Medicare Blog

why do i pay medicare surtax?

by Travis Willms Published 1 year ago Updated 1 year ago

The takeaway
The Additional Medicare Tax helps fund some of the features of the Affordable Care Act. The regulation has been in place since 2013. Everyone who earns income pays some of that income back into Medicare. The standard Medicare tax is 1.45 percent, or 2.9 percent if you're self-employed.

Full Answer

What is the Medicare surtax and how does it work?

What's the Medicare surtax? The Affordable Care Act of 2010 included a provision for a 3.8% "net investment income tax," also known as the Medicare surtax, to fund Medicare expansion. It applies to taxpayers above a certain modified adjusted gross income (MAGI) threshold who have unearned income including investment income, such as:

Why do I pay Medicare tax?

Why do I pay Medicare tax? : Medicare Insurance Why do I pay Medicare tax? This opens in a new window. Just the essentials... Since the Social Security Administration funds Medicare, taxpayers pay for the program through deductions in their earnings

Do I have to pay Medicare surcharges?

You’ll pay Medicare surcharges as well as premiums for Part B and Part D coverage if your household has more than $176,000 in income combined, or $88,000 if you’re single. Medicare surcharges are also called "Income-Related Monthly Adjustment Amounts" (IRMAA).

Can I make an additional Medicare tax payment on my taxes?

No. An individual cannot designate any estimated payments specifically for Additional Medicare Tax. Any estimated tax payments that an individual makes will apply to any and all tax liabilities on the individual income tax return (Form 1040), including any Additional Medicare Tax liability.

Who is subject to Medicare surtax?

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.

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.

What is the Medicare surtax rate for 2021?

0.9%The additional Medicare tax rate is 0.9%. However, the additional 0.9% only applies to the income above the taxpayer's threshold limit. 9 For example, if you earn $225,000 a year, the first $200,000 is subject to Medicare tax of 1.45%, and the remaining $25,000 is subject to additional Medicare tax of 0.9%.

What does the 3.8 surtax apply to?

The net investment income tax is a 3.8% tax on investment income that typically applies only to high-income taxpayers. 1 It applies to individuals, families, estates, and trusts, but certain income thresholds must be met before the tax takes effect. Net investment income can be capital gains, interest, or dividends.

How do I avoid Medicare surtax?

Despite the complexity of this 3.8% surtax, there are two basic ways to “burp” income to reduce or avoid this tax: 1) reduce income (MAGI) below the threshold, or 2) reduce the amount of NII that is subject to the tax.

Who pays Medicare surtax?

The Medicare tax rate is 2.9% of your income. If you work for an employer, you pay half of it, and your employer pays the other half — 1.45% of your wages each. If you are self-employed, you are responsible for the full 2.9%.

Does the 3.8 Medicare surtax apply to capital gains?

What Types of Income Are Subject to the Medicare Surtax? Income sources like interest, dividends, capital gains, rental income, royalties, and even some other passive investment income will be counted.

Who pays the 3.8 Medicare tax?

The tax applies only to people with relatively high incomes. If you're single, you must pay the tax only if your adjusted gross income (AGI) is over $200,000. Married taxpayers filing jointly must have an AGI over $250,000 to be subject to the tax.

How is Medicare surtax 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. 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%.

Who pays additional Medicare tax 2021?

An employer must withhold Additional Medicare Tax from wages it pays to an individual in excess of $200,000 in a calendar year, without regard to the individual's filing status or wages paid by another employer.

What is the Medicare surtax for 2022?

The 2022 Medicare tax rate is 2.9%. Typically, you're responsible for paying half of this total Medicare tax amount (1.45%) and your employer is responsible for the other 1.45%. Your Medicare tax is deducted automatically from your paychecks.

Does Medicare surtax apply to capital gains?

The 3.8% tax applies to the lesser of either your net investment income or the amount by which your MAGI exceeds $200,000 (or $250,000 for joint filers). That means the NIIT acts as either an extra income tax or an extra capital gains tax.

Is the Medicare tax mandatory?

Generally, if you are employed in the United States, you must pay the Medicare tax regardless of your or your employer’s citizenship or residency s...

Are tips subject to Additional Medicare Tax?

If tips combined with other wages exceed the $200,000 threshold, they are subject to the additional Medicare tax.

Is there a wage base limit for Medicare tax?

The wage base limit is the maximum wage that’s subject to the tax for that year. There is no wage base limit for Medicare tax. All your covered wag...

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.

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 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.

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.

Points to know

The Medicare surtax applies to taxpayers above certain income thresholds.

What's the Medicare surtax?

The Affordable Care Act of 2010 included a provision for a 3.8% "net investment income tax," also known as the Medicare surtax, to fund Medicare expansion.

How is the tax calculated?

If the tax applies to you, you'll need to calculate the following 2 amounts using IRS Form 8960. You'll owe the 3.8% tax on the lesser amount.

How is the Medicare surtax reported?

If you owe the tax, you'll report it on your Form 1040 (and also include Form 8960, as stated above). If you believe you'll be subject to the tax, you may want to make quarterly estimated tax payments to avoid potential penalties. Talk to a tax advisor about your specific situation.

Is there any way to reduce the tax?

You can sell some securities at a loss to offset investment gains if you think you might be subject to the surtax this tax year. And when planning for the future, you can also choose investments that are naturally more tax-efficient.

Get more from Vanguard. Call 1-800-962-5028 to speak with an investment professional

Get more from Vanguard. Call 1-800-962-5028 to speak with an investment professional.

Investor Education

Vanguard funds not held in a brokerage account are held by The Vanguard Group, Inc., and are not protected by SIPC. Brokerage assets are held by Vanguard Brokerage Services, a division of Vanguard Marketing Corporation, member FINRA and SIPC.

What is Medicare tax?

The Additional Medicare Tax applies to wages, railroad retirement (RRTA) compensation, and self-employment income over certain thresholds. Employers are responsible for withholding the tax on wages and RRTA compensation in certain circumstances.

How to calculate Medicare tax?

Step 1. Calculate 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 happens if an employee does not receive enough wages for the employer to withhold all taxes?

If the employee does not receive enough wages for the employer to withhold all the taxes that the employee owes, including Additional Medicare Tax, the employee may give the employer money to pay the rest of the taxes.

How much is F liable for Medicare?

F is liable to pay Additional Medicare Tax on $50,000 of his wages ($175,000 minus the $125,000 threshold for married persons who file separate).

What is the Imputed Cost of Life Insurance?

The imputed cost of coverage in excess of $50,000 is subject to social security and Medicare taxes, and to the extent that, in combination with other wages, it exceeds $200,000, it is also subject to Additional Medicare Tax withholding. However, when group-term life insurance over $50,000 is provided to an employee (including retirees) after his or her termination, the employee share of Social Security and Medicare taxes and Additional Medicare Tax on that period of coverage is paid by the former employee with his or her tax return and is not collected by the employer. In this case, an employer should report this income as wages on Form 941, Employer’s QUARTERLY Federal Tax Return (or the employer’s applicable employment tax return), and make a current period adjustment to reflect any uncollected employee social security, Medicare, or Additional Medicare Tax on group-term life insurance. Uncollected taxes are not reported in boxes 4 and 6 of Form W-2. 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.

Do you have to include fringe benefits in wages?

The value of taxable noncash fringe benefits must be included in wages and the employer must withhold the applicable Additional Medicare Tax and deposit the tax under the rules for employment tax withholding and deposits that apply to taxable noncash fringe benefits.

Can an employer combine wages to determine if you have to withhold Medicare?

No. An employer does not combine wages it pays to two employees to determine whether to withhold Additional Medicare Tax. An employer is required to withhold Additional Medicare Tax only when it pays wages in excess of $200,000 in a calendar year to an employee.

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

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 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.

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 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 percentage of your income is taxable for Medicare?

The current tax rate for Medicare, which is subject to change, is 1.45 percent of your gross taxable income.

What is the Social Security tax rate?

The Social Security rate is 6.2 percent, up to an income limit of $137,000 and the Medicare rate is 1.45 percent, regardless of the amount of income earned. Your employer pays a matching FICA tax. This means that the total FICA paid on your earnings is 12.4 percent for Social Security, up to the earnings limit of $137,000 ...

What is the FICA tax?

Currently, the FICA tax is 7.65 percent of your gross taxable income for both the employee and the employer.

Is Medicare payroll tax deductible?

If you are retired and still working part-time, the Medicare payroll tax will still be deducted from your gross pay. Unlike the Social Security tax which currently stops being a deduction after a person earns $137,000, there is no income limit for the Medicare payroll tax.

How much does Medicare cost for retirees?

That drives monthly healthcare costs higher, but for most people, standard Medicare costs just $148.50 per month. For your Part B premiums, the federal government—thanks in part to your decades of deductions—pays 75% of the cost.

Why did Medicare never reach my pocket?

You watched as somewhere around 15% of your paycheck never reached your pocket, because the federal government took it for Social Security and Medicare payments. 1.

What is MAGI on Social Security?

According to the Social Security Administration, your modified adjusted gross income (MAGI) from two years ago is what counts. This means that benefits for the current period are based on calculations from income earned two years prior. Most poeple's MAGI and adjusted gross income (AGI) will be the same, but if you’re paying student loan interest, ...

How much extra do you pay for a part B?

Paying extra is something you might be able to avoid, but there’s good news hidden in these extra charges. First, here’s how the charges break down: If you’re married and make $176,000 to $222,000 jointly or $88,000 to $111,000 as an individual, you’ll pay an extra $59.40 monthly for Part B and $12.30 extra for Part D.

Will Social Security look at 2019 taxes in 2021?

In 2021, they will look at your 2019 return to determine whether you owe surcharges. 2 This is because the levels are normally set the year prior, while the Social Security Adminsitration only has access to returns from the prior tax year.

Does Medicare cover all of your medical expenses?

Once you reach retirement, you’re a little more accepting of those decades of deductions, because you'll receive full health insurance at next to no cost—especially compared to what you may have paid while you were working. To be fair, Original Medicare alone likely isn’t enough to cover all of your healthcare needs.

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