Late Enrollment Penalties
Signing up late for Medicare when you are eligible can add a penalty to your premium — often for life. Learn how the Part A, B, and D penalties generally work and how they are usually avoided.
If you do not sign up for Medicare when you are first eligible — and you do not have other coverage that counts (called "creditable" coverage) — you may face a late enrollment penalty. This penalty is added to your monthly premium, and in most cases it lasts for as long as you keep that coverage.
Part B late enrollment penalty:
- Your monthly Part B premium may go up about 10% for each full 12-month period you could have had Part B but did not sign up.
- In most cases, this higher amount lasts for as long as you have Part B.
Part D (prescription drug) late enrollment penalty:
- May apply if you go 63 days or more in a row without Part D or other creditable drug coverage after your Initial Enrollment Period.
- The amount is based on how many full months you went without coverage and the national base beneficiary premium, which can change each year.
Part A late enrollment penalty:
- Most people get premium-free Part A and do not face this penalty.
- If you have to buy Part A and sign up late, the premium may be higher for a limited time.
How these penalties are usually avoided:
- Signing up during your Initial Enrollment Period (generally around the month you turn 65), or
- Keeping creditable coverage (such as qualifying employer coverage) and enrolling during a valid Special Enrollment Period.
Note: This is general educational information, not a determination about your situation. Penalty rules and amounts are set by Medicare and can change. Always verify with Medicare (1-800-MEDICARE), Social Security, or a licensed advisor before making a decision.
This guide is for general education only. Plan availability, benefits, costs, networks, medications, and eligibility may vary by county, plan, and individual situation. For a specific review, a licensed advisor must verify your information.