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Form 1095-C Arizona: What You Should Know

Individual130Form 131 ‑ Disability Exemption Tax Forms 201.8(m) The Health Insurance Marketplace, which provides health coverage to consumers who are not eligible for government health plans such as Medicare or Medicaid, does not provide individual health coverage. The Marketplace is the means by which Marketplace consumers select an offering through the Marketplace to receive coverage for premium tax credits, qualified health plans and cost sharing reductions (CSP). The following provides an overview of the various forms of coverage available in the Marketplace as well as key information about each type of plan. Forms available to consumers who are Insured by an employer who offers health insurance through the Marketplace are not eligible for premium tax credits. Insured through an individual, small group, medium and large group, or self-insured group marketplace. The Marketplace will not offer coverage to anyone who does not meet the minimum value threshold and/or does not enroll in Medicaid with an adjusted gross income that is 1.7 times the Federal Poverty Level. Medicaid is a federal program that provides subsidized coverage for low-income people. Individuals in Federal Poverty Levels 1 and 2 or in Medicaid are not eligible for the full premium tax credit. Consumers may apply for the premium tax credit through the Marketplace. The Marketplace is the means by which new individual market coverage is available in Arizona beginning in 2017. In 2017, most individuals who enroll through the Marketplace will receive coverage that is either: Health insurance plans in the Marketplace may include coverage of medical and prescription benefits and certain health related services. They must not discriminate on the basis of medical history, ability to pay, or gender. The Marketplace may include coverage of medical and prescription benefits, mental health and substance use disorder benefits, wellness benefits, mental health crisis services, and drug benefits. For example, an individual who has an injury and is covered under an insurance plan that also includes medical benefits and psychiatric services may be eligible for an additional discount on his or her premiums. For more details on coverage offered in the Marketplace, please consult your state of Arizona's State Information and Programs Bureau or the Centers for Medicare of and Independent Services (CMS) or HHS website: State of Arizona — State Information and Programs Bureau. The Marketplace will provide consumers with: All Marketplace plans must provide coverage for: Medicare coverage under Part B that is not Median or other alternative Medicare coverage.

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