Questions & Answers

What Health Coverage Exemptions can I claim?

You may claim an exemption if you qualify for one of the following types of exemptions:

  • Unaffordable Coverage: You received an affordability exemption certificate from the Health Benefits Exchange Authority.
  • Short Coverage Gap: You have a gap in coverage that lasts less than three consecutive months.
  • Citizens living abroad and certain noncitizens: This exemption applies to a U.S. citizen who spent at least 330 days outside of the U.S. during a 12 month period; a U.S. citizen who is a bona fide resident of a foreign country; a bona fide resident of a U.S. territory; noncitizens who don't reside in the United States; and illegal aliens who are not lawfully present in the U.S.
  • Health Care Sharing Ministry: You're a member of a health care sharing ministry.
  • Indian Tribe Members: You're either a member of a federally recognized Indian tribe including an Alaska Native Claims Settlement Act (ANCSA) Corporation Shareholder or were otherwise eligible for services through an Indian health care provide or the Indian Health Service.
  • Incarceration: You were in jail, prison, or similar penal institution or correctional facility after the disposition of charges.
  • General Hardship: You received a hardship exemption certificate from the Health Benefits Exchange Authority.
  • Individual Born, Adopted, or Died: The individual was born, adopted, or died during 2021.
  • Non-Resident of DC: You were not a resident of DC during certain months.
  • Sincerely Held Religious Belief: You lacked qualifying health coverage on the basis of a sincerely held religious belief.
  • DC Health Alliance: You were enrolled in the DC Health Alliance Program.
  • Religious Sect that is Conscientiously Opposed: You're a member of a religious sect that is conscientiously opposed to accepting health benefits, including Social Security and Medicare.

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