
Employees, self-employed individuals, and others must use IRS Form 8959 to calculate their Additional Medicare Tax liability on their individual income tax returns. They should first include the amount of the liability, including wages and tips, then enter their filing status and subtract the amount paid to see if they owe additional tax or if they are eligible for a refund.
How do I report additional Medicare tax on my taxes?
Individuals will calculate Additional Medicare Tax liability on their individual income tax returns (Form 1040),using Form 8959, Additional Medicare Tax. Individuals will also report Additional Medicare Tax withheld by their employers on their individual income tax returns.
What if my employer withholds additional Medicare tax from my paycheck?
If your employer withheld the 0.9% Additional Medicare Tax from your wages or compensation, and you will not meet the threshold based on your filing status, then the amount that was withheld from your wages or compensation may be refundable to you.
How much is my additional Medicare tax bill?
Based on the Additional Medicare Tax law, all income for an individual above $200,000 is subject to an additional 0.9% tax. Therefore, his Additional Medicare Tax bill is $50,722 X 0.9% = $456.
Will I owe net investment income tax on additional Medicare tax?
Wages, other compensation, and self-employment income that are subject to Medicare tax will also be subject to Additional Medicare Tax if in excess of the applicable threshold. Will I also owe net investment income tax on my income that is subject to Additional Medicare Tax? No.

How do I know if I had additional Medicare tax withheld?
In this case, the employer should have reported the amount of Additional Medicare Tax withheld, if any, on the employee's Form W-2 for the prior year. Additional Medicare Tax withholding will be applied against the taxes shown on the employee's individual income tax return (Form 1040 or 1040-SR).
Why do I owe additional Medicare tax?
The Additional Medicare Tax applies to people who make more than a set income level for the year. As of 2013, the IRS requires higher-earning taxpayers to pay more into Medicare. The extra tax was announced as part of the Affordable Care Act and is known as the Additional Medicare Tax.
How much Medicare tax do I owe?
The current tax rate for social security is 6.2% for the employer and 6.2% for the employee, or 12.4% total. The current rate for Medicare is 1.45% for the employer and 1.45% for the employee, or 2.9% total.
Do employers have to pay the additional Medicare tax?
Employers are required to begin withholding Additional Medicare Tax in the pay period in which the employer pays wages in excess of $200,000 to an employee.
Who pays additional Medicare tax?
Employer Responsibilities An employer is responsible for withholding the Additional Medicare Tax from wages or railroad retirement (RRTA) compensation it pays to an employee in excess of $200,000 in a calendar year, without regard to filing status.
How is additional Medicare calculated?
It is paid in addition to the standard Medicare tax. An employee will pay 1.45% standard Medicare tax, plus the 0.9% additional Medicare tax, for a total of 2.35% of their income....What is the additional Medicare tax?StatusTax thresholdmarried tax filers, filing separately$125,0003 more rows•Sep 24, 2020
Can I opt out of paying Medicare tax?
The problem is that you can't opt out of Medicare Part A and continue to receive Social Security retirement benefits. In fact, if you are already receiving Social Security retirement benefits, you'll have to pay back all the benefits you've received so far in order to opt out of Medicare Part A coverage.
Does everyone pay Medicare tax?
Who pays the Medicare tax? Generally, all employees who work in the U.S. must pay the Medicare tax, regardless of the citizenship or residency status of the employee or employer.
Why do they take Medicare out of my paycheck?
If you see a Medicare deduction on your paycheck, it means that your employer is fulfilling its payroll responsibilities. This Medicare Hospital Insurance tax is a required payroll deduction and provides health care to seniors and people with disabilities.
What is the additional Medicare tax?
The Additional Medicare Tax is an extra 0.9 percent tax on top of the standard tax payment for Medicare. The additional tax has been in place since 2013 as a part of the Affordable Care Act and applies to taxpayers who earn over a set income threshold.
How is Medicare tax calculated?
How is the Additional Medicare Tax calculated? Medicare is paid for by taxpayer contributions to the Social Security Administration. Workers pay 1.45 percent of all earnings to the Federal Insurance Contributions Act (FICA). Employers pay another 1.45 percent, for a total of 2.9 percent of your total earnings.
What is the Medicare tax rate?
The standard Medicare tax is 1.45 percent, or 2.9 percent if you’re self-employed. Taxpayers who earn above $200,000, or $250,000 for married couples, will pay an additional 0.9 percent toward Medicare.
What are the benefits of the Affordable Care Act?
Notably, the Affordable Care Act provided some additional benefits to Medicare enrollees, including: lower premiums for Medicare Advantage (Part C) plans. lower prescription drug costs. closure of the Part D benefit gap, or “ donut hole ”.
How much Medicare do self employed people pay in 2021?
The Additional Medicare Tax applies to people who are at predetermined income levels. For the 2021 tax year, those levels are: Single tax filers: $200,000 and above. Married tax filers filing jointly: $250,000 and above.
How much tax do you pay on income above the threshold?
For example, if you’re a single tax filer with an employment income of $250,000, you’d pay the standard 1.45 percent on $200,000 of your income, and then 2.35 percent on the remaining $50,000.
Does RRTA count toward income tax?
Incomes from wages, self-employment, and other compensation, including Railroad Retirement (RRTA) compensation, all count toward the income the IRS measures. If you’re subject to this tax, your employer can withhold it from your paychecks, or you can make estimated payments to the IRS throughout the year.
How to calculate Medicare taxes?
If you receive both Medicare wages and self-employment income, calculate the Additional Medicare Tax by: 1 Calculating the Additional Medicare Tax on any Medicare wages in excess of the applicable threshold for the taxpayer's filing status, without regard to whether any tax was withheld; 2 Reducing the applicable threshold for the filing status by the total amount of Medicare wages received (but not below zero); and 3 Calculating the Additional Medicare Tax on any self-employment income in excess of the reduced threshold.
What form do you need to request an additional amount of income tax withholding?
Some taxpayers may need to request that their employer withhold an additional amount of income tax withholding on Form W-4, Employee’s Withholding Certificate, or make estimated tax payments to account for their Additional Medicare Tax liability.
What is the responsibility of an employer for Medicare?
Employer Responsibilities. An employer is responsible for withholding the Additional Medicare Tax from wages or railroad retirement (RRTA) compensation it pays to an employee in excess of $200,000 in a calendar year, without regard to filing status. An employer must begin withholding Additional Medicare Tax in the pay period in which ...
Can non-resident aliens file Medicare?
There are no special rules for nonresident aliens or U.S. citizens and resident aliens living abroad for purposes of this provision. Medicare wages, railroad retirement (RRTA) compensation, and self-employment income earned by such individuals will also be subject to Additional Medicare Tax, if in excess of the applicable threshold for their filing status.
Is railroad retirement subject to Medicare?
All Medicare wages, railroad retirement (RRTA) compensation, and self-employment income subject to Medicare Tax are subject to Additional Medicare Tax, if paid in excess of the applicable threshold for the taxpayer's filing status. For more information on ...
What is additional Medicare tax?
The requirement is based on the amount of Medicare wages and net self-employment income a taxpayer earns that exceeds a threshold based on filing status.
How to calculate Medicare tax?
Step 1: Calculate the Additional Medicare Tax on any wages in excess of the applicable threshold for the filing status, without regard to whether any tax was withheld. Step 2: Reduce the applicable threshold for the filing status by the total amount of Medicare wages received, but not below zero.
What is Medicare surtax?
The Net Investment Income Tax, also referred to as the "Unearned Income Medicare Contribution Tax," is another surtax that's imposed at 3.8% when investment income, combined with other income, surpasses the same thresholds that apply to the Additional Medicare Tax. 6
What line is Medicare adjustment on 8959?
An adjustment can be made on Form 8959 beginning at line 10, if you're calculating the AMT 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.
How much does Barney and Betty owe in Medicare?
Barney earned $75,000 in Medicare wages, and Betty earned $200,000 in Medicare wages, so their combined total wages are $275,000. Barney and Betty will owe the Additional Medicare Tax on the amount by which their combined wages exceed $250,000, the threshold amount for married couples filing jointly.
What is the Medicare tax threshold?
The Additional Medicare Tax applies when a taxpayer's wages from all jobs exceed the threshold amount, and employers are required to withhold Additional Medicare Tax on Medicare wages in excess of $200,000 that they pay to an employee. The same threshold applies to everyone regardless of filing status.
How much Medicare does Albert owe?
His excess amount is $25,000, or $225,000 less $200,000. Albert's Additional Medicare Tax is therefore $225, or 0.9% of $25,000.
What is the extra tax on Medicare?
Under the Affordable Care Act, taxpayers who earn above a set income level (depending on filing status) pay 0.9% more into Medicare on top of the regular contribution. This extra tax is called the Additional Medicare Tax.
What is the threshold for Medicare tax?
What is the Income Threshold for Additional Medicare Tax? If you are a high earner, you are subject to the 0.9% additional Medica re tax on earned income in excess of the threshold amount . The threshold amounts are based on your filing status: Single, head of household, or qualifying widow (er) — $200,000.
How much does my spouse pay in Medicare?
Your spouse earns $10,000. Since your joint earned income ($235,000) isn’t more than $250,000, you won’t owe Additional Medicare Tax. However, your employer will still withhold the tax from your paycheck on wages over $200,000.
When does Medicare start withholding?
Your filing status isn’t important for this. Withholding starts when your wages and other compensation are more than $200,000 for the year.
Why don't people pay for Medicare?
Most people don’t pay for Medicare Part A (hospital insurance) because its funded by taxpayer contributions to the Social Security Administration. Employees pay 1.45% of their earnings, employers pay another 1.45%, and self-employed individuals pay the full 2.9% on their own.
Does Medicare tax withheld from paycheck?
Any tax withheld from your paycheck that you’re not liable for will be applied against your taxes on your income tax return. If you earn $200,000 or less, your employer will not withhold any of the additional Medicare tax. This could happen even if you’re liable for the tax.
What is the Medicare tax rate?
The Medicare tax rate is 2.9% of the employee's taxable wages, with 1.45% paid by the employee and 1.45% paid by the employer. The Additional Medicare Tax rate is 0.9% for the employee only. The employer doesn't have to pay this additional tax. 1.
What happens if an employee's withholding is miscalculated?
If an employee's withholding is miscalculated and they are owed a refund, the employee must request the refund directly from the IRS. Don't attempt to give the employee a refund or adjust the employee's withholding on a miscalculation of federal income tax or FICA tax.
Is fringe benefit taxable?
Some wages and fringe benefits are taxable to the employee for income tax purposes , but some wages may not be taxable to the employee for Social Security and Medicare taxes, including the Additional Medicare Tax. You must exclude the wages not subject to Social Security and Medicare taxes when you calculate the wages subject to ...
Is there regular withholding for self employment?
There is no regular withholding for self-employment tax, so if you expect that your income might be above the levels above, you may need to increase your estimated tax payments to account for the additional Medicare tax. 2.
Do you have to exclude wages from Medicare?
You must exclude the wages not subject to Social Security and Medicare taxes when you calculate the wages subject to the Additional Medicare Tax as you work on payroll. IRS Publication 15-B Employer's Tax Guide to Fringe Benefits has a list of wages that are exempt from Social Security and Medicare taxes.
Does Medicare tax self employed?
The new Medicare tax also affects self-employed individuals who earn over a specific amount. If you are both an employee and self-employed, all sources of earned income (as opposed to investment income) are combined to reach the levels where the Additional Medicare Tax is applicable.
What is Medicare tax?
The standard Medicare tax applies to all earned income, with no minimum income limit.
How much Medicare tax do self employed people pay?
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%. Employers do not have to contribute any amounts through the additional Medicare tax. A person is liable for the additional Medicare tax after their total income goes above the threshold for their filing status.
How much Medicare tax is on 80,000?
They would be liable for the additional Medicare tax only on $80,000, which is the amount in excess of $250,000. The total Medicare tax payment would be 1.45% or $3,625 on the $250,000, plus 2.35% or $1,880 on the $80,000, totalling $5,505 in Medicare taxes for the year.
What is the threshold for Medicare 2020?
The 2020 tax year thresholds are as follows: Status. Tax threshold. single , head of household, or a qualifying widow (er) $200,000. married tax filers, filing jointly.
How much is Medicare for married couples?
The limit is $250,000 for married couples. This article explains the Medicare standard tax and the Medicare additional tax. It also looks at who pays the additional tax, how the IRS calculates it, and how the government uses the money.
What is the donut hole in Medicare?
With the Affordable Care Act, a person enrolled in Medicare no longer had to worry about the Medicare Part D coverage gap, also known as the donut hole. The Affordable Care Act also expanded Medicare Part B preventive services to include: abdominal aortic aneurysm and cardiovascular disease screenings.
Do higher earners have to pay more for Medicare?
In 2013, the IRS announced that some higher-earning taxpayers would have to pay more money into Medicare through the additional Medicare tax, as part of the Affordable Care Act.
