Why the two penalties behave so differently
Medicare's two late-enrollment penalties are often described together, which hides the single most useful difference between them. Part B counts only complete 12-month periods. Part D counts every full month. That asymmetry produces results that surprise people in both directions.
Go eleven months without Part B and the penalty is zero — not reduced, zero. Go twelve and it becomes 10% of the standard premium, permanently. Meanwhile those same eleven months without creditable drug coverage do generate a Part D penalty, because Part D has no such grace. Someone who delayed briefly and assumes they are safe on both counts is usually wrong about Part D; someone who delayed briefly and panics about Part B is usually wrong about Part B.
The other thing worth internalising is duration. Neither penalty is a one-time charge. They ride on your premium for as long as you hold the coverage, which for most people means the rest of their life. A surcharge of about fifty dollars a month reads as small; the same surcharge across twenty years of coverage is roughly twelve thousand dollars. That is why the calculator shows the monthly, annual, and horizon figures together rather than just the monthly one.
The formulas
- Part B: 10% × (full 12-month periods late) × the standard Part B premium. At the 2026 premium of $202.90, one full year late is about $20.29 per month.
- Part D: 1% × (full uncovered months) × the national base beneficiary premium, rounded to the nearest $0.10. At the 2026 base of $38.99, twelve uncovered months is about $4.68 per month.
Both figures move over time, because both are percentages of premiums that are set annually. The Part D penalty in particular is recalculated each year against the new national base beneficiary premium, so a penalty quoted this year is not the amount you will pay in five years. The lifetime figure here holds today's rates constant, which makes it a floor rather than a forecast.
What this page cannot do: it cannot tell you whether a Special Enrollment Period covers your gap, whether a former employer's drug plan was creditable, or whether your circumstances support a reconsideration. Those depend on your records and on Medicare's determination, not on arithmetic.