SOCIAL SECURITY, SSI, AND MEDICARE FACTS FOR 1994 The beginning of each year brings with it 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 facts for 1994: FICA and Self-Employment Tax Rates: The FICA 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 Hospital Insurance (HI) Trust Fund from which payments under Medicare are made. Self-employed persons continue to pay a Social Security tax of 15.3% which includes 12.4% paid to the OASDI trust fund and 2.9% paid to the HI trust fund. Ceiling on Earnings Subject to Tax: During 1993, the ceiling on taxable earnings for contributions to the OASDI trust fund was $57,600, and the ceiling on taxable earnings for contributions to the HI trust fund was $135,000. The taxable income ceiling for contributions to the OASDI trust fund during 1994 is $60,600. Beginning with January, 1994, there is no ceiling on earnings subject to the HI trust fund tax contribution of 1.45% for employees or 2.9% for self-employed persons. 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 1993 a Social Security quarter of coverage was credited for earnings of $590 in any calendar quarter. Anyone who earned $2,360 during the year (regardless of when the earnings occurred) was given four quarters of coverage. In 1994 a Social Security quarter of coverage will be credited for earnings of $620 during a calendar quarter. Four quarters can be earned with annual earnings of $2,480. 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 1993 was $880 of gross earned income. During 1994 the exempt amount will be $930. Technically, this exemption is referred to as an amount of monthly gross earnings which does not show "substantial gainful activity." Earnings of $930 or more per month before taxes for a blind SSDI beneficiary in 1994 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 1994: All Social Security benefits, including retirement, survivors, disability, and dependents' benefits are increased by 2.6% beginning with the checks received in January, 1994. The exact dollar increase for any individual will depend upon the amount being paid. Standard SSI Benefit Increase: Beginning January, 1994, the federal payment amounts for SSI individuals and couples are as follows: individuals, $446 per month; couples, $669 per month. These amounts are increased from individuals, $434 per month; couples, $652 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 hospital services within a benefit period of not longer than sixty days was $676 during 1993 and is increased to $696 during 1994. From the sixty-first day through the ninetieth day there is a daily co-insurance amount of $174 per day, up from $169 in 1993. Each Medicare beneficiary has sixty "reserve days" for hospital services provided within a benefit period longer than ninety days. The co-insurance amount to be paid during each reserve day is $348, up from $338 in 1993. Part A of Medicare pays all covered charges for services in a skilled nursing facility for the first twenty days within a benefit period. From the twenty-first day through the one hundredth day within a benefit period, the Part A co-insurance amount for services received in a skilled nursing facility is $87 per day. For most beneficiaries there is no monthly premium charge for Medicare Part A coverage. Persons who become ineligible for Social Security Disability Insurance cash benefits can continue to receive Medicare Part A coverage premium-free for thirty-nine months following the end of a trial work period. After that time the individual may purchase Part A coverage. The premium rate for this coverage during 1994 is $245 per month. The Medicare Part B (medical insurance) deductible remains at $100 in 1994. This is an annual deductible amount. The Medicare Part B basic monthly premium rate will increase from $36.60 charged to each beneficiary and withheld from Social Security checks during 1993 to $41.10 per month during 1994. Medicare Part B coverage may be continued for people who complete a trial work period and become ineligible to receive Social Security Disability Insurance cash benefits. This monthly premium rate is $41.10, the same amount paid by Social Security beneficiaries through withholding from their monthly Social Security checks.