Part D penalty and MAPD

[JJ2713]

If someone delays enrolling in a Part D plan (incurring a penalty) and then eventually enrolls in a MAPD plan, what happens to the Part D penalty?

Or does it only take effect if the person finally enrolls in a Part D plan?

 

[Chazm]

They will continue to pay the part D penalty that was previously incurred. Unless they have VA, LIS or turn 65 from disability

 

[JJ2713]

Good to know, thanks.

 

[TwoCents]

If someone delays enrolling in a Part D plan (incurring a penalty) and then eventually enrolls in a MAPD plan, what happens to the Part D penalty?

Or does it only take effect if the person finally enrolls in a Part D plan?

MAPD = Medicare Advantage Prescription Drug So a form of Part D coverage is built in. It doesn't matter if the person is in a PDP or MAPD, if they had a long enough gap in coverage, they'll be assessed an LEP.

 

[JNav]

If that individual finally enrolls in MAPD, would he / she still get LEP moving forward? or just the gaps?

Thanks

 

[somarco]

https://www.cms.gov/Outreach-and-Education/Outreach/Partnerships/downloads/11222-P.pdf

 

[TwoCents]

If that individual finally enrolls in MAPD, would he / she still get LEP moving forward? or just the gaps?

Thanks

The LEP is based on the gaps in coverage. The LEP is lifetime unless the person has Medicare prior to Age 65 and then enters the 2nd IEP or obtains LIS.