Sunday, August 5, 2012

2013 Health Care Reform - Medicare Tax Increases

As part of the Patient Protection and Affordable Care Act of 2010 (ACA), the following changes will be effective in 2013:


Medicare surtax.  Additional medicare tax of 0.9%  applies to compensation over $200,000 for married taxpayers $250,000 for marrieds filing jointly, and $125,000 for marrieds filing separately/single.


There is no wage limit for Medicare.  Current Medicare tax rate for 2012 is 1.45%.  The additional medicare tax will boost the rate to at least 2.35% once the compensation threshold is reached. 


Medicare tax on unearned income.  A Medicare surtax of 3.8% will apply to marrieds with AGI over $250,000 and singles with AGI over $200,000.  The surtax is effective on the lower of the taxpayer's net investment income or on the AGI over the threshold.


Investments subject to the surtax:

  • Interest and Dividends
  • Capital Gains
  • Annuities
  • Royalties
  • Passive real-estate income

Investment income exempt from the surtax:

  • Tax-free bond interest
  • Distributions from qualified retirement plans (401(k)s

Example:  A single taxpayer has an AGI of $220,000 which includes investment income of $30,000.  The excess of AGI of $20,000 is lower than $40,000 investment income, therefore the medicare surtax is imposed on $20,000.  Surtax: $20,000 x 3.8% = $760.


Investment Strategies for Consideration for AGI Above Thresholds:

  • Purchased tax-exempt bonds
  • Sell assets in 2012 instead of 2013 or 2014
  • Convert traditional IRAs to Roth IRAs  to reduce AGI in the future



Itemized Medical Expenses increased to 10% above AGI.  The current 7.5% limit will be increased to 10%, except for taxpayers over 65 years of age or older.


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