Medicare Late Enrollment Penalty Calculator

Estimate potential Medicare Part D and Part B late enrollment penalties. This tool is for education only and does not replace an official Medicare determination.

Part D Drug Coverage Penalty

Use this if someone went without Medicare drug coverage or other creditable prescription drug coverage.

Count full months without Part D or creditable drug coverage after the enrollment window.
2026 default: $38.99. Update this each year when Medicare releases the new amount.
Enter the plan premium to estimate the premium plus penalty.

Estimated Part D penalty

$0.00/mo
  • Penalty percentage0%
  • Annual penalty estimate$0.00
  • Plan premium + penalty$0.00/mo

Part B Medical Coverage Penalty

Use this if someone delayed Part B and did not qualify for a Special Enrollment Period.

Medicare generally counts only full 12-month periods for the Part B penalty.
2026 default: $202.90. Update this each year when Medicare releases the new amount.

Estimated Part B penalty

$0.00/mo
  • Full 12-month periods0
  • Penalty percentage0%
  • Estimated Part B premium with penalty$202.90/mo