How To Get 1095 B Form From Medicaid Online

IRS Form 1095-B Quick Guide


Why haven't I received my 1095-B Form in the mail	You don't need to provide proof of health insurance coverage in order to file your taxes. Therefore, Health First Colorado (Colorado's Medicaid program) will not be mailing out 1095-B forms this year.
I want a copy of my 1095-B form.	PEAK is the fastest way to obtain a copy of the 1095-B Form.Go to the Mail Center in your Colorado.gov/PEAK account. There are copies of your form(s) and cover letter there. If you are a new PEAK user, create an account and visit the mail center. Click on "communications" and you will be able to download a copy of your 1095-B Form. Call or visit your local county office of social/human services. Visit Colorado.gov/HCPF/counties for contact information. Send an email to: hcpf_moo_1095request@state.co.us Send a written request to 1570 Grant Street, Denver, CO 80203 ATTN: Eligibility Policy When making a request through mail or email, provide first and last name, Medicaid number, current mailing address when making a request through mail or email.
I have questions about my taxes.	If your household income is under $54,000 you may qualify for free tax help. To find free tax sites near you: Call 2-1-1. Go to IRS.treasury.gov/freetaxprep.
There is a mistake on my 1095-B form.	Call or visit your local county office of social/human services. Find their contact information at Colorado.gov/HCPF/counties. For changes to name, address, or Social Security Number, go to your Colorado.gov/PEAK account. Click on "Manage My Account" and "Report My Changes," and enter the updated information.

IRS Form 1095-B Frequently Asked Questions

Do I need to wait until I receive IRS Form 1095-B to file my federal taxes?

No. You do not need your 1095-B Form to file your taxes.

If the Internal Revenue Service (IRS) has questions about what you report on your taxes about your health coverage, they may later ask you for proof of coverage or other information.
I received IRS Form 1095-B but I don't normally file taxes. Do I need to file taxes now?

Receiving IRS Form 1095-B does not mean that you have to file taxes. Visit irs.gov/uac/Do-I-Need-to-File-a-Tax-Return? to find out if you have to file.

If you have additional questions about whether or not you need to file, go to IRS.treasury.gov/freetaxprep, or call 2-1-1 and ask to be connected with a tax assistance site near you.
I was enrolled in Foster Care Health First Colorado and received a 1095-B form, but there is a mistake on my form. What do I do?

Call or visit your local county office of social/human services. Find county contact information at Colorado.gov/HCPF/counties.

If you file federal taxes, you do not need to wait until you receive a corrected 1095-B form to file your taxes.
I was enrolled in Health First Colorado, but then I moved out of state. How do I get my 1095-B from Colorado?
If you were enrolled in Health First Colorado (Colorado's Medicaid program) for part or all of the year, your IRS Form 1095-B will be available:
1. Online through your PEAK Account in the Mail Center. Don't have a PEAK Account? Go to Colorado.gov/PEAK, to create one today.
2. Call or visit your local county office of social/human services. Find county contact information at Colorado.gov/HCPF/counties.
3. Send an email to: hcpf_moo_1095request@state.co.us
4. Send a written request to 1570 Grant Street, Denver, CO 80203 ATTN: Eligibility Policy
When making a request through mail or email, provide first and last name, Medicaid number, and current mailing address.
My child was enrolled in Foster Care Health First Colorado. How do I get a copy of his or her 1095-B form?

Call or visit your local county office of social/human services. Find county contact information at Colorado.gov/HCPF/counties. Tell them that a child in your household was enrolled in Foster Care Health First Colorado (Colorado's Medicaid program). If you file federal taxes, you do not need to wait until you receive your child's 1095-B form to file.
Someone in my household passed away during the year. Why did the Department mail me a 1095-B form for him or her?

For tax purposes, federal law requires the Department to send a 1095-B form that includes information about the months during the year that you and/or others in your household were enrolled in Health First Colorado (Colorado's Medicaid program) or Child Health Plan Plus (CHP+). This includes individuals who passed away during the year.

If you have questions about filing taxes for a deceased individual, go to IRS.treasury.gov/freetaxprep, or call 2-1-1 and ask to be connected with a tax assistance site near you.
The coverage months on my 1095-B form are wrong. What should I do?

If you believe that the information on Form 1095-B for you or someone else in your household is wrong, contact your local county office of human/social services. Find county contact information at Colorado.gov/HCPF/Counties.

If you or someone in your family received financial assistance to purchase private health insurance through Connect for Health Colorado during the year, call Connect for Health Colorado at 855-PLANS-4-YOU (855-752-6749) to get a corrected 1095-B form.
There is a mistake on my 1095-B form. What should I do?

If you believe that the information on Form 1095-B for you or someone else in your household is wrong, contact your local county office of human/social services. Find county contact information at Colorado.gov/HCPF/Counties.

If you or someone in your family received financial assistance to purchase private health insurance through Connect for Health Colorado during the year, call Connect for Health Colorado at 855-PLANS-4-YOU (855-752-6749) to get a corrected 1095-B form.
What do I do if I was enrolled in Health First Colorado or Child Health Plan Plus (CHP+) and do not have a 1095-B form available?

Individuals enrolled in certain Health First Colorado programs will not receive IRS Form 1095-B from the Department.

If you were enrolled in Child Health PlanPlus (CHP+) or a Health First Colorado program that is not on the list of exceptions, and you do not receive a 1095-B form in the mail by mid-February, log into your Colorado.gov/PEAK account and check the Mail Center. If there is not a 1095-B form there, contact your local county human services office. Find their contact information at Colorado.gov/HCPF/Counties.

These individuals may still receive IRS Form 1095-B, IRS Form 1095-C, or IRS Form 1095-A from another place, such as Medicare, an employer, or the Connect for Health Colorado marketplace.
What do I need to do with Form 1095-B?

You do not need 1095-B form to file taxes. It is for your records. IRS 1095-B form is your proof of the month(s) during the prior year that you received qualifying health coverage.
What does Form 1095-B look like?

See a sample IRS Form 1095-B.

A copy of the 1095-B forms will be available in your PEAK account in the Mail Center for you or anyone in your household who was enrolled in Child Health PlanPlus (CHP+) or a Health First Colorado program.
What is IRS Form 1095-B: Health Coverage?

Internal Revenue Service (IRS) Form 1095-B is a federal tax document that includes information about the months in the previous year that you and/or others in your household were enrolled in qualifying health care coverage.
When will the Department of Health Care Policy and Financing have IRS Form 1095-B available?

Members will have access to 1095-B forms after January 31^st.
Which Health First Colorado members will not have an IRS Form 1095-B available?
Individuals enrolled in the following programswill not receive IRS Form 1095-B from the Department because these programs do not count as insurance coverage.
- Medicare Savings Programs
  - Qualified Medicare Beneficiary (QMB)
  - Specified Low Income Medicare Beneficiary (SLMB)
  - Qualifying Individual (QI-1)
  - Qualified Disabled and Working Individuals (QDWI)
- Low-Income Subsidy for Medicare prescription drug coverage
- Emergency Health First Colorado (Colorado's Medicaid program) Services
- Old Age Pension-Health Care Program (OAP-HCP)
  Individuals enrolled in Old Age Pension-Health First Colorado will still receive IRS Form 1095-B from the Department.
- Colorado Indigent Care Program (CICP)
  Note: CICP is not health insurance program.
These individuals may still receive IRS Form 1095-B, IRS Form 1095-C, or IRS Form 1095-A from another place such as Medicare, an employer, or the marketplace, Connect for Health Colorado.
Who will have a Form 1095-B available?

Almost all individuals who were enrolled in Health First Colorado (Colorado's Medicaid program), and all individuals who were enrolled in Child Health Plan Plus(CHP+), for even one day during the year will have a 1095-B Form.