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Part B Penalty Estimator

If you don't sign up for Part B when first eligible and don't have creditable coverage, a permanent penalty is added to your premium — 10% for each full 12-month period you could have had Part B but didn't. The penalty lasts as long as you have Part B. We'll estimate yours and show you how to avoid it.

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How to use this tool

You'll need two dates: when you first became eligible for Part B (usually your 65th birthday month), and when you actually enrolled or plan to. Also note any stretches you had creditable coverage, like a current employer's plan, since those months don't count against you. Enter the gap and we estimate your penalty percentage. Nothing here enrolls you — it's just to show what late enrollment could cost.

What the numbers mean

The penalty is 10% of the standard Part B premium for each full 12-month period you went without coverage when you could have had it. Partial periods round down, so 18 months counts as one 12-month period (10%), not 1.5. The surcharge is added to your monthly premium for as long as you have Part B — it doesn't go away. That's why even a modest percentage adds up over a retirement.

How to avoid it

Enroll during your Initial Enrollment Period, or keep creditable coverage through a current employer and use a Special Enrollment Period when that job-based coverage ends. The trap is assuming COBRA or retiree coverage counts as creditable for Part B — often it doesn't. If you're nearing 65 or leaving a job, let us check your dates so you sign up in the right window and skip the penalty entirely.

A quick note on these estimates

These tools give general estimates from publicly available CMS Plan Year 2026 data — they are not a quote, an enrollment, or a guarantee of coverage, cost, or eligibility. Plans, premiums, and rules change. Confirm current details with the plan and on Medicare.gov or 1-800-MEDICARE before you enroll, or let a licensed Big Sioux Benefits advisor verify your exact numbers for free.

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Part B Late-Penalty Estimator

The Part B penalty is added to your premium and never goes away. See what waiting really costs.

Question 1 of 2

How long would you delay Part B?

Pick the closest option, then fine-tune it.

Questions, answered

How do I avoid the Part B penalty?

Enroll during your Initial Enrollment Period, or keep creditable coverage through a current employer and enroll through a Special Enrollment Period when that coverage ends. The key is making sure your coverage actually counts as creditable for Part B — COBRA and retiree plans often don't. We track your dates so you sign up at the right time.

How long does the Part B penalty last?

For as long as you have Part B — it's a lifelong surcharge, not a one-time fee. Each full 12-month period you delayed without creditable coverage adds 10% to your monthly premium, and that amount stays added every month. Because it's permanent, avoiding it up front is almost always the cheaper path.

Does COBRA count as creditable coverage for Part B?

Usually no. COBRA and most retiree plans are generally not considered creditable coverage that lets you delay Part B without a penalty — only coverage from a current employer typically does. This catches a lot of people off guard, so confirm your situation before relying on COBRA to bridge the gap. We're glad to check it for you.

How is the Part B late penalty calculated?

It's 10% of the standard Part B premium for each full 12-month period you could have had Part B but didn't, with partial periods rounded down. So a 14-month gap counts as one period (10%), while 25 months counts as two (20%). The surcharge is then added to your premium every month for life.

How much does the Part B penalty add to my premium?

It adds 10% of the standard Part B premium for every full 12 months you went without coverage when eligible. So one year late means about 10% more each month, two years roughly 20%, and so on. Because the surcharge rides on the standard premium for life, it grows in dollar terms as premiums rise over the years. We can estimate your specific percentage from your dates.

When does the Part B penalty start being charged?

It begins once you finally enroll in Part B and shows up as a higher monthly premium from your first Part B bill onward. There's no separate notice or lump sum — it's simply baked into what you pay each month. Since it then continues for as long as you keep Part B, catching the issue before you enroll is the only way to avoid it. We're glad to check your timeline.

Can the Part B penalty ever be removed?

Rarely. In most cases it's permanent once it applies. A few narrow exceptions exist — for example, if you can show you had creditable coverage that should have let you delay, or in certain situations involving incorrect information from a government source, you may be able to request a correction. Those cases are limited, so enrolling on time is far safer. We can help you review your records.

Does retiree coverage let me delay Part B without penalty?

Usually not. Retiree plans and COBRA generally don't count as the current-employer coverage that protects you from the Part B penalty, and many people get caught assuming they do. The coverage that typically lets you delay is an active group plan tied to your or a spouse's current job. Before you rely on a retiree plan to bridge to Medicare, let us confirm whether it actually qualifies.

I delayed Part B for three years — what would my penalty be?

Three full years counts as three 12-month periods, so the surcharge would be about 30% added to your standard Part B premium, every month for as long as you have Part B. If part of that time you had creditable coverage through a current employer, those months wouldn't count against you. Send us your exact dates and we'll work out the real number rather than a rough guess.

Is the penalty based on today's premium or the premium when I was first eligible?

It's calculated against the current standard Part B premium, not the one from when you first became eligible. That means the dollar amount of your penalty can rise over time as the standard premium increases, even though your penalty percentage stays fixed. It's another reason the cost of waiting tends to grow. We can estimate both the percentage and roughly what it means in dollars today.

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