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Dear Marci,
Dear Marci,
I turned 65 last year but didn’t sign up for Medicare Part B right away, because I am still working and have employer-sponsored health insurance. A friend mentioned that I might have to pay a late enrollment penalty since I missed my Initial Enrollment Period. Is this true?Nereyda (Montclair, NJ)
Dear Nereyda,
Great question! Since you are actively working and covered by your employer-sponsored health insurance, you can enroll in Medicare Part B without penalty using a Special Enrollment Period (SEP). The SEP allows you to sign up for Part B anytime while you are still covered by the employer’s health plan or within eight months after your employment-based coverage ends. If you enroll during this period, you won’t owe an LEP.
Even though it sounds like you shouldn’t owe a Part B LEP, it can be helpful to know how these penalties work. Here is some additional information about LEPs:
1. Part B late enrollment penalty
You may owe a Part B LEP if you delay enrolling in Medicare Part B after you are first eligible. For each 12-month period you delay enrollment, you will owe a 10% Part B premium penalty. So, if you delay enrollment for 24 months, you will owe the normal premium amount for Part B, plus an additional 20%.
However, you shouldn’t owe an LEP if:
- You have insurance from your or your spouse’s current work and have been continuously covered since becoming Medicare-eligible (with no more than eight consecutive months without coverage from either Medicare or insurance from current work)
- You are eligible for a Medicare Savings Program (MSP)
- You qualify for a Special Enrollment Period (SEP) because of exceptional circumstances.
2. Part D Late Enrollment Penalty
You may owe an Part D LEP if you delay enrolling in Medicare Part D after you are first eligible for it. For each month you delay enrollment, 1% of the Part D base premium is added to your regular Part D premium.
However, you shouldn’t owe an LEP if:
- You had creditable drug coverage during the time you delayed enrolling in Part D
- You qualify for the Extra Help program
- You can prove that you received inadequate or inaccurate information about whether your drug coverage was creditable.
Most people don’t owe a premium for Part A because of their or their spouse’s Social Security work history. If you do owe a premium for Part A, you could owe a Part A LEP if you delay enrollment. Visit the Medicare website to find out more about Part A LEP.
Hope this helps!
– Marci
Will I have a late enrollment penalty?
February 10, 2025