What happens if you don’t have health insurance in California?

Answered by Michael Wilson

As a Californian without health insurance, I want to share with you the potential consequences you may face. It’s important to note that while there is no longer a federal uninsured tax penalty, California has its own state mandate. This means that if you reside in California and do not have health insurance, you may still be subject to a tax penalty.

The state of California introduced its own individual mandate in 2020, following the repeal of the federal penalty under the Affordable Care Act. This means that all California residents are required to have qualifying health coverage or face a penalty when they file their state taxes.

The penalty for not having health insurance in California can vary depending on your income and household size. For the 2021 tax year, the penalty amounts to either 2.5% of your household income or a flat fee of $695 per adult and $347.50 per child, whichever is higher. The penalty is calculated using the higher of these two amounts.

It is worth mentioning that there are certain exemptions to the California mandate. If you qualify for an exemption, you will not be subject to the penalty. Some examples of exemptions include financial hardship, short coverage gaps, religious beliefs, and certain immigration statuses. You can find more information about exemptions and how to apply for them on the Covered California website or by consulting a tax professional.

In addition to the tax penalty, it is crucial to consider the potential financial risks of not having health insurance. Without insurance, you may be responsible for paying for your healthcare expenses entirely out of pocket. Medical costs can quickly add up, especially in the case of unexpected emergencies or serious illnesses.

Moreover, having health insurance provides access to regular preventive care, which can help detect and treat health issues before they become more severe and costly. With insurance, you can benefit from coverage for doctor visits, prescription medications, hospital stays, and other essential medical services.

If you find yourself without health insurance in California, it is advisable to explore your options for obtaining coverage. You may be eligible for Medi-Cal, the state’s Medicaid program, if you meet certain income requirements. Additionally, Covered California offers health insurance plans through the state’s health insurance marketplace, where you can compare and purchase coverage that suits your needs and budget. Open enrollment periods typically occur annually, but certain qualifying life events may allow you to enroll outside of the designated enrollment period.

If you are a Californian without health insurance, you may face a tax penalty when you file your state taxes. The penalty amount varies based on your income and household size. It is important to be aware of the state mandate and the potential financial risks associated with not having health insurance. Exploring your options for obtaining coverage through programs like Medi-Cal or Covered California can help protect you financially and ensure access to necessary healthcare services.