What About Part C And Part D
Youll pay your Part C or Part D bill directly to the insurance company. Each company has their own preferred methods, and not all companies accept all payment types.
Generally, you should be able to:
- pay online with a debit or credit card
- set up automatic payments
- use your banks automatic bill pay feature
You might also be able to set up a direct deduction for your retirement or disability payments.
You can contact your plan provider to find out what payment options are available. They can also let you know if theres anything you should be aware of with each payment type, such as added fees or time delays.
Is It Better To Withhold Taxes
Remember, one of the big reasons you file a tax return is to calculate the income tax on all of your taxable income for the year and see how much of that tax youve already paid via withholding tax. If it turns out youve overpaid, youll probably get a tax refund. If it turns out youve underpaid, youll have a tax bill to pay.
If you ended up with a huge tax bill this year and dont want another, you can use Form W-4 to increase your tax withholding. Thatll help you owe less next year.
If you got a huge tax refund, consider using Form W-4 to reduce your tax withholding. Youre giving the government a free loan and even worse you might be needlessly living on less of your paycheck all year. It may feel great to get a tax refund from the IRS, but think of how life mightve been last year if youd had that extra money when you needed it for groceries, overdue bills, getting the car fixed, paying off a credit card or investing.
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What Is Additional Medicare Tax
With the passage of the Affordable Care Act , the United States government mandated an additional Medicare tax for high-income earners. Additional Medicare Tax is a surtax applied to wages, railroad retirement compensation, and self-employment income.
Once an employee earns more than the threshold, employers are responsible for withholding additional Medicare tax on those wages. Employers do not have a responsibility to contribute to the additional Medicare tax rate though there are other taxes employers do pay.
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Withholding And Estimated Tax Payments
Will Additional Medicare Tax be withheld from an individual’s wages?
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 individuals filing status or wages paid by another employer. An individual may owe more than the amount withheld by the employer, depending on the individuals filing status, wages, compensation, and self-employment income. In that case, the individual should make estimated tax payments and/or request additional income tax withholding using Form W-4, Employee’s Withholding Certificate.
Will Additional Medicare Tax be withheld from an individuals compensation subject to Railroad Retirement Tax Act taxes?
An employer must withhold Additional Medicare Tax from RRTA compensation it pays to an individual in excess of $200,000 in a calendar year without regard to the individuals filing status or compensation paid by another employer. An individual may owe more than the amount withheld by the employer, depending on the individuals filing status, wages, compensation, and self-employment income. In that case, the individual should make estimated tax payments and/or request additional income tax withholding using Form W-4, Employee’s Withholding Allowance Certificate.
Can I request additional withholding specifically for Additional Medicare Tax?
Will I need to make estimated tax payments for Additional Medicare Tax?
Do I Have To Pay Medicare Tax

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 status. These taxes are deducted from each paycheck, and your employer is required to deduct Medicare taxes even if you do not expect to qualify for Medicare benefits.
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How To Calculate Medicare Tax Withholding
To calculate FICA taxes from an employee’s paycheck, you will need to know:
- The amount of gross pay for the employee for that pay period
- The total year-to-date gross pay for that employee
- The Social Security and Medicare withholding rates for that year
- Any amounts deducted from that employee’s pay for pre-tax retirement plans.
Employers Must Share Fica Payments With Employees
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Every person working in the United States as an employee must have FICA taxes withheld from every paycheck by law. FICA taxes include taxes for both Social Security and Medicare, and it is shared by employees and employers, so half of the tax is deducted from your paychecks when you work as an employee. The other half, an amount equal to the total deducted from employee paychecks, must be paid by your employer.
The following provides a step-by-step guide on how to calculate FICA taxes.
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Example Of How The Additional Medicare Tax Works
Single individuals can have a maximum income of $200,000 before they are subject to the Additional Medicare Tax. Should the cumulative income exceed that amount, they will then be required to pay the Additional Medicare Tax amount .
All wages currently subject to the Medicare Tax are also subject to the Additional Medicare Tax. An individual owes Additional Medicare Tax on all cumulative wages, compensation, and self-employment income that exceeds the threshold for their filing status.
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What Is Medicare Tax Withheld
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.
What percent of gross pay is withheld for Medicare?
- The Medicare withholding rate is gross pay times 1.45 %, with a possible additional 0.9% for highly-paid employees. Your portion as an employer is also 1.45% with no limit, but you dont have to pay the additional 0.9%. For a total of 7.65% withheld, based on the employees gross pay.
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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.
How To Request A Refund
If your employer has withheld Social Security or Medicare taxes in error, follow these steps:
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. For Yale-earned income, contact the Yale international Tax Office.
If your employer is unable to refund these taxes, request a statement outlining their denial of your refund and file Forms 843 and 8316.
If you are unable to receive a refund of these taxes from your employer, you may then file Form 843 and 8316 to request a refund from the IRS. Make sure to include the following:
Print, sign and date form and mail these documents to Internal Revenue Service, Austin, TX 73301-0215. Do not include these documents with your federal income tax return.
Remember to keep copies of what you file each year .
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Why Do I Have To Pay Fica Tax
Employers have to withhold taxes from employee paychecks because taxes are a pay-as-you-go arrangement in the United States. When you earn money, the IRS wants its cut as soon as possible.
Some people are exempt workers, which means they elect not to have federal income tax withheld from their paychecks. Social Security and Medicare taxes will still come out of their checks, though.
Typically, you become exempt from withholding only if two things are true:
-
You got a refund of all your federal income tax withheld last year because you had no tax liability.
-
You expect the same thing to happen this year.
Reporting Fica Tax Withholding

Employers handle FICA tax reporting. Employers must report FICA tax withholding:
- To the employee on each paycheck, including both the withholding amount for the current pay and total amount of FICA tax withheld for the year to date
- To the IRS on Form 941- the Employer’s Quarterly Wage and Tax Report
- On the employee’s W-2 form at the end of the year
Some employees may want to claim an exemption from federal income tax withholding. This exemption has nothing to do with FICA taxes you must still withhold FICA tax from each paycheck for all employees.
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How Does Your Tax Bracket Impact How Much Fica Is Withheld
Your tax bracket doesnt necessarily affect how much money you contribute to FICA. However, youll pay an additional 0.9% of your salary toward Medicare if you earn over
- $200,000 per calendar year or
- $250,000 per calendar year .
This is often called the Additional Medicare Tax or Medicare Surtax. In 2021, its also important to keep in mind that only the first $142,800 of earnings is subject to the Social Security part of the FICA tax.
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What Is The Monthly Premium For Medicare Part B
The standard Medicare Part B premium for medical insurance in 2021 is $148.50.Some people who collect Social Security benefits and have their Part B premiums deducted from their payment will pay less. This is because their Part B premium increased more than the cost-of-living increase for 2021 Social Security benefits. Social Security will send a letter to all people who collect Social Security benefits that states each persons exact Part B premium amount for 2021. Since 2007, higher-income beneficiaries have paid a larger percentage of their Medicare Part B premium than most. Depending on their income, these higher-income beneficiaries will pay premiums that amount to 35, 50, 65, or 80 percent of the total cost of coverage. You can get details at Medicare.gov or by calling 1-800-MEDICARE .
More Information
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An Example Of An Employee Pay Stub
In the case of the employee above, the weekly pay stub would look like this:
Employee Pay Stub |
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You must make deposits with the IRS of the taxes withheld from employee pay for federal income taxes and FICA taxes and the amounts you owe as an employer. Specifically, after each payroll, you must
- Pay the federal income tax withholding from all employees
- Pay the FICA tax withholding from all employees, and
- Pay your half of the FICA tax for all employees.
Depending on the size of your payroll, you must make deposits monthly or semi-weekly.
You must also file a quarterly report on Form 941 showing the amounts you owe and how much you have paid.
If you have many employees or dont have the staff to handle payroll processing, you might want to consider a payroll processing service to handle paychecks, payments to the IRS, and year-end reports on Form W-2.
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Breaking Down The Additional Medicare Tax
The Affordable Care Act enforces high wage earners to pay an extra Medicare payroll tax, or Medicare surtax, of 0.9% on earned income. All U.S. employees have to pay the Medicare tax.No matter the citizenship or residency status, each individual must pay this tax. Single filers with an income of at least $200,000 will need to pay the additional Medicare tax.
This cost will be added to your Social Security and state income taxes.
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How To Calculate Withholding On Form W
Withholding allowances used to correspond with the number of personal exemptions that taxpayers were entitled to claim on their tax returns for themselves, their spouses, and their dependents. But the Tax Cuts and Jobs Act eliminated personal exemptions from the tax code beginning in 2018 through at least 2025. The IRS rolled out a revised Form W-4 beginning with the 2020 tax year to accommodate this tax code change.
The form is much easier to complete than the prior version. It does much of the work for you. It’s largely a matter of answering some questions. The form will provide youor, more accurately, your employerwith the correct amount to be withheld from your pay based on your responses.
What Percentage Of Taxes Are Taken Out
At the time of publication, the employee portion of the Social Security tax is assessed at 6.2 percent of gross wages, while the Medicare tax is assessed at 1.45 percent. Both taxes combine for a total 7.65 percent withholding. Social Security tax withholdings only apply to a base income under $127,200.
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Depositing And Reporting Taxes
To make Medicare tax deposits, follow your depositing schedule, which is either monthly or semi-weekly. Your schedule is determined by your reported tax liability using a four-quarter IRS lookback period.
Use the Electronic Federal Tax Payment System to deposit Medicare taxes, Social Security, and federal income taxes. Make sure your payments are on time. Otherwise, the IRS can charge you penalties if you make late deposits.
How Does It Work

Medicare tax is a two-part tax where you pay a portion as an automatic deduction from your paycheck, and your employer pays the other part. The tax is based on “Medicare taxable wages,” a calculation that uses your gross pay and subtracts pretax health care deductions such as medical insurance, dental, vision or health savings accounts.
Your employer is required to collect the tax, and it sends both the employee and employer version to the IRS through regular electronic deposits.
For example, an individual with an annual salary of $50,000 would have a 1.45% Medicare tax deducted from their paycheck. That’s about $60 each month. The employer would pay an additional $60 each month on their behalf, totaling $120 contributed to Medicare.
Those who are self-employed pay a Medicare tax as a part of the self-employment tax. Rather than being deducted from a paycheck, the money is paid through quarterly estimated tax payments.
The Medicare tax rate has remained unchanged since 1986. But in 2013, an Additional Medicare Tax for high-income earners was implemented as part of the Affordable Care Act.
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Calculating The Withholding And Employer’s Portion Amounts
You simply multiply an employee’s gross wage payment by the applicable tax rate to determine how much you must withhold and how much you must pay in Social Security and regular Medicare taxes.
The Social Security and regular Medicare taxes owed are unaffected by the number of withholding exemptions an employee may have claimed for income tax withholding purposes.
Employers: The Social Security Wage Base Is Increasing In 2022
The Social Security Administration recently announced that the wage base for computing Social Security tax will increase to $147,000 for 2022 . Wages and self-employment income above this threshold arent subject to Social Security tax.
Background information
The Federal Insurance Contributions Act imposes two taxes on employers, employees, and self-employed workers one for Old Age, Survivors and Disability Insurance, which is commonly known as the Social Security tax, and the other for Hospital Insurance, which is commonly known as the Medicare tax.
Theres a maximum amount of compensation subject to the Social Security tax, but no maximum for Medicare tax. For 2022, the FICA tax rate for employers is 7.65% 6.2% for Social Security and 1.45% for Medicare .
2022 updates
For 2022, an employee will pay:
- 6.2% Social Security tax on the first $147,000 of wages , plus
- 1.45% Medicare tax on the first $200,000 of wages , plus
- 2.35% Medicare tax on all wages in excess of $200,000 .
For 2022, the self-employment tax imposed on self-employed people is:
- 12.4% OASDI on the first $147,000 of self-employment income, for a maximum tax of $18,228 plus
- 2.90% Medicare tax on the first $200,000 of self-employment income , plus
- 3.8% on all self-employment income in excess of $200,000 .
More than one employer
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Contact us if you have questions about payroll tax filing or payments. We can help ensure you stay in compliance.
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