Follow these basic rules when including members of your household: Include your spouse if you’re legally married. Health Insurance Plan) that covers the Categorically Needy (CN) and Medically Needy (MN) programs. “Smart Choice” plan suggestions are based on averages for users like you and individual health needs are not considered. Rafael is away at college and his parents expect to claim him. If the applicant or recipient is a tax filer, the following people constitute the applicant's or recipient's MAU: The tax filer's spouse, if residing with the tax filer; and. If you won’t claim them as a tax dependent, don’t include them. Joan is a tax dependent who is claimed by one parent, but lives with both parents who are not married so they do not file a joint tax return (tax dependent, exception 2). Results: Jason and Ashley are tax filers, so Tax Filer rules apply to them. Tax filing status should be entered as it is or is expected to be for the corresponding year of eligibility. Customers enrolled in a catastrophic health plan will not receive a 1095-A. Paul and Emma are tax dependents for whom none of the exemptions listed under tax dependents apply, so tax dependent rules apply to them. Why would I use my health plan account? If you had changes in your income or household size throughout the year, it might have impacted the final amount of your tax credit. If a member of the MAU is pregnant, the number of people in the MAU increases by one for each unborn child. Rafael applies separately. 18K likes. Have Qualified Health Plan coverage through Washington Healthplanfinder: ... People who suspect they need testing should check with the Department of Health (doh.wa.gov) and contact their provider’s office first. If there are previous versions of this rule, they can be found using the Legislative Search page. Apple Health managed care plan (member accounts) When you apply for Apple Health you may be enrolled in an Apple Health managed care plan. Each individual has his or her own MAU. Visit HCA 1095-B tax form for more information. All relatives living in the home (including unmarried parents of children in common), All parents who do not have custody but are claiming a child in the home as a tax dependent, Anyone else not living in the home who is claiming someone in the home as a tax dependent. FOR IMMEDIATE RELEASE: Nov. 5, 2020. The full Healthy Washington phased chart is available here. Jill is also a tax filer and she would include herself but not her son as he is being claimed by Jim who lives outside the home. This is a reprint of the official rule as published by the Office of the Code Reviser. Health Plan Finder Income. Get help virtually so you can stay home and stay healthy. Home Page | Washington Healthplanfinder. IRS’s Student Loan Interest Deduction Tax Topic, Income from salaries, wages, tips, and commissions, Self-employment income minus business expenses, Title II Social Security benefits (including retirement, disability, and benefits for survivors). 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