Free Calculator · 2026 Amounts

What does delaying Medicare really cost?

Medicare's late-enrollment penalties aren't one-time fees — they're added to your premium every month for the rest of your life. Enter how long you delayed (or are thinking of delaying) Part B or drug coverage and see the real price, this year and over a decade.

1 Which penalty do you want to check?
2 How long was the gap?
Only full 12-month periods count — 11 months costs nothing, 12 costs 10% forever.
Counts any stretch of 63+ days without creditable drug coverage after your enrollment window.
Estimated lifetime penalty

Free help confirming your enrollment window and whether your coverage counts as creditable. No pressure, no obligation.

Estimates only. This calculator applies the published penalty formulas using 2026 amounts — the $202.90 standard Part B premium and $38.99 Part D national base beneficiary premium. Actual penalties are determined by the Social Security Administration and your plan, depend on your exact months of non-creditable coverage, and recalculate each year as base amounts change. Penalties may not apply if you had creditable coverage or qualify for Extra Help. Smooth Health Solutions is not connected with or endorsed by the U.S. government or the federal Medicare program.

Why these penalties sting

Both penalties are permanent. Part B: 10% of the standard premium for every full 12-month period you could have enrolled but didn't — on a 2026 standard premium of $202.90, a two-year delay adds about $487 a year, every year, and grows as premiums rise. Part D: 1% of the national base premium per month without creditable drug coverage — smaller per month, but it starts after just 63 days uncovered and never goes away either.

The system has a built-in escape hatch most people don't know: creditable coverage. Active employer coverage (20+ employees) lets you delay Part B penalty-free with an 8-month enrollment window when it ends — but COBRA and retiree plans don't count, which is where people get burned.

Can I avoid the penalties if I'm still working at 65?

Usually. Active employment coverage (yours or your spouse's, employer with 20+ employees) is creditable for Part B, and you get an 8-month Special Enrollment Period when it ends. Drug coverage at least as good as Part D — your plan mails a creditable-coverage notice yearly — avoids the Part D penalty. The traps: COBRA and retiree coverage do not count for Part B.

Do the penalties ever go away?

Generally no — they're lifetime. Exceptions: Extra Help wipes the Part D penalty, and you can request reconsideration if a plan or the government misinformed you. Otherwise, prevention is the only cure.

I don't take any medications — do I still need Part D?

You don't need it, but skipping it starts the penalty meter after 63 days. Many healthy enrollees buy the cheapest Part D plan in their area purely as penalty insurance — often a few dollars a month, versus a penalty that compounds for life and a coverage gap if a diagnosis arrives mid-year.

Is there a penalty for delaying Medigap or Medicare Advantage?

No premium penalty — but Medigap has a one-time protection instead: the 6-month window starting with Part B is the only time carriers in most states must take you regardless of health. Miss it and future applications can be underwritten, rated up, or declined.

Built by a licensed agent

Zuriel Kinlock — Licensed Health Insurance Agent

Zuriel holds health insurance licenses in 23 states and built this calculator on the published SSA/CMS penalty formulas and 2026 amounts. If you're weighing a delay — or already facing a penalty letter — he'll map your options free. More about Zuriel.

Licensed in 23 statesACA & MedicareFree guidance

Keep going

New to Medicare? Start with the 2026 Medicare guide — Parts A–D, real costs, enrollment windows, and the full Medigap chart, plus a free printable version.