The Medicare tax is a federal tax imposed on income-earning individuals in the United States. The Medicare tax rate is 2.9% in 2024. You pay half of that through automatic paycheck deductions, and your employer pays the other half.
The purpose of the Medicare tax is to offset the costs of Medicare. It ensures that Medicare can cover medical expenses like doctor visits, hospital stays, and prescription drugs for beneficiaries, helping to make healthcare more accessible for millions of Americans.
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The ‘Why’ of Medicare Taxes: Funding the Program
The government uses the Medicare tax to fund Medicare, a federal health insurance program for people 65 and older, as well as younger people with eligible disabilities.
The Medicare tax has two components:
- Hospital Insurance (HI) Trust Fund
- Supplemental Medicare Insurance (SMI) Trust Fund
The HI Fund covers the costs of Medicare Part A, which pays for inpatient stays in hospitals and skilled nursing facilities. Because of this funding, many people do not pay anything for Part A care.
The SMI Fund is used to pay for Medicare Parts B and D. Part B covers doctor visits, outpatient care, medical supplies, and preventive services for recipients. Part D helps cover the cost of prescription drugs. Only people who earn more than the income threshold each year contribute to this fund, which means Medicare recipients still have to pay a monthly premium for these coverages.
How the Medicare Tax Works
The Medicare tax is a payroll tax imposed on employees and employers in the United States. It’s automatically deducted from your wages every paycheck, so you do not have to worry about paying anything extra.
Employers contribute an equal amount on behalf of their employees. However, if you’re self-employed, your tax rate is different. Because you’re both an employee and an employer, you must pay both the employee and employer portions of the tax.
Current Medicare Tax Rates
Employment Status | Filing Status | Tax Rate | Additional Medicare Tax |
---|---|---|---|
Employee | Single | 1.45% | Additional 0.9% for income over $200,000 |
Employee | Married filing jointly | 1.45% | Additional 0.9% for income over $250,000 |
Employee | Married filing separately | 1.45% | Additional 0.9% for income over $125,000 |
Self-employed | Any | 2.90% | Additional 0.9% on same income limits based on filing status |
Employer | N/A | 1.45% | N/A |
The total Medicare tax rate is 2.9%, which breaks down to 1.45% for employees and 1.45% for employers. You will pay the total 2.9% tax rate if you are self-employed. High-income earners may be subject to an additional Medicare tax.
What Is the Additional Medicare Tax?
Individuals with wages or self-employment income above certain thresholds must pay an extra 0.9% on income exceeding those thresholds. This is known as the Additional Medicare Tax.
This additional tax only applies to the portion of income that exceeds the income threshold. For example, if you are filing as a single person and earn $230,000, you would only pay the Additional Medicare Tax on the $30,000 above the threshold.
This tax helps fund the SMI Trust Fund. Medicare uses the SMI Trust Fund to partially offset costs for Part B and Part D, which offer medical and prescription drug coverage, respectively.
Employers are responsible for withholding the additional Medicare tax from employees’ wages once they surpass the applicable threshold. However, there is no employer portion of this tax, so employers do not pay anything extra.
When Do You Pay the Medicare Tax?
You pay Medicare taxes on every paycheck. You may see it listed as “Medicare” or “FICA Medicare” in the deduction portion of your itemized pay stub. Some employers also list the annual Medicare taxes you’ve paid to date. You can also find this amount on your yearly W-2 Wage and Tax Statement on line 6.
Because self-employed people do not get regular paychecks, they have two options for paying the Medicare tax:
- Pay when filing their annual federal taxes using Schedule SE Form 1040
- Paying quarterly estimated taxes
If you wait to pay your taxes on Form 1040, you may face underpayment of estimated tax penalties. Paying estimated taxes takes a little guesswork, but if you overpay, you can receive a refund when you file your annual taxes.
The estimated tax deadlines for each quarter are:
- Quarter 1: April 15
- Quarter 2: June 15
- Quarter 3: September 15
- Quarter 4: January 15 (of the next year)
Putting It All Together
The Medicare tax is a payroll tax that funds the Medicare program, providing healthcare coverage primarily for older adults and individuals with disabilities. Employees and employers each contribute 1.45% of earned income, totaling 2.9%. Additionally, high-income earners may be subject to an extra 0.9% tax on income exceeding certain thresholds. Self-employed individuals are responsible for both the employee and employer portions of the tax.
Now that you better understand these rates, you can more accurately calculate your taxes. If you need more help figuring out how to calculate what you owe, consider partnering with an experienced tax professional for more assistance.