What Is Fica Tax
Medicare tax falls under a larger payroll tax called the Federal Insurance Contributions Act tax. So those automatic deductions from your paycheck for Medicare, along with the Social Security tax, make up the FICA tax.
Just like your Medicare taxes, Social Security taxes are based on gross earnings , and you and your employer will split the total contribution down the middle. While the Medicare tax is 1.45% for each of you, the Social Security tax is 6.2% apiece .4
That brings your total FICA tax to 7.65%. And, of course, if you cross any of those high-dollar income thresholds, add 0.9% for Additional Medicare tax. Heres what this looks like.
Where Social Security Taxes Go
The bulk of the FICA tax revenue goes to funding the U.S. government’s Social Security trusts. These trusts are solely designated to fund the programs administered by the Social Security Administration, including:
- Retirement benefits
- Survivor benefits
- Disability benefits
The Social Security tax revenue that’s collected from wage earners and employers is placed into these trusts, which in turn fund the monthly benefits to these individuals:
- Retirees and their spouses who have qualified for Social Security
- Surviving spouses and minor children of workers who have died
- Workers with disabilities
Costs associated with administering the plan also come directly from these trusts, but they’re minimal: Less than one cent out of every dollar collected pays for administrative costs, according to the Social Security Administration.
Do Children Under 18 Have To Pay Social Security
Children under 18 who work for their parents in a family-owned business also do not have to pay Social Security taxes. Likewise, people under 21 who work as housekeepers, babysitters, gardeners or perform similar domestic work are exempt from this tax. 3) Employees of Foreign Governments and Nonresident Aliens.
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What Is The Medicare Tax Used For
The Medicare tax pays for Medicare Part A, providing health insurance for those age 65 and older and people with disabilities or certain medical issues. Medicare Part A, also known as hospital insurance, covers health care costs such as inpatient hospital stays, skilled nursing care, hospice and some home health services.
The tax collected for Medicare accounts for 88% of the total revenue for Medicare Part A.
Total revenue for Medicare Part A
- Medicare payroll tax: 88%
- Other funding from taxes, premiums, transfers and interest: 12%
All revenue for Medicare Part A goes into the Hospital Insurance trust fund, which is slowly being depleted because the expenses for associated health services have generally been higher than the fund’s annual revenue. In 2021, the Congressional Budget Office projected the trust fund will be fully depleted by 2026.
Imposition Of Tax On Wages And Other Compensation

Beginning in 2013, the employee portion of the Medicare tax is increased from 1.45% to 2.35% on wages received in a calendar year in excess of $200,000 ). Employers must withhold and remit the increased employee portion of the Medicare tax for each employee whose wages for Medicare tax purposes from the employer are over $200,000 ).
All wages subject to the 1.45% Medicare tax, including taxable noncash fringe benefits and nonqualified deferred compensation, are subject to the 0.9% additional Medicare withholding tax and are taken into account in determining the $200,000 threshold for withholding purposes .
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Fica Tax Rates And The Benefits They Fund
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Most W-2 employees’ pay stubs detail the taxes and deductions that are taken from their gross pay. You’ll almost certainly see two items among these deductions, in addition to federal and state or local income taxes: Social Security and Medicare taxes. These taxes are part of the Federal Insurance Contributions Act tax, a group of payroll taxes that are collected from both the employer and the employee.
An Additional Medicare Tax can be deducted from some employees pay as well. After federal and state income taxes, Social Security and Medicare, or FICA taxes, make up the bulk of taxes that are routinely withheld from your paychecks.
Are Any Pre Tax Deductions That Reduce Fica And Medicare
Cafeteria Plans are pre tax deductions that reduce FICA and Medicare. Cafeteria Plan means a written plan under which all participants are employees and the participants may choose among 2 or more benefits consisting of cash and qualified benefits. Benefits are group term life insurance, health insurance.
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What Is Medicare Tax Definitions Rates And Calculations
Find Cheap Medicare Plans in Your Area
Medicare tax is deducted automatically from your paycheck to pay for Medicare Part A, which provides hospital insurance to seniors and people with disabilities. The total tax amount is split between employers and employees, each paying 1.45% of the employee’s income. High-income earners pay a slightly higher percentage and those who are self-employed pay the tax with their quarterly filings.
What If Employees Owe More Or Less Than You Withhold
You may have employees who owe more or less in additional Medicare tax than what youve withheld from their wages. There are several different reasons this may occur. For example, the employee may file separately, which means they owe additional Medicare tax on wages over $125,000. But, you wont start withholding the tax until the employees wages are more than $200,000.
To correct the problem, your employees must take specific steps.
Your employee owes more
What if an employee owes more than the amount withheld because of their filing status, wages, compensation, or self-employment income?
If an employee is under the threshold based on the wages they earn with you but has other sources of income , they may need to make estimated tax payments.
Your employee owes less
Theres a chance that an employee will appear to meet a requirement for additional Medicare tax, but in actuality, they do not.
If you withhold the Additional Medicare tax from an employee who doesnt actually meet the threshold, they can claim a credit by using Form 1040 or 1040 SR.
For example, an employee meets the threshold of $200,000 to automatically qualify for Additional Medicare tax. But the employee is married, files jointly with their spouse, and their combined wages dont meet the $250,000 threshold for married filing jointly. In this case, the employee cannot ask you to stop withholding Additional Medicare tax. The employee must claim a credit using their appropriate Form 1040 or 1040 SR.
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What Does It Mean To Pay Medicare Tax
The Medicare tax is a payroll tax that applies to all earned income and supports your health coverage when you become eligible for Medicare. There is no minimum income limit, and all individuals who work in the United States must pay the Medicare tax on their earnings.
Example Of How The Additional Medicare Tax Works
Single individuals can have a maximum income of } 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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Who Can File For A Refund
In addition to nonresident federal tax filers, you are also not subject to Social Security or Medicare tax withholding on your wages if:
- you have on-campus employment, or
- you are authorized for Curricular Practical Training or Optional Practical Training , or
- you are authorized for employment due to Economic Hardship
If these taxes were withheld from your paycheck in error, you will need to request a refund. See the section below for more information.
When Did Social Security Start Being Taxed

The history behind the taxation of Social Security benefits. The path to taxing Social Security benefits begins all the way back in the 1970s. When the 1970s began, Social Security’s trust fund ratio — a measure of a year’s projected costs that could be paid with funds available at the beginning of the year — stood at a relatively healthy 103%.
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Payroll Taxes Fund Social Security Medicare And Unemployment Insurance
The two main federal payroll taxes levied on wages are known as Federal Insurance Contributions Act taxes. Employees and employers both pay FICA taxes: employees usually have them withheld from their paychecks, while employers pay them in addition to any other taxes they owe. However, most economists agree that employees bear the cost of employer payroll taxes in the form of lower wages. The two FICA taxes are:
- the Social Security tax, also known as the Old-Age, Survivors, and Disability Insurance tax. It is levied at a rate of 12.4 percent up to a maximum amount of an employees wages . This wage cap is adjusted annually to take account of increases in average wages. In addition, certain compensation, such as employer-provided health insurance and some other fringe benefits, are not subject to the payroll tax. The revenues go toward funding Social Security, which pays benefits to retirees, persons with disabilities, and survivors of deceased workers. For options to boost Social Securitys payroll tax revenues, see Increasing Payroll Taxes Would Strengthen Social Security.
- the Medicare tax, also known as the Medicare Hospital Insurance tax. It is levied at a rate of 2.9 percent of wages unlike the Social Security tax, there is no wage cap. Married filers earnings over $250,000 are taxed at an additional 0.9 percent, for a total of 3.8 percent on this income. Revenues from the Medicare tax support the hospital insurance portion of Medicare.
Does Everyone On Medicare Have To Pay This Tax
While everyone pays some taxes toward Medicare, youll only pay the additional tax if youre at or above the income limits. If you earn less than those limits, you wont be required to pay any additional tax. If your income is right around the limit, you might be able to avoid the tax by using allowed pre-tax deductions, such as:
- flexible spending accounts
- health savings accounts
- retirement accounts
But youll still need to pay the standard 1.45 percent. There is no income limit on the standard Medicare tax amount.
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Exemption From Social Security Or Medicare Taxes
Under certain circumstances, New York City employees may be exempt from Social Security and/or Medicare taxes. If you fall into one of the following categories, you may be exempt from Social Security or Medicare taxes:
- Not a pension member and contribute at least 7.5% or more to a single defined contribution plan, such as the Deferred Compensation 401 or 457 plans, or a 403 Tax Deferred Annuity . Get more information about Social Security & Medicare Tax Exemptions for Non-Members of Pension Plans.
- City pension plan member in 1957 electing not to have Social Security
- Half time CUNY student working at CUNY
- Non-resident student or teacher admitted to the US under certain visas
- Foster Grandparent working for the Department of Aging
- Election Inspector/Worker earning less than $2,000 from the Board of Elections in 2021
- Beneficiary of a deceased employee receiving payment after the calendar year of the employee’s death
- Temporary emergency relief employee.
Learn more about Social Security & Medicare Tax Exemptions for Other NYC Employees.
The Social Security Protection Act of 2004 requires newly hired public employees to sign a “Statement Concerning Your Employment in a Job Not Covered by Social Security”. Form SSA-1495 explains the potential effects of two provisions in the Social Security law on workers whose earnings are not covered under Social Security.
Medicare Premium Assistance: What Options Are Available
The Centers for Medicare and Medicaid Services provide assistance with premium payments. Medicaid operates four types of Medicare Savings Programs:
- Qualified Medicare Beneficiary
- Qualified Disabled and Working Individual
Most of the help you can get to pay premiums are available through these programs.
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Social Security Tax / Medicare Tax And Self
If you work as an employee in the United States, you must pay social security and Medicare taxes in most cases. Your payments of these taxes contribute to your coverage under the U.S. social security system. Your employer deducts these taxes from each wage payment. Your employer must deduct these taxes even if you do not expect to qualify for social security or Medicare benefits.
In general, U.S. social security and Medicare taxes apply to payments of wages for services performed as an employee in the United States, regardless of the citizenship or residence of either the employee or the employer. In limited situations, these taxes apply to wages for services performed outside the United States. Your employer should be able to tell you if social security and Medicare taxes apply to your wages. You cannot make voluntary social security payments if no taxes are due.
What Is The Medicare Tax
6 Min Read | Oct 25, 2022
Remember in the old days, you know, like 15 years ago, when you received a paper check on payday? Along with your paper check there was a stub that broke down all the taxes and other automatic withdrawals that came out. Of course, all that information still exists today, its just online now. And for a lot of folks that means out of sight, out of mind.
But its always a smart idea to keep tabs on your money. And one of the main taxes youll see taken out of your paycheck is the Medicare tax. Everyone in the U.S. has to pay Medicare tax on their earnings, no matter who you are or who you work for. Lets take a closer look.
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What Is Form 8: Additional Medicare Tax
OVERVIEW
Starting with the 2013 tax year, you may be subject to an additional 0.9 percent Medicare tax on wages that exceed a certain threshold. The Additional Medicare Tax is charged separately from, and in addition to, the Medicare taxes you likely pay on most of your earnings. The tax applies to wages from employment, self-employment income and railroad retirement income, but if you are receiving W-2 income, the tax will most likely be withheld from your wages. Either way, anyone subject to the tax is required to file Form 8959 with their annual income tax filing.
Why Do I Pay Fica And Social Security

FICA is a U.S. federal payroll tax. It stands for the Federal Insurance Contributions Act and is deducted from each paycheck. Your nine-digit number helps Social Security accurately record your covered wages or self- employment. As you work and pay FICA taxes, you earn credits for Social Security benefits.
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What Is The Medicare Late Enrollment Penalty
You may owe the late enrollment penalty for Part A, Part B, or Part D or all three. How much you owe and how its calculated depends on the part and how long you went without Medicare coverage.
Very few people pay the Medicare Part A late enrollment penalty, because nearly everyone gets premium-free Part A. But, if you delayed enrollment for a full 12 months AND you dont get premium-free Part A, you may owe the penalty.
The Part A late penalty is 10 percent of your premium for twice the number of years you could have had Part A but didnt. So, if you delay for 12 full months, you pay the penalty for 2 years. A 24-month delay leaves you owing the late fee for 4 years, and so on.
The Medicare Part B late enrollment penalty is also calculated in 12-month increments. However, you owe the late fee for the entire time you have Medicare. In addition, every year you delay enrollment adds another 10 percent to your late fee. In this case, that means 12 months equals 10 percent, 24 months equals 20 percent, and so on.
Part Ds late fee is different, since you can only go 63 days without creditable prescription drug coverage before you begin accruing the penalty. Creditable means that your prescription drug plan is comparable to Medicare in terms of both costs and coverage. That means that prescription savings clubs do not qualify as .
Like Part B, you owe the Part D late enrollment penalty for the entire time you have Medicare.
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What Does Medicare Tax Mean
Medicare tax is a federal payroll tax that pays for a portion of Medicare.
Because of the $284 billion paid in Medicare taxes each year, about 63 million seniors and people with disabilities have access to hospital care, skilled nursing and hospice.
Generally, all U.S.-based workers must pay Medicare tax on their wages. The tax is grouped together under the Federal Insurance Contributions Act . When looking at your paycheck, you may see the Medicare tax combined with the Social Security tax as a single deduction for FICA.
The Medicare tax was established in 1966 to solve a health care problem: For many seniors, income declines and health care needs increase after retirement. But before Medicare, the cost of insurance got too high to manage, and some retirees’ policies were canceled due to their age.
The Medicare program has many components, but a key change at the time was the working population would pay a new Medicare tax to support Medicare hospital insurance.
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