Medicare Blog

why is my deduction for medicare medical insurance double from 2018

by Dr. Dedrick Boehm IV Published 1 year ago Updated 1 year ago

In order for you to be able to deduct your medical expenses, you must itemize on your tax return instead of claiming the standard deduction. Itemizing makes sense only for a limited number of taxpayers starting in tax year 2018 because the Tax Cuts and Jobs Act almost doubled the standard deduction for this tax year.

Full Answer

Are Medicare premiums tax deductible?

Medicare premiums are tax deductible. However, you can deduct premiums only once your out-of-pocket medical expenses reach a certain limit. The IRS has set that limit at 7.5 percent of your adjusted gross income (AGI). Your AGI is the money you make after taxes are taken out of each paycheck.

What is the Medicare Part B deductible for 2018?

The annual deductible for all Medicare Part B beneficiaries will be $183 in 2018, the same annual deductible in 2017. Premiums and deductibles for Medicare Advantage and Medicare Prescription Drug plans are already finalized and are unaffected by this announcement.

Are premiums and deductibles for Medicare Advantage and prescription drug plans increased?

Premiums and deductibles for Medicare Advantage and Medicare Prescription Drug plans are already finalized and are unaffected by this announcement. Since 2007, beneficiaries with higher incomes have paid higher Medicare Part B monthly premiums.

What is the Medicare Part A annual inpatient hospital deductible for 2018?

The Medicare Part A annual inpatient hospital deductible that beneficiaries pay when admitted to the hospital will be $1,340 per benefit period in 2018, an increase of $24 from $1,316 in 2017. The Part A deductible covers beneficiaries’ share of costs for the first 60 days of Medicare-covered inpatient hospital care in a benefit period.

Why did my Medicare premium double?

Medicare Part B covers doctor visits, and other outpatient services, such as lab tests and diagnostic screenings. CMS officials gave three reasons for the historically high premium increase: Rising prices to deliver health care to Medicare enrollees and increased use of the health care system.

Why is my Medicare deduction so high?

If you file your taxes as “married, filing jointly” and your MAGI is greater than $182,000, you'll pay higher premiums for your Part B and Medicare prescription drug coverage. If you file your taxes using a different status, and your MAGI is greater than $91,000, you'll pay higher premiums.

Why did my Medicare withholding go up?

The Affordable Care Act expanded the Medicare payroll tax to include the Additional Medicare Tax. This new Medicare tax increase requires higher wage earners to pay an additional tax ( 0.9% ) on earned income. All types of wages currently subject to the Medicare tax may also be subject to the Additional Medicare Tax.

Are Medicare Part B premiums recalculated each year?

Remember, Part B Costs Can Change Every Year The Part B premium is calculated every year. You may see a change in the amount of your Social Security checks or in the premium bills you receive from Medicare. Check the amount you're being charged and follow up with Medicare or the IRS if you have questions.

How do I get my Medicare premium refund?

Call 1-800-MEDICARE (1-800-633-4227) if you think you may be owed a refund on a Medicare premium. Some Medicare Advantage (Medicare Part C) plans reimburse members for the Medicare Part B premium as one of the benefits of the plan. These plans are sometimes called Medicare buy back plans.

What income level triggers higher Medicare premiums?

In 2022, higher premium amounts start when individuals make more than $91,000 per year, and it goes up from there. You'll receive an IRMAA letter in the mail from SSA if it is determined you need to pay a higher premium.

Do I get a refund on Medicare tax withheld?

If your employer has withheld Social Security or Medicare taxes in error, follow these steps: Request a refund from your employer. You must first request a refund of these taxes from your employer. If your employer is able to refund these taxes, no further action is necessary.

At what income do you stop paying Medicare tax?

FICA tax includes a 6.2% Social Security tax and 1.45% Medicare tax on earnings. In 2021, only the first $142,800 of earnings are subject to the Social Security tax ($147,000 in 2022). A 0.9% Medicare tax may apply to earnings over $200,000 for single filers/$250,000 for joint filers.

How much is taken out of your Social Security check for Medicare?

Medicare Part B (medical insurance) premiums are normally deducted from any Social Security or RRB benefits you receive. Your Part B premiums will be automatically deducted from your total benefit check in this case. You'll typically pay the standard Part B premium, which is $170.10 in 2022.

How can I lower my Medicare Part B premium?

To request a reduction of your Medicare premium, contact your local Social Security office to schedule an appointment or fill out form SSA-44 and submit it to the office by mail or in person.

How do I get $144 back from Medicare?

How do I qualify for the giveback?Are enrolled in Part A and Part B.Do not rely on government or other assistance for your Part B premium.Live in the zip code service area of a plan that offers this program.Enroll in an MA plan that provides a giveback benefit.

Why did my Medicare premium increase for 2022?

In November 2021, CMS announced that the Part B standard monthly premium increased from $148.50 in 2021 to $170.10 in 2022. This increase was driven in part by the statutory requirement to prepare for potential expenses, such as spending trends driven by COVID-19 and uncertain pricing and utilization of Aduhelm™.

Can Social Security be reduced?

As far as limits on your earnings are concerned, someone gave you bad information. It is true that your Social Security benefits may be reduced because of outside wage earnings. But any reductions caused by what’s known as Social Security’s earnings test will disappear when you reach your full retirement age.

Does Medicare cover assisted living?

Phil Moeller: Your note says she would lose her Medicare, but I think what’s at stake here is whether she would lose her eligibility for Medicaid. Medicare does not cover assisted living, but Medicaid does. States pay a substantial share of Medicaid expenses and require income and assets tests to qualify.

Can a widow defer their own Social Security?

Under Social Security rules, a person who takes a survivor (widow) benefit can defer their own retirement benefit, allowing it to grow until the age of 70, when it reaches its maximum value. Under Social Security rules, a person who takes a survivor benefit can defer their own retirement benefit.

When did Social Security start being subject to federal income tax?

This changed for the first time with the passage of the 1983 Amendments to the Social Security Act. Beginning in 1984, a portion of Social Security benefits have been subject to federal income taxes.". source: Social Security website. The portion of benefits that was taxable was based upon your overall income.

Did President Johnson want Medicare to be means tested?

President Johnson Didn't Want Medicare To Be Means-Tested. ”President Lyndon Johnson did not want his signature legislative achievement, the 1965 passage of the Medicare program, to be a means-tested (i.e., income-dependent) welfare program. And Johnson’s not the only one.

What is the maximum Part D deductible for 2018?

The maximum Part D deductible for 2018 is $405 per year (though some plans waive the deductible). Also, if your adjusted gross income is over $85,000 (or $170,000 for a couple), you will pay a monthly adjustment amount to Medicare in addition to your monthly premium, as follows:

How much does Medicare pay for a spouse?

Most people don't pay a monthly premium for Medicare Part A (hospital insurance). But if you have to pay for Part A because you or your spouse don't have a long enough work history, you'll pay between $232 (for 30-39 work credits) and $422 (for fewer than 30 work credits). In 2018, you'll also pay a $1,340 deductible for each benefit period in ...

How much is deductible for hospital days 61-90?

Hospital days 61-90: $335 coinsurance per day of each benefit period.

How much does Medicare cost a month?

If you first enroll in Medicare Part B during 2018, or you are not collecting Social Security benefits, your premium will be $134 per month.

How much is the penalty for Medicare Part B?

For Part B, the penalty is 10 percent of your premium (charged on top of the premium rate) for each 12-month period that you didn’t have Part B coverage when you could have. The penalty lasts for as long as you have Part B. Medicare Part B has other costs as well.

How much is Part D deductible for 2017?

In 2017, you can expect the following costs: The Part D deductible is $1,316 per benefit period. Once you meet the deductible, you’ll pay nothing out of pocket for the first 60 days of your stay. For days 61 to 90, you’ll pay $329 per day. For days 91 and beyond, you’ll pay $658 per day.

What is the donut hole in Medicare?

If you have Medicare Part D, then you may face a situation known as the donut hole (or coverage gap). This happens when you hit your plan’s initial coverage limit ($3,750 in 2018) but still need to buy prescriptions. Until you hit the catastrophic coverage limit – i.e., the other side of the “donut” – you’ll be responsible for the full cost of your medications.

How much does Medicare Part B cost?

Medicare Part B covers medical care, including regular trips to the doctor and anything considered “medically necessary” for you. How much you pay for Part B coverage depends on different factors, such as when you enroll and your yearly income. The standard premium in 2017 is $134 a month for new enrollees, but this number actually only applies to about 30 percent of Part B beneficiaries. The remaining majority pay about $109 a month – but this will change in 2018. The standard premium applies to:

What is Medicare Part A?

Medicare Part A is the hospital portion, covering services related to hospital stays, skilled nursing facilities, nursing home care, hospice and home healthcare. Under the Affordable Care Act, Part A alone counts as minimum essential coverage, so if this is all you sign up for, you’ll meet the law’s requirements. Most people don’t pay a premium for Part A because it’s paid for via work-based taxes. If, over the course of your working life, you’ve accumulated 40 quarter credits, then you won’t pay a premium for Part A. This applies to nearly all enrollees, but some do pay a premium as follows:

How much is Medicare premium in 2017?

The standard premium in 2017 is $134 a month for new enrollees, but this number actually only applies to about 30 percent of Part B beneficiaries. The remaining majority pay about $109 a month – but this will change in 2018. The standard premium applies to:

What is the discount for generic drugs?

If you fall into the donut hole, you’ll get a discount on the cost of your prescriptions. In 2018, the discount is: 56 percent for generic medications (you pay 44 percent) 65 percent for brand name drugs (you pay 35 percent)

It could save you money, but not all taxpayers have this option

When you incur big medical costs during the year, these expenditures can be a big hit to your budget. For some taxpayers, these expenses can be partly defrayed by taking a tax deduction for some of the amount spent on care.

Who can deduct medical expenses on 2018 taxes?

For the 2018 tax year, you can deduct only the portion of your medical expenses that exceeds 7.5% of adjusted gross income. For the 2019 tax year, this threshold changes and you can only deduct medical expenses that exceed 10% of adjusted gross income.

You have to itemize to claim the medical expense deduction

In order for you to be able to deduct your medical expenses, you must itemize on your tax return instead of claiming the standard deduction. Itemizing makes sense only for a limited number of taxpayers starting in tax year 2018 because the Tax Cuts and Jobs Act almost doubled the standard deduction for this tax year.

Only certain medical expenses count

It's also important to make sure any medical expenses you are trying to deduct are actually deductible. The IRS has a list of expenses you can deduct including:

Deducting medical expenses could save you money -- under the right circumstances

If your medical expenses exceed 7.5% of income and it makes sense for you to itemize, deductible medical expenses can cut your tax bill. For many taxpayers, though, it simply won't be possible in 2018 either because it makes no sense to itemize or because your expenses don't exceed the threshold to claim the deduction.

Double Deduction for Health Insurance From Last Paycheck

I got terminated/laid off unexpectedly. Usually I get deducted biweekly a set amount for health insurance. I picked up my paycheck which is not the last paycheck as I was let go on the first day of the payroll week. But on this paycheck they deducted the insurance amount twice.

Re: Illegal Deduction?

Your insurance is paid behind! This is if you paid rent after living somewhere a month instead of paying at beginning. When your insurance took efffect company (insurance) had not been paid so they are paid "behind" This sounds legal and even thugh you need the money I doubt there is anything you can do.

Re: Illegal Deduction?

Shouldn't they let the employees know this? Shouldn't it be printed in the handbook about the benefits and how they are paid behind?

Re: Illegal Deduction?

Sorry, but it's not required by law that they even have an employee handbook, let alone that it include an explanation of how the benefit deductions are applied.

Re: Illegal Deduction?

go back through your pay stubs... when was the first deduction taken? what time period did that check cover? and when was the effective date of your insurance coverage?

How much is Medicare Part B in 2021?

Your Part B premiums will be automatically deducted from your total benefit check in this case. You’ll typically pay the standard Part B premium, which is $148.50 in 2021. However, you might have a higher or lower premium amount ...

What is Medicare Part C and Part D?

Medicare Part C and Part D. Medicare Part C (Medicare Advantage) and Medicare Part D (prescription drug coverage) plans are sold by private companies that contract with Medicare. Medicare Advantage plans cover everything that Medicare parts A and B do and often include coverage for extra services.

How many credits do you need to work to get Medicare?

You’re eligible to enroll in Medicare Part A and pay nothing for your premium if you’re age 65 or older and one of these situations applies: You’ve earned at least 40 Social Security work credits. You earn 4 work credits each year you work and pay taxes.

What is the maximum amount you can deduct from your AGI?

The IRS has set that limit at 7.5 percent of your adjusted gross income (AGI). Your AGI is the money you make after taxes are taken out of each paycheck. The IRS allows you to deduct any out-of-pocket healthcare expenses, including premiums, that are more than 7.5 percent of your AGI.

What is the income for Part B in 2021?

Conversely, you’ll pay a higher premium if you have a higher income. In 2021, if you have an individual income of $88,000 or more or joint income of $176,00 or more, you’ll pay more for Part B. This adjusted amount is called an income-related monthly adjustment amount (IRMAA). Both your Part B IRMAA and premium can be automatically taken out ...

Why do people pay less for Part B?

Some people will pay less because the cost increase of the Part B premium is larger than the cost-of-living increase to Social Security benefits. You might also be eligible to receive Part B at a lower cost — or even for free — if you have a limited income.

Can I use my Social Security to pay my Medicare premiums?

Can I use Social Security benefits to pay my Medicare premiums? Your Social Security benefits can be used to pay some of your Medicare premiums . In some cases, your premiums can be automatically deducted If you receive Social Security Disability Insurance (SSDI) or Social Security retirement benefits.

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