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For example, younger persons who are still working probably arenât on Medicare and are still paying into the system by a rate of 6.2% of their annual earnings. Elderly persons on Medicare can use the IRS tax deduction to reduce their tax burden by claiming costs associated with Medicare payments.
FICA tax is also known as the Social Security tax. Specifically, this deduction is allowed for the following: 1  taxes paid to the U.S. under the provisions of the Federal Insurance Contributions Act (FICA), Social Security;2  taxes paid to the U.S. under the provisions of the Federal Railroad Retirement Act, Tier I and II; Medicare premiums deducted from social security benefits or retirement payments are not an allowable deduction since the benefits are not included in gross income. 2  Nonresidents and part-year residents may claim this deduction only if it is directly related to taxable income reported on Form 1-NR/PY.