What is it?
You'll get this notice if your plan is leaving the Medicare program (and you don't get
). This notice reminds you that you need to choose a new plan for the coming year.
When should I get it?
If you have a Cost Plan: If you’re in a Cost Plan that isn’t being offered in 2019 because it is being non-renewed by Medicare and you’re not automatically being moved to another plan offered by the organization, you will get a notice. We will send the notice by September 1, 2018.
Who sends it?
What should I do if I get this notice?
You must look for a new plan for coverage next year.
If you have a Cost Plan: You must look for new health care coverage. The notice will include information explaining your health care options and what to do if you have any questions.
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)
Get this notice in Spanish [PDF, 444 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
Not available at this time