If you’re looking for how to get Form 1095-A from Medicaid online, the short answer is that Medicaid doesn’t issue that form. Form 1095-A comes only from the Health Insurance Marketplace, and Medicaid coverage is reported on Form 1095-B instead.1HealthCare.gov. 2025 Federal Tax Return Info for Non-Marketplace Health Insurance If you had Medicaid for part of the year and a Marketplace plan for another part, you may receive both forms — a 1095-B for the Medicaid months and a 1095-A for the Marketplace months.
Why Medicaid Doesn’t Generate a 1095-A
Form 1095-A has one job: it gives people who bought a qualified health plan through the Marketplace the numbers they need to calculate and reconcile the premium tax credit on their federal return.2Internal Revenue Service. About Form 1095-A, Health Insurance Marketplace Statement It lists your months of coverage, your total monthly premiums, and the second lowest cost silver plan premium used to determine your credit.3Internal Revenue Service. Health Insurance Marketplace Statements
Medicaid recipients don’t pay premiums that qualify for the premium tax credit, so there’s nothing to report on a 1095-A. Your state Medicaid agency or the insurer managing your Medicaid plan sends Form 1095-B instead, confirming that you had qualifying health coverage.4Internal Revenue Service. Form 1095-B Instructions and Form You do not need Form 1095-B to file your tax return; the IRS says you can file without waiting for it.5Internal Revenue Service. Questions and Answers About Health Care Information Forms for Individuals
How to Get Your Medicaid 1095-B Online
Coverage providers generally must furnish Form 1095-B by early March of the year following coverage.6Internal Revenue Service. Instructions for Forms 1094-B and 1095-B (2025) Delivery varies by state. Some Medicaid agencies mail the form automatically. Others post it inside your state’s Medicaid member portal, or require you to request a copy by phone. Check your state Medicaid agency’s website for the exact procedure, and if you’re enrolled in a managed care plan, check with that insurer as well.
Receiving a 1095-B doesn’t create a filing requirement on its own. If you don’t otherwise need to file, Medicaid coverage alone doesn’t change that.5Internal Revenue Service. Questions and Answers About Health Care Information Forms for Individuals
How to Download Form 1095-A if You Also Had Marketplace Coverage
If part of your year was spent on a Marketplace plan through the federal exchange, your 1095-A is available in your HealthCare.gov account. The Marketplace must furnish this form by January 31 of the year after your coverage.7Internal Revenue Service. Instructions for Form 1095-A (2025) Here’s how to retrieve it:8HealthCare.gov. How to Find Your Form 1095-A Online
- Log in to your account at HealthCare.gov with the username and password you created when you enrolled.
- Select the application for the tax year you need, not the current enrollment year. When filing your 2025 taxes, open your 2025 application.
- Choose “Tax Forms” from the left-hand menu.
- Under “Your Form 1095-A,” select “Download PDF.” If a form shows a “Corrected” status, download that version instead of any earlier one.
- Save the file and print a copy for your records.
Downloading is free. If you had Marketplace coverage for only part of the year, the form will reflect only the months you were covered.9HealthCare.gov. How to Use Form 1095-A, Health Insurance Marketplace Statement To create a HealthCare.gov account or recover a login, you’ll need your Social Security number, date of birth, and the home address associated with your coverage.10HealthCare.gov. Get Ready to Apply for or Re-Enroll in Your Health Insurance Marketplace Coverage
State-Based Marketplaces
About 21 states and the District of Columbia run their own health insurance exchanges rather than using HealthCare.gov.11CMS. States by Marketplace Type for Plan Year 2026 If you enrolled through one of these, retrieve your 1095-A from that state exchange’s website rather than HealthCare.gov.12Internal Revenue Service. The Health Insurance Marketplace The process is similar: log in, find “Tax Forms” or “Tax Documents,” pick the correct tax year, and download the PDF. If you’re not sure which exchange handled your enrollment, check the confirmation emails from when you signed up, or call the Marketplace Call Center at 1-800-318-2596.
If Your 1095-A Is Missing or Wrong
If your 1095-A hasn’t appeared in your account by early February, contact the Marketplace where you enrolled. Federal exchange enrollees can call 1-800-318-2596 (TTY: 1-855-889-4325).9HealthCare.gov. How to Use Form 1095-A, Health Insurance Marketplace Statement The IRS recommends waiting for your 1095-A before filing, since the form contains figures you need for the premium tax credit reconciliation.3Internal Revenue Service. Health Insurance Marketplace Statements
If you receive the form and find errors, such as wrong coverage dates, incorrect premium amounts, or missing household members, call the Marketplace Call Center to request a corrected form. If you already filed using the incorrect version and later receive a corrected one, you may need to file an amended return.3Internal Revenue Service. Health Insurance Marketplace Statements
Why the 1095-A Matters at Tax Time
If you received advance premium tax credits to lower your monthly Marketplace premiums during any part of the year, you must file Form 8962 with your federal return to reconcile the advance payments against the credit you actually qualify for based on your final income. Your 1095-A provides every number Form 8962 requires.13Internal Revenue Service. Reconciling Your Advance Payments of the Premium Tax Credit
The reconciliation compares what the government paid toward your premiums with what you were entitled to based on your household income and family size. If you earned less than expected, you may receive an additional credit. If you earned more, you may owe some or all of the excess back. Filing without Form 8962 delays your refund, and skipping the return altogether can cost you eligibility for advance credits in future years, meaning you’d owe the full cost of your monthly premiums going forward.14Internal Revenue Service. Premium Tax Credit – Claiming the Credit and Reconciling Advance Credit Payments
Two changes take effect for the 2026 tax year that make accurate reporting more important. First, the income-based caps that used to limit how much excess advance credit you had to repay no longer apply; you now repay the full excess regardless of income.15Internal Revenue Service. Updates to Questions and Answers About the Premium Tax Credit Second, the temporary expansion that let households above 400 percent of the federal poverty line qualify for premium tax credits expired after 2025, so eligibility returns to households with income between 100 and 400 percent of the poverty line.16Internal Revenue Service. Questions and Answers on the Premium Tax Credit