
No, Medicare taxes withheld from your W-2 wages are not considered medical insurance premiums - they are taxes. If you are receiving Medicare benefits, however, Part B, C and D premiums are deductible medical insurance premiums.
Do Medicare premiums count as medical expenses on a tax return?
So you don’t have to be self-employed to itemize your deductions, including medical expenses – and your Medicare premiums count as medical expenses if you’re itemizing. But if you’re using the itemized deduction approach, you can only deduct medical expenses that exceed a certain amount, as explained below.
Are Medicare Part D premiums tax deductible?
As with Parts B and C, you can deduct your Part D premiums if you meet the income rules. Medicare Supplement insurance (Medigap). Medigap premiums can also be tax deductible. For 2020 you can deduct medical expenses only if you itemize deductions and only to the extent that total qualifying expenses exceeded 7.5% of AGI (adjusted gross income).
Are Medicare supplement insurance premiums tax deductible?
Medicare Supplement insurance (Medigap). Medigap premiums can also be tax deductible. For 2020 you can deduct medical expenses only if you itemize deductions and only to the extent that total qualifying expenses exceeded 7.5% of AGI (adjusted gross income). Do You Itemize Deductions?
Can I deduct medical expenses from my taxes?
Deducting medical expenses can be difficult, because of the required AGI floor of 7.5%. But there are some medical expenses that are deductible even if you don’t qualify for deducting medical expenses as an itemized deduction. Deducting these expenses lowers your taxable income, cutting your taxes.

Do Medicare premiums reduce taxable income?
Your monthly Medicare premiums are tax deductible. When you add them as an itemized healthcare deduction, you reduce your taxable income.
Are Medicare premiums tax deductible in 2021?
If you are itemizing your taxes because your annual medical costs exceeded 7.5% of your adjusted gross income, you can add your Medicare premiums a...
Can you deduct Medicare premiums from Social Security?
If you are enrolled in both Social Security and Part B Medicare, the Social Security Administration automatically deducts your Medicare premium fro...
Are Medicare Part B premiums deductible?
Yes, you can deduct your Medicare Part B premiums. However, it typically requires you to itemize your deductions instead of opting for the standard...
What insurance premiums are tax deductible?
Premiums for health insurance purchased through Medicare, Marketplace or COBRA are all tax deductible because they are all paid on an after-tax bas...
Self-employed health insurance deduction for Medicare premiums
Self-employed people (who earn a profit from their self-employment) are allowed to deduct their health insurance premiums on Schedule 1 of the 1040, as an “above the line” deduction — which means it lowers their AGI.
Above-the-line deduction for people who are self-employed
If you’re self-employed, the self-employed health insurance deduction — putting your Medicare premiums on Schedule 1 of your 1040 — is the most direct way to reduce your tax burden. And as noted above, this is an “above-the-line” deduction, which means it reduces your adjusted gross income.
Additional considerations
So, let’s review: You’re self-employed, your business made money (congratulations!), and you’re ready to file. Here are few more things to remember before you get started.
Another alternative: Using your HSA funds to pay Medicare premiums
If you have a health savings account (HSA) , know that you can withdraw tax-free money from the account and use it to pay your premiums for Medicare Parts A, B, C, and D (but not Medigap premiums). This is an alternative to deducting your premiums on your tax return, since you can’t do both.
What is Medicare contribution tax?
A Medicare contribution tax of 3.8% now additionally applies to "unearned income"—that which is received from investments, such as interest or dividends, rather than from wages or salaries paid in compensation for labor or self-employment income. This tax is called the Net Investment Income Tax (NIIT). 7 .
How much is Medicare Hospital Insurance tax?
Unlike the Social Security tax—the other component of the Federal Insurance Contributions Act, or FICA, taxes—all of your wages and business earnings are subject to at least the 2.9% Medicare Hospital Insurance program tax. Social Security has an annual wage limit, so you pay the tax only on income ...
What is the Medicare tax rate for 2020?
Updated December 07, 2020. The U.S. government imposes a flat rate Medicare tax of 2.9% on all wages received by employees, as well as on business or farming income earned by self-employed individuals. "Flat rate" means that everyone pays that same 2.9% regardless of how much they earn. But there are two other Medicare taxes ...
When was Medicare tax added?
The Additional Medicare Tax (AMT) was added by the Affordable Care Act (ACA) in November 2013. The ACA increased the Medicare tax by an additional 0.9% for taxpayers whose incomes are over a certain threshold based on their filing status. Those affected pay a total Medicare tax of 3.8%.
How much is Social Security taxed in 2021?
Social Security has an annual wage limit, so you pay the tax only on income above a certain amount: $137,700 annually as of 2020 and $142,800 in 2021. 5 . Half the Medicare tax is paid by employees through payroll deductions, and half is paid by their employers. In other words, 1.45% comes out of your pay and your employer then matches that, ...
When did Medicare start?
The Medicare program and its corresponding tax have been around since President Lyndon Johnson signed the Social Security Act into law in 1965 . 2 The flat rate was a mere 0.7% at that time. The program was initially divided up into Part A for hospital insurance and Part B for medical insurance.
Can an employer withhold AMT?
Any shortfall to withholding must be paid by the taxpayer at tax time. Employers can be subject to penalties and interest for not withholding the AMT, even if the oversight was due to understandable circumstances.
