For high earners

Trim the wages that trigger the extra Medicare tax.

Wages above about two hundred thousand dollars carry an extra zero point nine percent Medicare tax. Maxing your pre-tax 401(k) pulls your taxable wages down and lowers your exposure.

Watch the quick version

See how it works through one simple example.

Is this you?

Your wages are climbing past about $200,000.
The surtax applies only to the wages above the threshold.

Here is the idea, in plain words

Once your wages cross the threshold, the dollars above it carry an extra zero point nine percent Medicare tax.

Maxing your pre-tax 401(k), up to twenty four thousand five hundred dollars, pulls your taxable wages back down.

Lower taxable wages mean less exposure to the surtax, and a smaller income-tax bill too.

What this could be worth

Lower taxable wages reduce both your income tax and the 0.9% Medicare surtax.
  • 1Estimate how far your wages exceed the threshold.
  • 2Max pre-tax retirement contributions to lower taxable wages.
  • 3Review other pre-tax benefits that reduce wages.

Educational guidance, not tax advice. We confirm every figure and your eligibility before you act.

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What to watch out for

The honest version.

  • The surtax applies to wages and self-employment income, not investment income.
  • Employers may start withholding it automatically past the line.
  • Pre-tax contributions reduce income tax too, but have annual limits.

Common questions

Who owes the extra tax?

Workers whose wages exceed the threshold for their filing status.

How do I reduce it?

Lower your taxable wages, for example by maxing pre-tax retirement contributions.

Is investment income hit?

No, a separate surtax covers investment income.

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