David Beren
Fri, June 12, 2026 astatine 9:36 AM CDT 6 min read
Quick Read
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Missing Medicare's Initial oregon Special Enrollment Period triggers a imperishable Part B surcharge, and neither COBRA nor retiree sum offers immoderate extortion against it.
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A three-year enrollment hold locks successful a imperishable 30% surcharge connected the $202.90 monthly Part B premium, recalculated upward each twelvemonth premiums rise.
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At employers with less than 20 workers, Medicare becomes the superior payer astatine 65, truthful skipping Part B creates some a imperishable punishment and uncovered costs.
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Medicare's Part B and Part D late-enrollment penalties are imperishable surcharges that connect erstwhile idiosyncratic eligible for Medicare fails to enroll connected clip without qualifying sum during the gap. COBRA and retiree sum bash not support against the Part B penalty, and the eight-month Special Enrollment Period that follows the extremity of progressive leader sum runs independently of immoderate COBRA election. Miss some the Initial Enrollment Period and the SEP, and you mostly hold for the adjacent General Enrollment Period to get Part B, with the surcharge applied for life.
This nonfiction is for anyone approaching 65, oregon already past it, who is inactive connected an leader plan, retiree coverage, COBRA, oregon nary sum astatine all. If you enrolled successful Part B connected time, skip it. Everyone other faces a constrictive acceptable of dates that decides whether they wage a imperishable Medicare surcharge for the remainder of their lives.
The Deadline Most People Get Wrong
The Initial Enrollment Period is simply a seven-month model astir your 65th birthday: the 3 months earlier the day month, the period itself, and the 3 months after. Part B and Part D penalties commencement accruing the infinitesimal that model closes, unless you suffice for a Special Enrollment Period.
The SEP exists lone for radical covered by a radical wellness program based connected existent progressive employment, their ain oregon a spouse's, astatine an leader with 20 oregon much employees. It runs for 8 months aft that employment oregon the radical sum ends, whichever comes first. COBRA, retiree coverage, and Affordable Care Act marketplace plans bash not number arsenic creditable sum for Part B. So for idiosyncratic whose leader sum ended successful January and who past spent 18 months connected COBRA, the SEP timepiece started successful January.

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