What are the penalties for late enrollment in Medicare?
Late enrollment in Medicare can result in financial
penalties, which vary depending on the part of Medicare you delay enrolling in:
1. Part A (Hospital
Insurance):
- Penalty: Most people qualify for premium-free Part A, but
if you have to pay for Part A and don't sign up when you're first eligible,
your monthly premium may increase by 10%.
- Duration: You'll have to pay the higher premium for twice
the number of years you were eligible but didn’t sign up. For example, if you
were eligible for two years but didn't enroll, you'll pay the higher premium
for four years.
2. Part B (Medical
Insurance):
- Penalty: If you don't sign up for Part B when you're first
eligible, your monthly premium may increase by 10% for each full 12-month
period you could have had Part B but didn't sign up.
- Duration: This penalty is for life. For example, if you
were eligible for Part B for three years but didn’t sign up, your premium would
be 30% higher.
3. Part D
(Prescription Drug Coverage):
- Penalty: If you don’t sign up for Part D when you’re first
eligible and don’t have other creditable prescription drug coverage, you may
pay a late enrollment penalty.
- Calculation: The penalty is calculated by multiplying 1%
of the "national base beneficiary premium" by the number of months
you were eligible but didn’t join a Part D plan. This amount is added to your
monthly premium.
- Duration: This penalty is also for life.
Important
Considerations:
- Special Enrollment Periods (SEPs): If you have other
coverage (like employer coverage) when you first become eligible for Medicare,
you may qualify for a SEP when that coverage ends, allowing you to enroll in
Medicare without penalties.
- Exceptions: Some people may qualify for exceptions to
these penalties, such as those who qualify for Extra Help with Part D.
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