Who Gets Your Taxes for Medicare and Social Security?

Susan Kelly

Nov 15, 2023

Paychecks for W-2 employees typically itemize the amount of taxes and other deductions taken out of that amount. Other than federal and state or local income taxes, you may expect to find the following two things among these deductions: Contributions to Medicare and Social Security.

Both employers and workers are responsible for paying these taxes, which are a component of the Federal Insurance Contributions Act (FICA) levy. It's possible to withhold an "Additional Medicare Tax" from the wages of select workers.

Methods of Deducting FICA Taxes

On your pay stub, you will notice that FICA taxes have been withheld in half. Your company must contribute an equal amount and regularly provide the government its share.

Withholding Rates and Caps for Social Security and Medicare

When an employee's yearly earnings reach the contribution and benefits base, also known as the "taxable maximum," they are exempt from paying Social Security tax for that year.

In 2022, the Social Security tax would be paid on the first $147,000 income rather than the total $150,000. All of the remaining $3,000. When it comes to Medicare taxes, things operate backward. There is a 0.9% Medicare tax on all earnings. However, the Additional Medicare Tax does not kick in until your income hits $200,000 in 2021 or 2022. 31

What Happens to My Social Security Benefits After Retirement?

If your current age is 50 or higher, then yes. You must be younger than that! Perhaps; it's also possible to say no. And even if it does work, it probably won't provide you enough money to retire in style. As such, you must make preparations for your financial future and begin saving as much as possible in tax-deferred accounts like an Individual Retirement Account (IRA) or a 401(k) (k).

While significant, the Social Security trust fund is insufficient to ensure a comfortable retirement. In light of these shifting demographics, fewer individuals will likely be working and contributing to the fund during the next several years, while more people will be retiring and drawing income. By 2021, it is expected that the trust funds will have doubled in size.

At that point, it's anticipated that program costs would rise to meet or surpass revenues. Legislators have been aware for some time that changes need to be made, but they have been too afraid to do any for fear of losing support from voters.

However, the clock is ticking, and the SSA estimates it will strike midnight in 2034. Workers who have contributed to the fund for decades will likely be unable to withdraw their retirement savings.

Spending of Taxes for Social Security

The Social Security trust funds are primarily supported by the Federal Insurance Contributions Act (FICA) levy. Only Social Security Administration programs, such as those listed below, are eligible to receive funding from these trusts.

  • Benefits for Old Age
  • Survivorship payments
  • Insurance for the disabled

Monthly payments are paid out of these trusts, funded by the Social Security tax income received from workers and employers.

  • Social Security retirees and spouses
  • Spouses and minor children of deceased workers
  • Disabled staff

Plan administration expenses, which are pretty small, are also paid for out of these trusts. The Social Security Administration reports that administrative expenditures amount to less than one penny of every dollar collected. 4

The federal government may borrow against the surplus by investing the money set aside in these trusts. As a result of this strategy, many people are concerned about the long-term viability of these Social Security schemes. However, the government has repaid its loans from the Social Security trusts with interest.

Budgeting Medicare Fees

The remaining FICA tax payments from employees and employers go to the Medicare program, which helps pay for medical care for seniors and persons of working age with disabilities.

Current Medicare recipients' hospital and medical bills are covered by payroll taxes paid by working adults and their employers. Any surplus tax money is placed in a special trust fund for Medicare purposes.

Medicare is not only dependent on the collection of FICA payroll taxes since it is funded by premiums, income taxes paid on Social Security payments, interest gained on Social Security trust-fund investments, and the money allowed by Congress.5

Costs To Medicare Due To The New Tax

The Affordable Care Act establishes the Additional Hospital Insurance Tax, sometimes called the Additional Medicare Tax (ACA). It went into effect on November 29th, 2013. 6 The Affordable Care Act (ACA) premium tax credit and other ACA features are funded partly by this tax. All taxpayers are not eligible for this deduction, although it amounts to a 0.9% rate, and employers are not required to match it. As of 2021, this tax will only be levied on persons with yearly incomes more than $200,000.


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