For each month you delay enrollment in Medicare Part D, you will have to pay a 1% Part D late enrollment penalty (LEP), unless you:
In most cases, you will have to pay that penalty every month for as long as you have Medicare . If you are enrolled in Medicare because of a disability and currently pay a premium penalty , once you turn 65 you will no longer have to pay the penalty.
How do you calculate your premium penalty?
Let’s say you delayed enrollment in Part D for seven months (and you do not meet any of the exceptions listed above). Your monthly premium would be 7% higher for as long as you have Part D (7 months x 1%). The national base beneficiary premium in 2024 is $34.70 a month. Your monthly premium penalty would therefore be $2.43 ($34.70 x 0.07 = $2.43) per month, which you would pay in addition to your plan’s premium.
Note: The Part D penalty is always calculated using the national base beneficiary premium. Your penalty will not decrease if you enroll in a Part D plan with a lower premium.