HCTC: Request Reimbursement
This page explains when, and how, to request reimbursement for premiums you paid while you were eligible and enrolling in the Monthly HCTC.
Important: Due to the anticipated length of time to process reimbursement requests, taxpayers are strongly encouraged to claim this amount through the Yearly HCTC by filing Form 8885, Health Coverage Tax Credit, with their federal income tax return. Visit the Yearly HCTC page for more information.
Reimbursement Request Overview
You can request reimbursement for qualified health insurance premiums you paid, while you were eligible and enrolling in the monthly HCTC program. Approved reimbursements will be returned to you by check. For each month you are requesting reimbursement, you must confirm that you 1) met all eligibility requirements for the HCTC, and 2) made payments directly to a qualified health plan.
- For PBGC payees: Eligibility begins the month after the date printed on your HCTC Eligibility Certificate (sent with the HCTC Eligibility Kit).
- For TAA, ATAA, and RTAA recipients: Eligibility begins the month of the date printed on your HCTC Eligibility Certificate (sent with the HCTC Eligibility Kit).
- For qualified family members: If you are registering due to Medicare enrollment, a divorce, or the passing of your family member, eligibility begins with the month of Medicare enrollment, the month in which the divorce was finalized, or the month your family member passed away.
To submit a reimbursement request, read the information below then complete the Reimbursement Request Form.
It is Important to Read the Following Information before Requesting Reimbursement:
- If you were eligible for the HCTC and paid for qualified coverage prior to the date on your HCTC Eligibility Certificate, you cannot request reimbursement using the Reimbursement Request Form, however, you may be able to claim the HCTC when you file your federal income tax return using Form 8885.
- Reimbursement requests can only be made for the current tax year. If you were eligible, and paid for qualified coverage last year, you would need to claim this amount when you file your federal income tax return using Form 8885. If you have already filed your federal income tax return, you can amend your tax return for that year.
- For each month that you are requesting reimbursement, you must complete the following steps (please see the Reimbursement Request Form for more details):
- Verify that you were eligible for the HCTC and made payments to a qualified health plan.
- Provide supporting documents that show proof of the payments you made to your health plan.
- Provide additional supporting documents if the health plan for which you are requesting reimbursement differs from the qualified health plan listed in your Monthly HCTC Registration Form.
- Before submitting your reimbursement request, you must be an active monthly HCTC participant and received your first HCTC invoice.
- If your request is approved, the reimbursement will be returned to you by check. If your request is not approved, the HCTC Program will send a letter which explains why your request was denied.
- Send your completed form and required supporting documents to the following address:
HCTC Processing Center
P.O. Box 760189
San Antonio, TX 78245
Frequently Asked Questions regarding Reimbursement Requests:
How long will it take to process my reimbursement request?
It could take several months to process your reimbursement request. Therefore, you are strongly encouraged to claim your credit through the Yearly HCTC by filing Form 8885 with your federal income tax return.
Why do I have to submit so many supporting documents in addition to what I already submitted for my monthly HCTC registration?
The HCTC Program is required to confirm your HCTC eligibility, qualified health plan information, and payment information for each month for which you are submitting a reimbursement request.
How much will I be reimbursed for each month?
Once your request is approved, the reimbursement will be returned to you by check. You will be reimbursed for 72.5% of your qualified health insurance premiums.