 [ Symptoms ] how much tax will i have to pay if i do not want to buy health insurance under the affordable care act [ Disease ] if you choose not to buy health insurance you will owe an additional amount on your taxes in 2014 the fee will be 95 per adult and 47 50 per child up to 285 per family or 1 of family income whichever is greater those fees more than triple in 2015 and by 2016 adults who do not buy insurance will owe 695 and 347 50 per child up to 2 085 per family or 2 5 of family income whichever is greater