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Medicare · Enrollment

The answer

What is the Part B late penalty?


The Part B late penalty is a permanent surcharge added to your Part B (medical) monthly premium if you delay enrolling without qualifying coverage.

The penalty is 10% of the standard premium for each full 12 months you could have had Part B but did not sign up. Because it is based on full 12-month periods, waiting two full years would add 20%, and so on. The surcharge is permanent, meaning it stays on your premium for as long as you have Part B, not just for a year. You can avoid it by enrolling during your Initial Enrollment Period or by having qualifying coverage, like active employer insurance, that lets you delay.

Source medicare.govReviewed May 2026
Full guideThe Part B late enrollment penalty