# Do Part B Medicare premiums reduce your Social Security income as far as income tax?

Part B Medicare premiums do reduce your Social Security income for purposes of calculating income tax. The premiums are deducted from your Social Security check before you receive it, so your Social Security benefits are reduced by the amount of the Part B premium. This lower Social Security amount is what is reported to the IRS and used to determine if any of your benefits are taxable.

## Detailed Explanation

Medicare Part B covers medical services like doctor visits, lab tests, and outpatient care. Most people pay a monthly premium for Part B coverage, which is deducted from their Social Security checks before the payments are received. So if your Part B premium is \$150 per month, your Social Security payment will be reduced by \$150 before you get the check or direct deposit.

For purposes of income tax, your Social Security benefits are considered income. Whether your benefits are taxable depends on your total “combined income” from all sources. Combined income includes your adjusted gross income, non-taxable interest, and half of your annual Social Security benefits.

If your combined income is above certain thresholds (\$25,000 single or \$32,000 married filing jointly), then up to 85% of your Social Security benefits can become taxable. Since your Part B premiums have already reduced your Social Security payments, this lower amount is what gets reported to the IRS and counted as part of combined income.

### Example

Let’s look at an example to illustrate:

Income Source Amount
Social Security Benefits \$18,000 per year (\$1,500 per month)
Part B Premium \$150 per month, so \$1,800 per year
Non-Taxable Interest \$5,000

This person’s Social Security benefits are reduced from \$18,000 to \$16,200 (\$1,500 – \$150 = \$1,350 per month) due to the Part B premium deductions. When calculating if any benefits are taxable:

• Adjusted Gross Income = \$22,000
• Non-Taxable Interest = \$5,000
• Half of Social Security Benefits = \$16,200 / 2 = \$8,100
• Combined Income = \$22,000 + \$5,000 + \$8,100 = \$35,100

Since the combined income exceeds \$32,000, up to 50% of this person’s benefits (\$8,100) become taxable. The Part B premiums reduced the Social Security income amount, which helped reduce the combined income and the amount of benefits subject to tax.

## Conclusion

In summary, Medicare Part B premiums do lower your Social Security income amount for determining if any benefits are taxable. This is because the premiums are deducted upfront before you receive your monthly Social Security payments. The lower Social Security amount gets reported to the IRS and counted toward combined income. So Part B premiums can help reduce your tax liability on Social Security benefits in some cases.