LIS Choosers Notice

What is it?

You'll get this notice if you get 

Extra Help

, you joined a Medicare drug plan on your own, and your plan's premium is changing. This TAN notice lets you know you'll have to pay a portion of your plan's premium in the coming year unless you join a new $0 premium plan.

When should I get it?

Early November

Who sends it?


What should I do if I get this notice?

  • Keep the notice.
  • You may want to look for a new plan with $0 premium (a list of local $0 premium plans is included with the notice).
  • Change plans, if you choose, in early December.

Download a sample

"LIS Choosers Notice [PDF, 558 KB]"

Get this notice in Spanish [PDF, 650 KB].

Publication, product, or other number

Product No. 11267

Unofficial name

Tan notice