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In general, employees and their employers must each pay a Medicare tax, at a rate of 1.45 percent, on the entire amount of the employees wages.
Additional Medicare Tax applies to an individuals Medicare wages that exceed a threshold amount based on the taxpayers filing status. Employers are responsible for withholding the 0.9% Additional Medicare Tax on an individuals wages paid in excess of $200,000 in a calendar year, without regard to filing status.
Well automatically add Form 8959 to your return if your income exceeds the threshold amount for your filing status.
Additional Medicare Tax is a surtax applied to wages, railroad retirement (RRTA) compensation, and self-employment income. Once an employee earns more than the threshold, employers are responsible for withholding additional Medicare tax on those wages.
2022 updates 2.35% Medicare tax (regular 1.45% Medicare tax plus 0.9% additional Medicare tax) on all wages in excess of $200,000 ($250,000 for joint returns; $125,000 for married taxpayers filing a separate return).
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Purpose of Form Use Form 8959 to figure the amount of Additional Medicare Tax you owe and the amount of Additional Medicare Tax withheld by your employer, if any. You will carry the amounts to one of the following returns. Form 1040.
Employers are responsible for withholding and reporting the 0.9 percent Additional Medicare Tax, which became effective in 2013. If an employer fails to withhold the correct amount from wages it pays to an employee, the employer may be liable for the amount not withheld and subject to applicable penalties.
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.
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.
Look for ways to minimize your AGI. The lower your AGI (the number at the bottom of the TAX-FORM 1040) the lower the amount of your income will be subject to the 3.8% surtax.

2021 form 8959