What is it?
If you get this purple notice it means you automatically qualify for Extra Help, because of any of the following:
- You have both Medicare and Medicaid.
- You're in a Medicare Savings Program.
- You get Supplemental Security Income (SSI) benefits.
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.
- You don't need to apply to get Extra Help.
- Compare Medicare Prescription Drug Plans with others to meet your needs.
Download a sample
Get this notice in Spanish [PDF, 73.5 KB].
Publication, product, or other number
Product No. 11166