CMS Non-Renewal Reminder Notice

What is it?

You'll get this notice if your plan is leaving the Medicare program (and you don't get 

Extra Help

). This notice reminds you that you need to choose a new plan for the coming year.

When should I get it?


Who sends it?


What should I do if I get this notice?

You must look for a new plan for coverage next year.

Download a sample

"CMS Part C Non-renewal Notice [PDF, 50.6 KB]"  (English and Spanish)

"CMS Part D Non-renewal Notice [PDF, 49.2 KB]" (English and Spanish)

"Cost Plan Non-Renewal Notice [PDF, 347 KB]"

     Get this notice in Spanish [PDF, 444 KB].

"Cost Plan Non-Renewal Notice for Minnesota [PDF, 484 KB]"

     Get this notice in Spanish [PDF, 445 KB].

Publication, product, or other number

Product No. 11433

Product No. 11438

Product No. 12027

Product No. 12030

Unofficial name

Not available at this time

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