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