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Tool · Late Enrollment Penalty Calculator

What does “late” actually cost?

Medicare late enrollment penalties aren’t a one-time fee. They’re added to your premium every single month, for the rest of your life. The math is uglier than people expect.

Part B penalty

10% added to your Part B premium for every full 12 months you went without Part B (when you should have had it).

024 months120
Full years late2
Penalty %20%
Extra per month, for life$40.58

Part D penalty

1% of the national base beneficiary premium for every month you went without creditable drug coverage. CMS rounds the penalty to the nearest $0.10.

024 months120
Penalty %24%
Extra per month, for life$9.40

The Part D penalty is recalculated each year because the national base beneficiary premium can change.

Over 20 years

$11,995

That’s how much these penalties could pull out of your pocket over a typical retirement. And that’s before the base premium even goes up — which it does, most years.

How to avoid it

Enroll during your Initial Enrollment Period (the 7 months around your 65th birthday), or be sure you have creditable coverage from an employer with 20+ employees. Get proof in writing.

COBRA doesn’t count

One of the most expensive misunderstandings. For Part B, COBRA and retiree coverage don’t count as active employer coverage, so they don’t earn you a Special Enrollment Period, and your penalty clock keeps ticking. For Part D it depends: many retiree drug plans are creditable (check the plan’s annual notice), but COBRA often isn’t. Get it in writing either way.

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Estimate uses 2026 figures (Part B base $202.90, Part D national base $38.99). The penalty is recalculated annually as the base premium changes.