Auto-Enrollment Retroactive Notice

What is it?

If you get this YELLOW notice it means you automatically qualify for 

Extra Help

 with an effective date in the past (retroactive). 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 Retroactive Notice [PDF, 671 KB]"

Get this notice in Spanish [PDF, 577 KB].

Publication, product, or other number

Product No. 11429

Unofficial name

YELLOW notice