Medicare Late Enrollment Penalties

Skip Part B or Part D when you first become eligible and Medicare can add a penalty to your premium for as long as you have the coverage. The good news: it is almost always avoidable, and our calculator shows you exactly what it could cost.

Calculate Your Penalty

Use the official 2026 figures to estimate your Part B and Part D late penalties in seconds. Enter your months directly, or use the date helper. These penalties are permanent, so the calculator also shows the long-term cost.

The Part B penalty adds 10% of the standard premium ($202.90 in 2026) for each full 12-month period you were eligible but didn't enroll (without other job-based coverage). It is added to your premium for as long as you have Part B.

Optional: fill these to auto-calculate your months late, or just type the number below.

Only full 12-month periods count toward the penalty.

$0.00

Estimated monthly penalty added to your Part B premium

0%
Penalty rate (10% per full year)
$202.90
New monthly premium
$0
Extra cost per year

Enter your months above to see your estimated penalty.

The Part D penalty adds 1% of the national base premium ($38.99 in 2026) for every full month you went without Part D or other creditable drug coverage (a gap of 63+ days). It is added to your drug premium for life.

Optional: fill these to auto-calculate your uncovered months, or just type the number below.

Every full uncovered month counts (gaps of 63+ days).

$0.00

Estimated monthly penalty added to your Part D premium

0
Uncovered months counted
$0
Extra cost per year
$0
Cost over 10 years

Enter your months above to see your estimated penalty.

What the Penalty Is

A late enrollment penalty is a permanent amount added to your monthly premium if you went without coverage you were supposed to have. For Part D, it applies after a gap of 63 or more days without creditable drug coverage. For Part B, it applies for each full year you delayed without job-based coverage. Neither is a one-time fine — they stick with you for as long as you keep the coverage, and they grow over time.

How to Avoid It

Enroll on time

Sign up during your Initial Enrollment Period around your 65th birthday, even if you take few or no medications.

Keep creditable coverage

Employer, union, or VA drug coverage that is at least as good as Part D counts. Keep the notice that proves it.

Mind the 63-day rule

If you lose creditable coverage, get a Part D plan within 63 days to stay penalty-free.

Already Have a Penalty?

If you are paying a penalty you believe is wrong, for example because you actually had creditable coverage, you can ask for a review called a reconsideration. There is a form and a deadline, and proof of your prior coverage is key. We can point you to the process and help you gather what you need.

What Our Clients Say

Real reviews from the people we have kept on track and penalty-free.

Don't Get Caught by the Penalty

Whether you are new to Medicare or losing other coverage, we will make sure you have compliant Part B and Part D coverage in place on time. No fees, no obligation, no pressure.

Cole Insure, LLC is a licensed independent insurance agency. This is an advertisement for insurance. Estimates are based on official 2026 figures (Part B standard premium $202.90; Part D national base beneficiary premium $38.99) and are illustrative, not a quote of your actual penalty. Penalties are calculated and assessed by Medicare and Social Security based on amounts that change annually, so your penalty can rise over time and lasts as long as you keep the coverage. Creditable coverage determinations and penalty reconsiderations are handled by Medicare and its contractors. Medicare has neither reviewed nor endorsed this information. We are not affiliated with or endorsed by the U.S. government or the federal Medicare program. To get information on all of your options, contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP). Details are current as of 2026 and subject to change.