Will I Be Charged The Medicare Levy? 
Medicare will assess a higher premium -LRB- surcharge or levy -RRB- in a couple of different situations . Medicare Part B premiums may carry a levy based on your income . Congress decided higher income people should pay more for their Medicare coverage . The surcharge varies and is based on your income tax return from 2 years prior . There is also a late enrollment penalty that may apply if you fail to enroll in Part B on a timely basis . 