Who Needs To Pay Medicare Levy? 
Anyone who works automatically contributes into the Medicare fund through FICA taxes . Employees and employers split the bill down the middle . 12.4 % of income is contributed to social security up to $ 113,700 in earnings for 2013 . 2.9 % of earnings are contributed towards Medicare with no income limit . The Affordable Care Act included a provision that increases the contribution made for high income earners . Single earners making more than $ 200,000 and married couples making more than $ 250,000 must pay an additional .9 % towards Medicare . Self employed workers pay the entire amount , and need to make quarterly estimated tax payments including these amounts . 