Why is money taken out of my Social Security check for Medicare?

Asked by: Dr. Ellie Kessler  |  Last update: October 16, 2025
Score: 4.4/5 (74 votes)

Part B (Medical Insurance) Covers certain doctors' services, outpatient care, medical supplies, and preventive services. premium deducted automatically from their Social Security benefit payment (or Railroad Retirement Board benefit payment).

Why am I paying for Medicare out of my Social Security check?

Think of it this way. Social Security and Medicare are inter-related. If you have enrolled in Medicare, once you start your social security benefits, your Medicare premiums will be deducted from your social security benefit automatically because they want the money in the most efficient and fool-proof way imaginable!

Why am I being deducted for Medicare?

Once you become eligible for Medicare, the tax is automatically deducted from your paycheck on a monthly basis. Over each calendar year, you will see this as a tax on your earnings, including wages, tips, certain Railroad Retirement Tax Act (RRTA) benefits, and self-employment earnings that fall above a certain level.

Is it mandatory to have Medicare deducted from Social Security?

A person does not have to pay their Medicare premiums directly from their Social Security. Medicare offers four additional ways to pay, including directly through the Medicare website, via Medicare Easy Pay, by mail, and through direct debiting of a bank account.

Does everyone have to pay $170 a month for Medicare?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

Are Medicare Premiums Deducted From Social Security?

19 related questions found

How to stop Medicare deduction from Social Security?

To find out more about how to terminate Medicare Part B or to schedule a personal interview, contact us at 1-800-772-1213 (TTY: 1-800-325-0778) or visit your nearest Social Security office.

Can you opt out of Medicare if you get Social Security?

In fact, if you are already receiving Social Security retirement benefits, you'll have to pay back all the benefits you've received so far in order to opt out of Medicare Part A coverage. That's not usually an option as most people rely on those monthly payments to cover their bills.

Can I refuse to pay for Medicare Part B?

You do not have to pay for Medicare Part B to keep Medi-Cal. Stopping Medicare Part B coverage is generally not recommended. If you want to talk to someone about stopping Medicare Part B, call the SSA at 1-800-772-1213. NOTE: A few things could happen if you do not pay your Medicare Part B premium.

Can I avoid paying Medicare?

People who have to pay a premium for Part A may consider delaying enrollment to avoid the expense. Part A charges a penalty for late enrollment, though. An alternative in this case is to get a Marketplace plan instead of Medicare.

Do you still have to pay Medicare tax after age 65?

So, for most people, the answer is no. If you are a retiree who lives on the proceeds of their investments, you will not pay Medicare taxes in retirement.

Why am I getting a refund from Medicare?

If there is a premium overpayment, such as when a person changes to a lower premium plan and the premium change doesn't immediately go into effect, Social Security or RRB will automatically refund the premium overpayment.

Why am I getting money taken out for Medicare?

Medicare provides health insurance for people aged 65 and over, as well as some people with disabilities. Generally, employers are required to withhold Social Security and Medicare taxes from your paycheck in order to pay for these social programs.

How do you qualify for $144 back from Medicare?

To be eligible for the Medicare Part B Giveback Benefit, you must:
  1. Be enrolled Original Medicare (Parts A and B)
  2. Pay your own Part B premium.
  3. Live in the service area of a plan that offers a Part B giveback.

Is Medicare Part B free at age 65?

Medicare Part A (hospital insurance) is free for almost everyone. You have to pay a monthly premium for Medicare Part B (medical insurance). If you already have other health insurance when you become eligible for Medicare, you may wonder if it's worth the monthly premium costs to sign up for Part B.

Do I pay for Medicare out of my Social Security check?

premium deducted automatically from their Social Security benefit payment (or Railroad Retirement Board benefit payment). If you don't get benefits from Social Security (or the Railroad Retirement Board), you'll get a premium bill from Medicare.

Who is exempt from paying Medicare Part B premiums?

Enrollees who have Medicaid, employer-sponsored health coverage, or retiree health benefits from an employer generally don't have to pay the full Medicare Part B deductible, as the other coverage picks up some or all of the cost (this varies depending on the plan).

How much is taken out of Social Security for Medicare?

The current tax rate for Social Security is 6.2% for the employer and 6.2% for the employee, or 12.4% total. The current rate for Medicare is 1.45% for the employer and 1.45% for the employee, or 2.9% total.

Is Medicare mandatory with Social Security?

If a person is collecting Social Security when they turn 65, they are automatically enrolled in Medicare.

Why would someone opt out of Medicare?

The ONLY reason to opt out of Medicare is if you want to 1) see a Medicare patient, 2) under private contract, 3) for covered services.

Is Medicare Part A automatically deducted from Social Security?

So, what's the secret behind these deductions seamlessly happening? If you get monthly social security benefits, bingo. Your medicare premium gets automatically deducted. This means less hassle for you since there's no need to remember payment deadlines or write checks.

Can you opt out of Medicare Part B with Social Security?

Individuals already receiving Social Security or RRB benefits at least 4 months before being eligible for Medicare and residing in the United States (except residents of Puerto Rico) are automatically enrolled in both premium-free Part A and Part B. People who are automatically enrolled have the choice of whether they ...

Is Medicare Part B mandatory?

Part B is optional. Part B helps pay for covered medical services and items when they are medically necessary. Part B also covers some preventive services like exams, lab tests, and screening shots to help prevent, find, or manage a medical problem.