 [ Symptoms ] do i have to get obamacare if i am on a sliding scale with the county for medicaldental coverage [ Disease ] it sounds like you have been able to receive low cost care through a community based health clinic if you are income is low enough you will likely be exempt from a tax penalty if you choose not to buy insurance anyone who can not find a plan costing less than 8 of their annual income need not buy coverage but you would do yourself a favor by going online to healthcare gov or talking with someone at the clinic about your insurance options just to check out what is available to you there is a very good chance you will qualify for either a subsidy to help you buy affordable insurance or for medicaid if your income is low enough and you live in a state expanding its program