How FICA is calculated
Medicare = 1.45% × wages, paid by you and again by your employer
Additional Medicare = 0.9% × (wages − $200,000), withheld from you only
FICA (the Federal Insurance Contributions Act) funds Social Security and Medicare. Most pre-tax deductions such as 401(k) contributions don't lower FICA wages, but many health insurance premiums paid through a cafeteria plan do. Your W-2 box 3 and box 5 show the exact amounts.
The 0.9% Additional Medicare Tax
Your employer must withhold 0.9% on wages over $200,000 in the calendar year, whatever your filing status, and doesn't match it. What you actually owe depends on filing status: 0.9% of combined wages over $250,000 if married filing jointly, over $125,000 if married filing separately, or over $200,000 otherwise. You settle any difference on Form 8959 with your tax return.
Worked example
A single employee earns $250,000 in 2026.
- Social Security: 6.2% × $184,500 = $11,439 (wages above the base aren't taxed)
- Medicare: 1.45% × $250,000 = $3,625
- Additional Medicare: 0.9% × $50,000 = $450
- Employee total: $15,514. The employer pays $11,439 + $3,625 = $15,064, so the job costs $265,064 before other benefits.
A married couple filing jointly, each earning $150,000, has nothing withheld for Additional Medicare Tax, but owes 0.9% × ($300,000 − $250,000) = $450 on their return.
When this doesn't apply
- Self-employed income: use the self-employment tax calculator.
- Two or more employers: each withholds Social Security up to the wage base, so you may overpay. Claim the extra back on your return. Employers can't do this for you.
- Railroad workers (RRTA), many state and local government workers, some students working for their school, and nonresident aliens on certain visas follow different rules.
Sources
- IRS Topic 751, Social Security and Medicare withholding rates – 6.2% and 1.45% each; $184,500 for 2026
- SSA contribution and benefit base – 2026 wage base
- IRS Topic 560, Additional Medicare Tax – 0.9% thresholds and $200,000 withholding rule
- IRS Publication 15 (2026) – employer guide for 2026