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Additional Medicare Tax for Employees in 2025

Additional Medicare Tax
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If you are an employee in New York, tax season might feel like a confusing maze. The Additional Medicare Tax often confuses earners with higher incomes. The Additional Medicare Tax is specific to those individuals who earn above a particular income limit in 2025.

Knowing how this tax works is important. It helps you to stay prepared and avoid surprises. In this blog, we’ll explain the Additional Medicare Tax 2025. And cover why it matters and how it affects your paycheck. Let’s discuss the frequently asked questions and answers for the additional Medicare taxes, Form 8959, Medicare tax, and related terms.

What is Medicare Tax?


The Medicare tax is a federal payroll tax that funds Medicare. This health insurance program provides healthcare coverage for retirees and some others. As an employee, you automatically pay 1.45% of your earnings to Medicare through payroll deductions. Your employer matches this amount. It means a total of 2.9% of your salary goes toward Medicare.

But if you’re a high earner, an extra layer added to your taxes, we call it the Additional Medicare Tax.

Why Do I Have to Pay Medicare Taxes?


The Medicare taxes are important for funding the Medicare program. This program provides healthcare to millions of NY residents and to those who are aged 65 and older. If you are a worker, paying into Medicare ensures that you’ll have access to these healthcare benefits when you retire.

What is the Additional Medicare Tax in 2025?


The Additional Medicare Taxes apply to the earners with high wages in 2025. If you earn over the following income thresholds, you will need to pay an extra 0.9% tax on the income above those amounts:

  • $200,000 for individual filers
  • $250,000 for married couples filing jointly
  • $125,000 for married filing individually

This tax does not replace the standard Medicare tax. But it added above the usual 1.45% rate. If you are earning more than these thresholds as an employee. Then, you will pay 2.35% on the part of your income above the limit.

For Example: 1.45% standard Medicare tax + 0.9% Additional Medicare Tax 

If you are having trouble calculating these taxes and filing your tax returns, hire a professional tax accountant to handle this headache.

What Is Form 8959 and Why Do Salaried Employees Need It?


The Form 8959 is specified only for those individuals who earn above that income threshold. The form is basically used to calculate and report the additional tax based on the extra income.

You may still need to file the Form 8959, even if full tax is withheld by the employer. In some cases, the taxpayer must file the form if no additional tax is owed to reconcile the amount already withheld.

When Do Employees Stop Paying Medicare Taxes?

Medicare tax does not have an upper limit. As an employee, you will continue to pay Medicare taxes on all your earnings, no matter how much you earn. Unlike Social Security taxes, which have an annual maximum wage limit. As for the year 2025, it is $160,200 to $176,100.

The Additional Medicare Tax applies only to the extended part of your income above. So it is important to take care when you’re reaching that limit.

How Can Salaried Employees Manage the Additional Medicare Tax?


If you are earning equal to or over the threshold for the Additional Medicare Tax in 2025. Below are a few tips that can help you manage it:

  1. Track Your Earnings: Keep a close eye on your total earnings for the year. Once you get near the income limit, be prepared for the additional tax.
  2. Check Your Pay Stubs: Keep an eye on your paychecks regularly. Once your wages hit the $200,000 threshold, it automatically starts the extra 0.9% tax. So, be careful!
  3. File Form 8959: You must file Form 8959 with your tax return if your earnings cross the limit. This form is necessary to report the additional tax to the IRS.
  4. Consult a Tax Professional if you have any confusion about the tax or have multiple sources of income. It’s wise to speak with a New York tax professional for all tax-related concerns. Tax King provides you with expert tax preparers, tax managers and tax accountants for your state and federal taxes. We can help you stay compliant and avoid any penalties.

Conclusion


The Additional Medicare Tax 2025 can feel like a complicated new tax burden for employees. However, you can manage this extra tax responsibility easily by checking your paycheck for proper withholding and using Form 8959.

If you are looking for more help with Medicare taxes or Additional Medicare Taxes, Form 8959. Visit the Tax King website for expert advice and resources tailored to your needs. We can guide you on how taxes impact your salary in New York and the tips to minimize extra tax, as we are a NYC tax preparer company.

FAQ’s

You are charged additional Medicare tax when your income exceeds the threshold limit defined by the IRS. This extra tax was implemented to fund the Medicare program as part of the Affordable Care Act. Moreover, it’s an additional tax for the higher earners, on top of the standard Medicare tax.

A standard Medicare Tax for employees is calculated at a rate of 4.5% of all wages with no income limit. For self-employed individuals, this rate is 2.9% on their net earnings.

The additional Medicare tax for 2025 is 0.9%, and this percentage is applicable to the portion of your income that exceeds the following threshold:

  • $200,000 for individual filers
  • $250,000 for married couples filing jointly
  • $125,000 for married filing individually
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