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Social Security tax withholding order - Medicare deduction happens first?

I'm so confused about the order of deductions from my Social Security check. My accountant mentioned that when I have federal taxes withheld from my Social Security benefits, the withholding percentage is calculated AFTER Medicare premiums are already taken out. Is that right? I thought the tax withholding would be based on my full benefit amount before any deductions. This makes a difference in my budgeting since I'm planning to have 12% withheld for taxes starting next year. Can someone clarify how this actually works? Thanks!

Liam Cortez

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Yes, your accountant is correct. Social Security first deducts your Medicare Part B (and Part D if applicable) premiums from your monthly benefit amount. Then, if you've requested voluntary tax withholding, they calculate that percentage based on what's left AFTER the Medicare deduction. I found this out the hard way last year when I was trying to figure out why my withholding amount seemed lower than expected. The SSA representative explained the whole process when I finally got through to them.

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Kiara Fisherman

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Thank you for confirming! So if my monthly benefit is supposed to be $2,750 but my Medicare premium is $225, then my tax withholding would be calculated on $2,525 instead of the full amount? That's helpful to know for my calculations.

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Savannah Vin

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i dont think thats right. taxes should be on the whole amout cause its all income. medicare is just a deduction but u still earned the whole amount

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Mason Stone

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Actually, the first commenter is correct. Tax withholding is calculated on the net amount after Medicare premiums are deducted. This is standard SSA procedure. You can verify this by comparing the numbers on your SSA-1099 at the end of the year with your monthly benefit statements. The withholding is always based on what remains after Medicare.

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I had the EXACT same question last year when I started taking SS! You're smart to ask this because I didn't and it threw off my whole budget. The withholding IS applied after Medicare is taken out. For planning purposes, calculate your Medicare premium first (which keeps going up every year BTW!!!) and THEN calculate your tax withholding on what's left. I learned this the hard way and ended up with less in my bank account than I'd planned for.

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Kiara Fisherman

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Thanks for sharing your experience! I'm glad I'm checking this now rather than being surprised later. Did you find that the 12% withholding was enough to cover your tax liability or did you end up owing more?

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It covered most of it, but I still owed about $600 at tax time. My situation is complicated because I have rental income too. Better to slightly overwithhold than underwithhold in my opinion!

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To add some important context: when you request voluntary tax withholding from Social Security benefits, you're completing Form W-4V. This form allows you to choose withholding at 7%, 10%, 12%, or 22% of your benefit amount after Medicare premium deductions. This process is different from employment tax withholding calculations. Do keep in mind that depending on your total income, up to 85% of your Social Security benefits may be taxable at your regular income tax rate. The voluntary withholding helps avoid a surprise tax bill, but you should still do a complete tax projection to ensure you're withholding enough.

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Kiara Fisherman

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Thank you for the detailed information! I completed that W-4V form but clearly didn't understand exactly how the calculation would work. I'll need to redo my tax projections since I was calculating the withholding on the full amount.

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Emma Olsen

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If you're having trouble getting through to SSA to discuss this or adjust your withholding, I'd recommend trying Claimyr. After spending days trying to reach someone at Social Security about a similar tax withholding question, I used their service and got connected to an agent within 20 minutes. They have a demo video at https://youtu.be/Z-BRbJw3puU that shows how it works. Saved me hours of frustration with busy signals and disconnections.

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Lucas Lindsey

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does this thing actually work? ive been trying to get through to ssa for 2 weeks about changing my withholding percentage and keep getting disconnected

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Emma Olsen

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Yes, it worked for me. I was skeptical too but was desperate after multiple failed attempts calling SSA directly. Got through to a real person who helped adjust my withholding.

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Lucas Lindsey

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my neighbor told me that the whole SS benefit is taxable anyway so it doesnt matter how they calculate it youll pay the same taxes in the end

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That's not accurate. Social Security benefits are only partially taxable based on your combined income. For individuals with combined income between $25,000 and $34,000, up to 50% of benefits may be taxable. Above $34,000, up to 85% may be taxable. For married couples filing jointly, those thresholds are $32,000 and $44,000 respectively. Many people with lower incomes pay no tax on their benefits at all.

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WATCH OUT for underpayment penalties too! If you don't withhold enough from your SS benefits and don't have other withholding or make estimated tax payments, you could get hit with penalties!!! I learned this the hard way my first year on SS!!!

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Kiara Fisherman

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Oh no, I hadn't even thought about underpayment penalties! I'll definitely factor that in. I wonder if I should go with 22% withholding instead of 12% to be safe.

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Mason Stone

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One thing to remember is that the Medicare premium is deducted from your gross benefit amount before tax withholding is calculated, but both the full benefit amount AND the Medicare premium are reported on your SSA-1099 at the end of the year. This can be confusing when reconciling your tax documents. The Medicare premium is considered a medical expense that you've paid, even though you never actually received that money in your bank account.

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Kiara Fisherman

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That's really helpful information about the SSA-1099 reporting. So even though the tax withholding is calculated after Medicare is taken out, I'll still need to report the full benefit amount on my tax return?

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Mason Stone

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Exactly right. Your SSA-1099 will show your gross benefits (Box 3), and you'll use that figure on your tax return. Your Medicare premiums will be reported as medical expenses you've paid, even though they were automatically deducted.

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