Federal tax 6 min read·

FICA Explained: Social Security & Medicare in 2026

What FICA actually pays for, why Social Security withholding stops mid-year for high earners, and how the Additional Medicare Tax works.

Jordan Rivera, EA
IRS Enrolled Agent · Lead payroll editor

The two halves of FICA

FICA — the Federal Insurance Contributions Act — covers two federal programs. Social Security is 6.2% on your first $184,500 of wages in 2026, funding retirement, disability, and survivor benefits. Medicare is 1.45% on every dollar of wages, funding Medicare Part A hospital coverage.

Employers match both taxes dollar-for-dollar. Self-employed workers pay the full 15.3% themselves but deduct half as a business expense.

The 2026 Social Security wage base

The Social Security Administration adjusts the wage base each year for national wage growth. In 2026 it's $184,500. Above that, no more Social Security is withheld — but Medicare continues.

This is why senior professionals see a paycheck jump in Q4: their 6.2% Social Security withholding ends for the year once they cross the wage base.

The 0.9% Additional Medicare Tax

On wages above $200,000 in a calendar year (regardless of filing status for withholding), an additional 0.9% Medicare surtax applies. Employers begin withholding it automatically once you cross $200,000 with them, even if your household threshold is different.

The tax reconciles at year-end: married-filing-jointly households don't owe the surtax until combined wages exceed $250,000; single filers at $200,000.

How our calculator handles FICA

The paycheck calculator applies Social Security only up to the $184,500 wage base per employee, Medicare on all wages, and the 0.9% surtax proportionally to any wages projected above $200,000. That gives you a realistic annualized take-home number.

About the author

Jordan Rivera, EAIRS Enrolled Agent · Lead payroll editor. All USA Paycheck Calculator articles are reviewed by an IRS Enrolled Agent or Certified Payroll Professional before publication and re-verified each tax year.

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