US · guidance
CMS Pub. 100-01, ch. 2, § 40.7.2
Increase in Base Premium Amount
The base premium that is announced by the Secretary is paid by most enrollees.
However, it is increased for those who enroll late or reenroll after a prior termination of
entitlement. The amount of the increase is 10 percent of the base rate for each full 12-month period during which the individual could have been but was not enrolled in the
program. However, months in which an individual has GHP coverage based on current
employment status are not counted as months in which the individual "could have been,
but was not enrolled." This exception does not apply to individuals who are entitled to
Medicare on the basis of ESRD.
History
(Rev. 1, 09-11-02)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
ac84e96b2048548c884d93b0b1c0b4758bc2d5e9b09dd9f50e4b54b3190b7b98
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