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"Insurance plans that qualify under provisions of the ACA must include coverage of a minimum of 10 categories," says Mac Schneider, retired certified public accountant. What qualifies as minimum essential coverage? Eligible taxpayers who remain without insurance may be required to pay penalties, though there are exemptions for which you may qualify. While you can still choose not to purchase health insurance, that decision may come at a cost, for tax years 2014 through 2018. The Affordable Care Act has brought new options for health care coverage to millions of previously uninsured Americans.