If one is 65 plus, can they get subsidies in Covered CA?
See below for an answer to a specific situation
My father and mother have had Covered CA Silver 94 PPO plan, with APTC – Advanced Premium Tax Credit since ACA – ObamaCare went into effect. Their income is below FPL – Federal Poverty Level but through two years of consecutive appeals hearing, the Judge had ordered Covered CA that they are eligible for APTC since they are not eligible for non-MAGI Medi-Cal (since both my dad and mom are above 65, and have assets more than Medi-Cal limits, and they cannot spend down).
***But does the IRS agree with that when they file 1040 and 8962 Premium Tax Credit
I would like to see that order.
Both my dad and mom have been legal permanent residents (green card) at the time of the appeals in 2016 and in 2015. They are eligible for Medicare but are not eligible for premium-free Medicare, and Covered CA did send them a letter stating that people who are not eligible for premium-free Medicare and who dont enroll in Medicare could be eligible for APTC. Just like last two years, again for 2017, Covered CA has told them that we are not eligible for APTC for 2017 coverage. My dad became a US citizen late 2016. But they continue to be ineligible for Medi-Cal, or premium-free Medicare. And without APTC,
***What if they just take the credit when they file their taxes at the end of the year?
they cannot afford to get an affordable minimum qualified health plan – minimum essential coverage.
They have filed for an appeal, but if you can point us to any sections of the ACA, or Federal Code of Regulations
or California regulations, or special rules/clarifications, or IRS notes that we can represent to the judge during our hearing, it would be really helpful.
It is strange that while they would be eligible for APTC as non-citizen aliens (as decided by the Judge last 2 years), their becoming a citizen makes it worse for them.
Medicare Publication # 11694 Medicare & Covered CA
Covered CA & Medicare dual enrollees may have to pay back subsidies Insure Me Kevin.com
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