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Facilitated Enrollment Notice

What is it?

This green notice lets people with Medicare know that because they qualify for Extra Help, Medicare will enroll them in a Medicare Prescription Drug Plan if they don’t enroll themselves or decline coverage. People who get this notice qualify for Extra Help because of one of the following:

When should I get it?

You may get this notice at any time.

Who sends it?

Medicare

What should I do if I get this notice?

  • Keep the notice.
  • If you don't join a Medicare Prescription Drug Plan, Medicare will enroll you in one.
  • Compare Medicare drug plans with others to meet your needs.

Download a sample

"Facilitated Enrollment Notice: Full Subsidy [PDF, 674 KB]" Get this notice in Spanish [PDF, 641 KB].

"Facilitated Enrollment Notice: Partial Subsidy [PDF, 650 KB]" Get this notice in Spanish [PDF, 630 KB].

Publication, product, or other number

Product No. 11186

Product No. 11191

Unofficial name

Green notice