Does Part D Have a Late Enrollment Penalty?

 For each month you delay enrollment in Medicare Part D, you will have to pay a Part D late enrollment penalty, unless you:

  •  Have creditable coverage, meaning coverage that is as good or better than the basic Part D
    benefit.
  •  Qualify for the Extra Help program (see How Do I Use Extra Help to Eliminate my Part D LEP?
  •  Prove that you received inadequate information about whether your drug coverage was
    creditable

 In most cases, you will have to pay that penalty every month for as long as you have Medicare. If you are enrolled in Medicare because of a disability and currently pay a premium penalty, once you turn 65 you will no longer have to pay the penalty.

 How do you calculate your premium penalty?
 Let’s say you delayed enrollment in Part D for seven months (and you do not meet any of the exceptions listed above or below). Your monthly premium would be higher by an amount that is 7% of the base premium higher for as long as you have Part D (7 months x  1%). The national base beneficiary premium in 2020 is $32.74 a month. Your monthly premium penalty would therefore be $2.29 ($32.74 x 1% = $0.3274 x 7 = $2.29) per month, which you would pay in addition to your plan’s premium.

 Note: The Part D penalty is always calculated using the national base beneficiary premium. Your penalty will not decrease if you enroll in a Part D plan with a lower premium.

Read Next: What Can I do to Appeal for a Part D Late Enrollment Penalty?
Learn About: What Does Income Related Monthly Adjustment Amount (IRMAA) Address?
Return to: Medicare In-Depth

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