File IRS form 1095-A to get highest federal tax return. Learn what to do, how to file, why you got form, what to do if no 1095-A.Form 1095-A is used to report certain information to the IRS about individuals who enroll in a qualified health plan through the Health Insurance Marketplace. General Instructions. Use Form 1095A, Health Insurance Marketplace, to file your federal taxes. You'll get this form from the Marketplace, not the IRS. What do I need to do with my Form 1095-B? If you file a federal income tax return, the information on Form 1095-B may be helpful when you fill out your return. Mecklenburg County administers Medicaid for adults age 65 and over. If eligible, full coverage will pay for most medical needs.