Part D Late Enrollment Penalty Calculator

Calculates your Part D Penalty for the period you were without without creditable health insurance coverage.

All Calculators

What is the Late Enrollment Penalty?

You have an Initial Enrollment Period (IEP) of 7 months surrounding your 65th birthday in which you may enroll in Medicare Part D (prescription drug coverage). You may delay enrolling in Medicare Part D without penalty if you qualify for Medicaid, Extra Help, or have creditable drug coverage. If it’s been more than 63 days since you’ve had creditable coverage after your IEP, then the penalty may apply.

How Much is the Medicare Part A Penalty?

You have an Initial Enrollment Period (IEP) of 7 months surrounding your 65th birthday in which you may enroll in Medicare Part D (prescription drug coverage). You may delay enrolling in Medicare Part D without penalty if you qualify for Medicaid, Extra Help, or have creditable drug coverage. If it’s been more than 63 days since you’ve had creditable coverage after your IEP, then the penalty may apply.

How Much is the Medicare Part B Penalty?

You have an Initial Enrollment Period (IEP) of 7 months surrounding your 65th birthday in which you may enroll in Medicare Part D (prescription drug coverage). You may delay enrolling in Medicare Part D without penalty if you qualify for Medicaid, Extra Help, or have creditable drug coverage. If it’s been more than 63 days since you’ve had creditable coverage after your IEP, then the penalty may apply.

How much is the LEP for Part D?

You have an Initial Enrollment Period (IEP) of 7 months surrounding your 65th birthday in which you may enroll in Medicare Part D (prescription drug coverage). You may delay enrolling in Medicare Part D without penalty if you qualify for Medicaid, Extra Help, or have creditable drug coverage. If it’s been more than 63 days since you’ve had creditable coverage after your IEP, then the penalty may apply.

How to Appeal the Medicare Part D Late Enrollment Penalty

You have an Initial Enrollment Period (IEP) of 7 months surrounding your 65th birthday in which you may enroll in Medicare Part D (prescription drug coverage). You may delay enrolling in Medicare Part D without penalty if you qualify for Medicaid, Extra Help, or have creditable drug coverage. If it’s been more than 63 days since you’ve had creditable coverage after your IEP, then the penalty may apply.

All Calculators

1

2

Part D Penalty Explained

The Part D penalty is determined by taking 1% of the “national base beneficiary premium” times the number of months someone has gone without having Part D or creditable drug coverage.
Note: The national base beneficiary premium changes from year to year, so your penalty with fluctuate as well.

How many months after your 65th birthday did you (or will you) spend without creditable coverage?

Estimated Monthly Part D Penalty*

$

*This tool is an estimate only and may not be exact