Do Pre-Tax Deductions Count as Medicare Wages? (2024)

Pretax deductions provide a savings on your annual returns. Deductions from your wages used to pay for your employer-sponsored benefits reduce your income and are excluded from taxes. In many cases, pretax deductions are exempt from Medicare tax; however, this isn’t always the case. The deduction counts as Medicare wages only if it is subject to Medicare tax.

Tip

Pretax deductions save you money on federal income tax. Some, but not all, are also exempt from Medicare tax.

Medicare Wages and Taxes

Medicare tax by definition goes to fund the federal insurance program for elderly and disabled people. It's deducted from your paychecks along with Social Security tax, which pays for that federal program, as well as ordinary federal and state income tax.

Whether pretax deductions count as Medicare wages depends on the type of deduction. Pretax benefits include those offered under a cafeteria – or Section 125 – plan, such as medical, dental, vision, life, accident and disability insurance; and flexible spending accounts such as dependent care, and health savings and adoption assistance reimbursem*nt accounts. Also, qualified retirement contributions, transportation expenses and educational assistance may be pretax deductions.

Most of these benefits are exempt from Medicare tax, except for adoption assistance, retirement contributions, and life insurance premiums on coverage that exceeds $50,000. Also, amounts you receive for educational assistance under your employer’s program earn you a pretax deduction; up to $5,250 annually is exempt from Medicare tax.

If a pretax deduction is excluded from Medicare tax, subtract it from your gross wages before subtracting the tax. For example, if you earn $2,000 semi-monthly and pay $100 toward your pretax health insurance plan, subtract $100 from $2,000 to get $1,900, which is subject to Medicare tax. If the deduction was taxable, your entire gross pay of $2,000 would be subject to taxation. As of 2017 and 2018, calculate Medicare tax at 1.45 percent of your taxable wages. Your employer pays another 1.45 percent of your salary in Medicare tax.

Your employer puts your annual Medicare wages in Box 5 of your W-2 and Medicare tax withheld for the year in Box 6. The amount shown in Box 5 does not include pretax deductions which are exempt from Medicare tax. Your last pay stub for the year may show a different year-to-date amount for Medicare wages than your W-2. In this case, add your pretax deductions which are exempt from Medicare tax to the amount shown in Box 5 of your W-2. The result should equal the amount shown on your last paycheck stub for the year.

Social Security Tax Exemptions

Pretax deductions that are excluded from Medicare tax are typically exempt from Social Security tax as well. Your Medicare wages are usually the same as your Social Security wages except that Social Security tax has an annual wage limit and Medicare tax has none. If you have multiple jobs that collectively put you over the wage limit, you may get a refund for over-withheld Social Security tax

The Social Security tax rate is 6.2 percent payable by the employee and 6.2 percent payable by the employer. Self-employed people must pay what is called self-employment tax, which includes the employee and employer portions of Social Security and Medicare taxes, so they pay a 15.3 percent tax rate.

2018 Tax Law

Social Security and Medicare taxes aren't substantially impacted by the 2018 tax law changes. The other benefits of some deductions will change, since tax rates are generally going down. meaning deductions will deliver less tax saving to many taxpayers.

Social Security taxes apply to wages up to $128,400 as of the 2018 tax year.

2017 Tax Law

As of 2017, Social Security taxes apply the first $127,200 of wages each worker receives.

Do Pre-Tax Deductions Count as Medicare Wages? (2024)

FAQs

Do Medicare wages include pre-tax deductions? ›

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.

What deductions are included in Medicare wages? ›

Medicare is funded by a payroll tax of 1.45% on the first $200,000 of an employee's wages. Employees whose wages exceed $200,000 are also subject to a 0.9% Additional Medicare Tax on top of the 1.45%. Employers also pay a 1.45% tax on their employee's wages. They do not pay the additional tax.

Are pre-tax deductions considered income? ›

Pretax deductions are taken from an employee's paycheck before any taxes are withheld. Because they are excluded from gross pay for taxation purposes, pretax deductions reduce taxable income and the amount of money owed to the government.

What is subject to Medicare wages? ›

What wages are subject to Medicare tax? All covered wages are subject to Medicare tax and there is no wage base limit. For more information, see Publication 15, (Circular E), Employer's Tax Guide from the IRS.

How do I know if my W-2 is for Medicare qualified government wages? ›

If you are a federal employee covered by the Federal Employees Retirement System (FERS), then you may count as a Medicare Qualified Government Employee. MQGEs are covered for Medicare insurance, but not for disability insurance or other Social Security benefits.

Why are my wages and Medicare wages different? ›

The W-2 Box 5 amount is taxable wages subject to Medicare taxes. This differs from your gross earnings because there are certain deductions that reduce your Medicare taxable wages, such as pretax medical/dental and vision insurance, and FSA Medical and Dependent Care.

How do I calculate Medicare wages from my pay stub? ›

This is the amount of Medicare tax withheld from your wages during the calendar year. It should match – exactly – the employee year-to-date (YTD) Medicare (Medic) amount on your last pay statement of the calendar year. It should also be 1.45% of the amount in Box 5 on your W-2.

What is difference between wages and Medicare wages? ›

Box 1 (Wages, Tips and Other Compensation) represents the amount of compensation taxable for federal income tax purposes while box 3 (Social Security Wages) represents the portion taxable for social security purposes and box 5 (Medicare Wages) represents the portion taxable for Medicare tax purposes.

Are 401k deductions included in Medicare wages? ›

The amounts deferred under your 401(k) plan are reported on your Form W-2, Wage and Tax Statement. Although elective deferrals are not treated as current income for federal income tax purposes, they are included as wages subject to Social Security (FICA), Medicare, and federal unemployment taxes (FUTA).

Are pre tax deductions exempt from FICA? ›

A pre-tax deduction is any money taken from an employee's gross pay before taxes are withheld from the paycheck. These deductions reduce the employee's taxable income, meaning they will owe less income tax. They may also owe less FICA tax, including Social Security and Medicare.

Do pre tax contributions reduce taxable income? ›

Contributions to these plans may be made pretax, which means they will reduce the amount of your income that is subject to tax for this year. Most employers will allow you to have the money automatically come out of your paycheck each month before you even see it.

How do pre tax deductions affect take-home pay? ›

Pre-tax deductions increase the total sum of the full take-home pay. They subtract costs for employee contributions from the paycheck before withholding taxes, resulting in a lower income tax and, ultimately, a higher net salary.

What is excluded from Medicare wages on W-2? ›

Medicare wages are reduced by pre-tax deductions such as health/dental/vision insurances, parking and flex spending but not reduced by your contributions to a retirement plan (403b or 457.)

Which 4 of these pay types are classified as supplemental wages? ›

Per the IRS, the following qualify as supplemental wages:
  • Bonuses.
  • Commission.
  • Tips.
  • Overtime pay.
  • Accumulated sick leave.
  • Severance pay.
  • Awards.
  • Prizes.

Why are wages different than Medicare wages on W-2? ›

The most common questions relate to why W-2 Wages differ from your final pay stub for the year, and why Federal and State Wages per your W-2 differ from Social Security and Medicare Wages per the W-2. The short answer is that the differences relate to what wage amounts are taxable in each case.

What does W-2 Medicare qualified government wages mean? ›

The government workers who don't contribute Social Security taxes must still pay Medicare taxes, so their wages are Medical Qualified Government Wages.

Does Medicare look at Agi or gross income? ›

Medicare premiums are based on your modified adjusted gross income, or MAGI. That's your total adjusted gross income plus tax-exempt interest, as gleaned from the most recent tax data Social Security has from the IRS.

How is employee Medicare calculated? ›

Again, the Medicare tax rate is 1.45% of an employee's wages. Because Medicare is an employee and employer tax, you must withhold 1.45% from an employee's wages and contribute a matching 1.45%. Medicare makes up 2.9% of the FICA tax rate of 15.3%, and Social Security covers the rest.

What are the 3 types of wages? ›

There are three kinds of wages minimum wage, fair wage & living wage.

What is exempt from FICA and Medicare? ›

International students, scholars, professors, teachers, trainees, researchers, physicians, au pairs, summer camp workers, and other aliens temporarily present in the United States in F-1,J-1,M-1, or Q-1/Q-2 nonimmigrant status are exempt from FICA taxes on wages as long as such services are allowed by USCIS and have ...

What payroll deductions are not subject to Social Security tax? ›

The types of earnings (or compensation payments) that are excluded from Social Security wages include: Tips (if they total less than $20 per month) Reimbursed business travel expenses. Employer-paid health or accident insurance premiums.

What pretax deductions are exempt from Social Security tax? ›

The most common payroll deductions are likely savings plan contributions and group insurance premiums. Deductions such as traditional 401(k) contributions and health plan premiums are typically not subject to payroll tax.

What are the benefits of pre-tax contributions? ›

A pretax contribution is one that is made before any taxes are paid on the amount. Pretax contributions are designed to encourage people to save for retirement. An advantage of pretax contributions to retirement accounts is that they can reduce your income tax burden for the current year.

Is it better to put money in pre-tax or post tax? ›

Pretax savings enables someone to grow their retirement savings 15-50% faster than after-tax savings. Growing savings more rapidly is probably more important than what tax rates will be 20 or 30 years from now.

Do pre-tax contributions show up on w2? ›

Form W-2 reporting for retirement plan contributions

Box 3 & 5 (Social Security and Medicare wages) - Include all employee pre-tax, after-tax and designated Roth contributions.

Is it better to do pre tax or post-tax for health insurance? ›

It is typically preferred to deduct premiums post-tax because employees won't have to pay taxes on the benefits they receive in the future if they were to experience a disability.

What is the difference between pre tax deductions and after tax deductions? ›

Pre-tax deductions reduce the amount of income that the employee has to pay taxes on. You will withhold post-tax deductions from employee wages after you withhold taxes. Post-tax deductions have no effect on an employee's taxable income. Some benefits can be either pre-tax or post-tax, such as a pre-tax vs.

Are any wages not subject to Medicare tax? ›

There's no wage base limit for Medicare tax. All covered wages are subject to Medicare tax.

What are exempt wages on W-2? ›

Claiming exempt on W-4 does not mean an employee is exempt from Social Security and Medicare taxes. It also does not mean that the employee should not have taxable wages on their W2 form. The employee is exempt from taxes, but not taxable wages. All wages earned by the employee should be reported on the W-2.

What wages are excluded from box 1 on W-2? ›

Box 1 shows your total taxable wages, tips, prizes and other compensation, as well as any taxable fringe benefits. It does not include elective deferrals to retirement plans, pretax benefits or payroll deductions.

Which 3 wage types are not considered regular wages? ›

Thus, among other things, wages that vary from payroll period to payroll period (such as commissions, reported tips, bonuses, or overtime pay) are not regular wages, except that an employer may treat tips as regular wages under paragraph (a)(1)(v) of this section and an employer may treat overtime pay as regular wages ...

What does IRS consider supplemental wages? ›

Supplemental wages

These wages generally include commissions and bonuses, any severance payments upon termination of your employment, taxable prizes and awards, retroactive pay increases, reimbursem*nts of nondeductible moving expenses, taxable fringe benefits and certain kinds of expense reimbursem*nts and allowances.

What are examples of supplemental wages? ›

Vacation pay is subject to withholding as if it were a regular wage payment. But when vacation pay is in addition to regular wages for the vacation period (for example, an annual lump-sum payment for unused vacation leave), treat it as a supplemental wage payment.

What is excluded from Medicare wages on w2? ›

Medicare wages are reduced by pre-tax deductions such as health/dental/vision insurances, parking and flex spending but not reduced by your contributions to a retirement plan (403b or 457.)

What is included in Medicare wages on w2? ›

Medicare wages and tips: The total wages, tips and other compensation that are subject to Medicare taxes. There is no limit on the amount of wages that are subject to Medicare taxes. Medicare tax withheld: The amount of Medicare tax withheld from your Medicare taxable wages, tips and other compensation.

What is the difference between Medicare wages and wages on a W-2? ›

Box 1 (Wages, Tips and Other Compensation) represents the amount of compensation taxable for federal income tax purposes while box 3 (Social Security Wages) represents the portion taxable for social security purposes and box 5 (Medicare Wages) represents the portion taxable for Medicare tax purposes.

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