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Regular Medicare tax is generally withheld at 1.45% of Medicare-taxable wages. There is no annual wage ceiling for this tax, so it continues even after Social Security withholding reaches its yearly limit.

An extra 0.9% may begin once one employer pays you more than $200,000 in Medicare wages. Your pay stub might label it Additional Medicare, ADDL MED, MED Addl, or combine it with the regular Medicare deduction.

Epaystubs guide to Medicare on a pay stub explains the ordinary deduction before the extra withholding begins.

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