ForwardHealth: IRS 1095-B Tax Form FAQs
IMPORTANT HEALTH COVERAGE TAX DOCUMENTS
The IRS 1095-B tax form provides information about a person’s health care coverage for a specific tax year.
If you received health care coverage through a Wisconsin program last year, you can request a copy of your 1095-B form from the Wisconsin Department of Health Services (DHS). You can:
- Call the Wisconsin 1095-B form assistance line at 866-667-9419.
- Email ForwardHealth Member Services at memberservices@
wisconsin.gov . - Send a request by mail to:
- Member Services 1095-B
313 Blettner Blvd.
Madison, WI 53714
- Member Services 1095-B
- Visit your local county or tribal agency.
FAQs (frequently asked questions)
Review the FAQs below if you have other questions about the 1095-B tax form for programs like Medicaid or BadgerCare Plus.
You need to provide:
- Your full name.
- Your birthdate.
- Your 10-digit ForwardHealth ID number, Social Security number, or case number.
- Your mailing address.
You can only get a copy if you are on the same health care case. You need to provide: Your full name.
- Your child’s or dependent’s full name.
- Their birthdate.
- Their 10-digit ForwardHealth ID number, Social Security number, or case number.
- Your mailing address.
The form includes:
- Your name.
- Your address.
- Your Social Security number (last four digits only).
- Your birthdate (if the Social Security number isn’t available).
- The months (or entire year) you were covered by a Wisconsin health care program that’s considered minimum essential coverage, such as BadgerCare Plus or Medicaid.
If you’ve been covered by a Wisconsin health care program that’s considered minimum essential coverage for at least one month, you can get a form. If you’re enrolled in a program that isn’t considered minimum essential coverage, you won’t have a 1095-B form.
DHS is required to send a copy of your 1095-B form to the IRS but not to you unless you ask for it.
Learn about minimum essential
Call the Wisconsin 1095-B form assistance line at 866-667-9419 or contact your local county or tribal agency.
DHS doesn’t provide these forms. You can learn more about them, or find out how to get one, by visiting these pages:
There is no federal penalty or fine for not having health insurance.
You can contact the IRS or a tax professional for help.
Also, the Volunteer Income Tax Assistance and Tax Counseling for the Elderly programs offer free tax help for those who qualify. You can learn more on the IRS
Call the Wisconsin 1095-B form assistance line at 866-667-9419 or contact your local county or tribal agency.