Medicare Late Enrollment Penalty Calculator — Part B and Part D

Late Part B and late Part D almost always share one cause: the client simply didn't enrol. Enter their history once and see both penalties — and what they add up to together.

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Client details

Used for both enrollment periods.

Qualifying employer coverage after 65?

Active employment, 20+ employees. COBRA and retiree coverage do not count.

Receives Extra Help / LIS?

Exempts the Part D penalty entirely.

Projection assumptions

An assumption — adjust to your client.

The penalty is a percentage of a premium that rises each year.

Combined estimated penalty

Enter a date of birth and both coverage start dates to see the estimate.

Estimate only, based on CY2026 figures (standard Part B premium $202.90, Part D base $38.99). This is not an official determination. MedicareCopilot is not affiliated with or endorsed by CMS, Medicare, the Social Security Administration, or any government agency — official amounts and eligibility determinations are made by SSA and CMS. This tool provides general information only and is not medical, legal, or tax advice. Figures last verified 2026-07-27.

Part B

No penalty

Part D

No penalty

Catch this before it happens

MedicareCopilot tracks every client’s enrollment windows and warns you before a penalty can accrue — alongside CRM, quoting, enrollment, and commission tracking built for Medicare agents.

Common questions

Can you get both a Part B and a Part D late enrollment penalty?

Yes. They are separate penalties with separate rules, and someone who simply did not enrol in Medicare on time will often owe both.

The Part B penalty is 10% of the standard Part B premium per full 12-month period. The Part D penalty is 1% of the national base beneficiary premium per full uncovered month. Both last as long as you keep the coverage.

Which penalty is bigger?

The Part B penalty is almost always substantially larger, because it is a percentage of a much bigger premium and it compounds in 10% steps.

In 2026, one full year of Part B delay costs about $20.29 a month, while twelve uncovered Part D months cost about $4.68 a month.

Can either penalty be appealed?

The Part D penalty can be challenged through reconsideration, generally within 60 days of the notice, if creditable coverage was in place but not recorded.

The Part B penalty is far harder to reverse. Prevention — enrolling inside the Initial Enrollment Period or a valid Special Enrollment Period — is the only reliable protection.

Look at one part in detail