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Penalties & IRMAA

Part B Late Enrollment Penalty

10% for each full 12 months in the period you could have had Part B but didn’t sign up. This is a lifetime penalty added to the cost of Part B. This penalty is usually waived if you use the Special Enrollment Period and submit proof of employer sponsored coverage.

Part D Late Enrollment Penalty

1% of the “national base beneficiary premium” for each month in the period you could have had Part D but didn’t sign up. This is a lifetime penalty that adjusts each year based on the updated base premium. You should get a letter from your employer sponsored plan each year informing you if your coverage is "creditable prescriptioin drug coverage". Keep this letter as proof to avoid this penalty.

 

Part B & Part D IRMAA

If your modified adjusted gross income is above a certain amount, you may pay an Income Related Monthly Adjustment Amount (IRMAA). This is an extra charge added to your Part B & Part D premiums. Your tax return from 2 years ago is used for IRMAA determinations. You can submit a form to request that Medicare waive IRMAA.

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Medicare
  • Medicare Resources
  • Pre-65 Health Insurance
  • The Parts of Medicare
  • Medicare Enrollment Periods
  • Penalties & IRMAA
  • Medicare 2025 costs at a glance
  • Two Paths To Consider
  • What is Medicare Supplement (Medigap) Insurance?
  • Part D Prescription Drug Plans
  • Part C - Medicare Advantage Plans
  • Part C - Special Needs Plans (SNP)
  • Star Ratings

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David Brabender, Atman Insurance Services

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Important disclosures about Medicare Plans: Medicare has neither endorsed nor reviewed this information. I am not connected or affiliated with any United States Government or State agency. I do not offer every plan available in your area. Currently I represent 11 organizations offering over 30 products in your area. Any information I provide is limited to those plans I do offer in your area. Please contact Medicare.gov, 1–800–MEDICARE, or your local State Health Insurance Program to get information on all your options.

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