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Auto-Enrollment Notice

What is it?

If you get this YELLOW notice it means you automatically qualify for Extra Help because you qualify for Medicare and Medicaid and currently get benefits through Original Medicare. You'll be automatically enrolled in a Medicare Prescription 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?

Download a sample

"Auto-Enrollment Notice [PDF, 680 KB]"

Get this notice in Spanish [PDF, 597 KB].

Publication, product, or other number

Product No. 11154

Unofficial name

YELLOW notice