SOCIAL SECURITY, SSI, AND MEDICARE FACTS FOR 1992 by James Gashel The beginning of each year brings with it annual adjustments in Social Security programs. The changes include new tax rates, higher exempt earnings amounts, Social Security and SSI cost-of-living increases, and changes in deductible and co- insurance requirements under Medicare. Here are the new facts for 1992: FICA (Social Security) Tax Rate: The tax rate for employees and their employers remains at 7.65%. This rate includes payments to the Old Age, Survivors, and Disability Insurance (OASDI) Trust Fund of 6.2% and an additional 1.45% payment to the Health Insurance (HI) Trust Fund. The maximum FICA amount to be paid by an employee during 1992 is $5,584.00, up from $5,123.30 during 1991. Self-employed persons will pay a Social Security tax of 15.3% during 1992, and their maximum Social Security contribution will be $8,491.50. Self-employed persons who earn more than $55,000 will also pay an additional amount into the Health Insurance Trust Fund. Ceiling on Earnings Subject to Tax: During 1991 the ceiling on taxable earnings for contributions to the OASDI trust fund was $53,400.00, and the ceiling on taxable earnings for contributions to the health insurance trust fund was $125,000. These ceilings have been increased for 1992 to $55,500 for the OASDI trust fund and $130,200 for the health insurance trust fund. Quarters of Coverage: Eligibility for retirement, survivors, and disability insurance benefits is based in large part on the number of quarters of coverage earned by any individual during periods of work. Anyone may earn up to four quarters of coverage during a single year. During 1991 a Social Security quarter of coverage was credited for earnings of $540.00 in any calendar quarter. Anyone who earned $2,160.00 for the year (regardless of when the earnings occurred during the year) was given four quarters of coverage. In 1992 a Social Security quarter of coverage will be credited for earnings of $570 during a calendar quarter. Four quarters can be earned with annual earnings of $2,280. Exempt Earnings: The earnings exemption for blind people receiving Social Security Disability Insurance (SSDI) benefits is the same as the exempt amount for individuals age sixty-five through sixty-nine who receive Social Security retirement benefits. The monthly exempt amount in 1991 was $810.00 of gross earned income. During 1992 the exempt amount will be $850.00. Technically, this exemption is referred to as an amount of monthly gross earnings which does not show "substantial gainful activity." Earnings of $850.00 or more per month before taxes for a blind SSDI beneficiary in 1992 will show substantial gainful activity after subtracting any unearned (or subsidy) income and applying any deductions for impairment-related work expenses. Social Security Benefit Amounts for 1992: All Social Security benefits, including retirement, survivors', disability, and dependents' benefits, are increased by 3.7% beginning January, 1992. The exact dollar increase for any individual will depend upon the amount being paid. Standard SSI Benefit Increase: Beginning January, 1992, the federal payment amounts for SSI individuals and couples are as follows: individuals, $422.00 per month; couples, $633.00 per month. These amounts are increased from: individuals, $407.00 per month; couples, $610.00 per month. Medicare Deductibles and Co-insurance: Medicare Part A coverage provides hospital insurance to most Social Security beneficiaries. The co-insurance payment is the charge that the hospital makes to a Medicare beneficiary for any hospital stay. Medicare then pays the hospital charges above the beneficiary's co-insurance amount. The Part A co-insurance amount charged for a hospital stay of not longer than sixty days was $628.00 during 1991 and is increased to $652.00 during 1992. Beginning with the sixty-first day through the ninety-first day there is a daily co-insurance amount of $163.00 per day, up from $157.00 in 1991. Each Medicare beneficiary has sixty "reserve days" for hospital stays longer than ninety days. The co-insurance amount to be paid during each reserve day is $326.00, up from $314.00 in 1991. The Medicare Part B (medical insurance) deductible remains at $100.00 in 1992. This is not an annual deductible amount. A new benefit period can begin sixty days after discharge from a hospital or skilled nursing facility. The Medicare Part B basic monthly premium rate will increase from $29.90 charged to each beneficiary during 1991 to $31.80 per month during 1992.