In 2020, the average Medigap premium was about $138 per month; in 2024, the average total monthly premium for a Part D plan is $55.50. Like other Medicare beneficiaries, Medicare Advantage enrollees additional medicare tax 2020 must pay their Part B premium ($174.70 per month in 2024, with higher amounts for higher-income people). A small number of Medicare Advantage plans pay all or a portion of Part B premiums.

J and K do not combine their wages and RRTA compensation to determine whether they are in excess of the $250,000 threshold for a joint return. J and K are not liable to pay Additional Medicare Tax because J’s wages are not in excess of the $250,000 threshold and K’s RRTA compensation is not in excess of the $250,000 threshold. Reduce the applicable threshold for the filing status by the total amount of Medicare wages received, but not below zero.

F has $160,000 in self-employment income and G has $140,000 in compensation subject to RRTA taxes. The $140,000 of RRTA compensation does not reduce the threshold at which Additional Medicare Tax applies to self-employment income. F and G are not liable to pay Additional Medicare Tax because F’s self-employment income is not in excess of the $250,000 threshold and G’s RRTA compensation is not in excess of the $250,000 threshold. J has $190,000 in wages subject to Medicare tax and K has $150,000 in compensation subject to RRTA taxes.

  1. All employees in the United States are required to pay Medicare tax, regardless of citizenship or residency status.
  2. This is a modest improvement from the projection in the 2021 Medicare Trustees report, when the depletion date was projected to be 2026, based primarily on projections of higher revenues from payroll taxes resulting from higher employment and wage growth.
  3. B’s self-employment income of $100,000 does not exceed the $125,000 threshold, so B does not owe Additional Medicare Tax.
  4. On December 1, you are required to withhold Additional Medicare Tax on $20,000 of the $50,000 bonus.
  5. It’s paid with your quarterly estimated self-employment tax payments.
  6. If you have income from other sources that will put you over that limit, you can request that your employer withhold this amount from your checks.

Unlike the uncollected portion of the regular (1.45%) Medicare tax, an employer may not report the uncollected Additional Medicare Tax in box 12 of Form W-2 with code N. An individual will owe Additional Medicare Tax on wages, compensation and self-employment income (and that of the individual’s spouse if married filing jointly) that exceed the applicable threshold for the individual’s filing status. Medicare wages and self-employment income are combined to determine if income exceeds the threshold.

A person who is self-employed will pay 2.9% standard Medicare tax, and an additional Medicare tax of 0.9%, for a total of 3.8%. The additional Medicare tax of 0.9% applies only to higher wage earners. A Form 1040 return with limited credits is one that’s filed using IRS Form 1040 only (with the exception of the specific covered situations described below). The above article is intended to provide generalized financial information designed to educate a broad segment of the public; it does not give personalized tax, investment, legal, or other business and professional advice. Before taking any action, you should always seek the assistance of a professional who knows your particular situation for advice on taxes, your investments, the law, or any other business and professional matters that affect you and/or your business. With TurboTax Live Full Service, a local expert matched to your unique situation will do your taxes for you start to finish.

Forms & Instructions

This form will reconcile any additional Medicare withholdings you’ve had with what you owe, and you’ll report the amount on IRS Form 1040. It’s payable only as a percentage of the investment portion of income, however, so wage and self-employment income can’t be subject to both taxes. An adjustment can be made on Form 8959 beginning at Line 10 if you’re calculating the Additional Medicare Tax on both self-employment income and wages. This adjustment functions to ensure that the Additional Medicare Tax is calculated only once on wages and only once on self-employment income when they’re combined and exceed the threshold amount. For example, if you’re filing single and your income is $250,000, only $50,000 will be subject to the 0.9% tax. This is because the threshold limit for filing single is $200,000.

“Mismatch” between employer’s withholding obligation and employee’s tax liability

Furthermore, unlike the Social Security tax, there is no cap on the maximum amount of income that can be taxed. The table below shows the difference between being self-employed and working for an employer. The Medicare tax is used to fund approximately 88% of Medicare Part A services for seniors and people with disabilities. These funds are used to pay for current services and also “prepay” your premiums for Part A when you become eligible for Medicare.

For individuals with a salary above these thresholds, the employer withholds the additional 0.9%. If a plan’s bid exceeds the benchmark, the plan can charge a premium for coverage of Part A and Part B benefits, in addition to premiums for supplemental benefits and Part D coverage. Plans that receive rebates can also charge premiums for supplemental benefits and Part D coverage. A 2017 analysis found that Medicare Advantage networks included fewer than half (46%) of all Medicare physicians in a given county, on average. Our Scorecard ranks every state’s health care system based on how well it provides high-quality, accessible, and equitable health care. Look for Medicare wages that are in excess of the threshold amount in Box 5 of Form W-2 if you receive Railroad Retirement Tax Act compensation.

How It’s Calculated

The additional Medicare tax helps also helps lower the cost of Medicare Advantage plans and prescription medications. As part of the Federal Insurance Contributions Act (FICA), the Social Security Administration (SSA) collects payments from taxpayers that go towards funding Medicare. If you are liable for Additional Medicare Tax and/or your employer withheld Additional Medicare Tax from your wages or compensation, you must file Form 8959. K calculates Additional Medicare Tax only on $25,000 in self-employment income (half of K’s total self-employment income). Since $25,000 is below K’s $200,000 threshold, K does not owe Additional Medicare Tax.

Medicare tax is used to fund the Medicare health system in the United States. The tax funds are used for Medicare Part A, which covers hospital insurance for senior citizens and those with disabilities. Part A costs include hospital, hospice, and nursing facility care. Net investment income may include taxable interest, dividends, nonqualified annuities, capital gains, and rental income.

You may not withhold Additional Medicare Tax on the other $30,000. You must also withhold the additional 0.9 percent Medicare tax on any other wages paid to Trevor in December 2022. If you have https://adprun.net/ self-employment income, you file form 8959 if the sum of your self-employment earnings and wages or the RRTA compensation you receive is more than the threshold amount for your filing status.

Who Pays for the Additional Medicare Tax?

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Standard Medicare tax is 1.45% — or 2.9% if you are self-employed. Unlike the additional Medicare tax, there is no base limit on wage, so all wages are subject to standard Medicare tax. The additional Medicare tax was issued by the Internal Revenue Service (IRS) on November 26, 2013. Additional Medicare tax doesn’t apply to everyone, only those whose income surpasses a specific threshold.

Moreover, prospective enrollees may be less apt to compare networks for postacute care services like home health and skilled nursing care that they might not anticipate needing. Over a longer 75-year timeframe, the Medicare Trustees estimate that it would take either an increase of 0.70% of taxable payroll (from 2.9% to 3.6%) or a 15% reduction in benefit payments to bring the Part A trust fund into balance. Spending on benefits under each part of Medicare (A, B, and D) increased in dollar terms between 2011 and 2021, but the distribution of total benefit payments by part has changed over time. The share of total spending on Part A benefits (mainly hospital inpatient services) decreased from 47% to 39%, reflecting a shift from inpatient to outpatient services.