Part B Late Enrollment Penalty

The Part B late-enrollment penalty is permanent: 10% of the standard premium for every full 12 months you delay without creditable coverage — and it silently inflates every Medigap quote for life.

Delay Penalty 2025 Basis ($185 standard)
12 months late +10% ≈ $18.50/month forever
24 months late +20% ≈ $37/month forever
5 years late +50% ≈ $92.50/month forever

How the penalty interacts with Medigap

Medigap supplements Part B costs, so a inflated Part B premium rides along invisibly in every plan comparison — the penalty never appears on the Medigap quote itself. Avoiding it is enrollment timing (see the IEP file); fixing it is nearly impossible.

The legitimate escapes

Active employer coverage (own or spouse’s, 20+ employee companies) earns a special enrollment period with no penalty — document it. COBRA and retiree plans do NOT count the same way; the rules and edge cases tie into GI rights when that coverage ends.

FAQ

Is the Part B penalty one-time or monthly?

Monthly, forever — 10% per full 12-month delay, added to every future premium.

Does Part D have a similar penalty?

Yes — 1% of the national base premium per uncovered month; see the FAQ library.

Related reading: All windows · IEP file · Medicare FAQs