How Medicare Works for Pastors Who Opt Out of Social Security
Explanations of how individuals qualify to partake in the Medicare health insurance system, as well as various costs and nuances associated are detailed out below.
Anyone over the age of 65 who is a US citizen or legal resident and has lived in the US continuously for at least 5 years is eligible for original Medicare. Original Medicare consists of several parts:
- Part A: Also known as hospital insurance.
- Part B: Covers the medical portion such as doctor visits, outpatient surgery, etc.
The other parts that make a comprehensive medicare plan include: medicare supplement, medicare advantage, and prescription drug plans. If you’re not familiar with how all of these work, we have various stand alone articles and videos explaining these topics.
So What’s Different For Pastors
So, if you meet the criteria above, then you qualify to participate in Medicare. But now the only difference for pastors is going to be the cost. Pastors whom have had a W2 paying job before they became a pastor, one that withheld FICA taxes… this is where that job may benefit you in retirement.
Part A for most people is $0/month. That’s right, if you have had a W2 job where FICA had been withheld for more than 40 quarters (10 years), medicare Part A is free. While if you have worked less than 40 quarters use this table to find where you expect to be:
|Part A Monthly Premium|
|$0||If you or your spouse worked for 40 quarters (10 years) or more|
|$240||If you or your spouse worked between 30 and 39 quarters (7.5 and 10 years)|
|$437||If you or your spouse worked fewer than 30 quarters (7.5 years)|
If you’ve been a pastor all of your life and intend to retire in the next 10 years, it may behoove you to get a part-time job and earn a minimum of $1,360 every quarter (in 2019) to earn a credit to count toward those Social Security quarters listed above.
Otherwise, be prepared to shell out some bills for participating in the Medicare program.