Auto-Enrollment Retroactive Notice
What is it?
If you get this YELLOW notice it means you automatically qualify for
with an effective date in the past (retroactive). You'll be automatically enrolled in a Medicare drug plan unless you decline coverage or join a plan yourself.
When should I get it?
You may get this notice at any time.
Who sends it?
What should I do if I get this notice?
- Keep the notice.
- Compare Medicare drug plans with others to meet your needs. If you don't join a plan, Medicare will enroll you in one.
Download a sample
Get this notice in Spanish [PDF, 577 KB].
Publication, product, or other number
Product No. 11429