Retiree Drug Subsidy Notice - Dual Eligibles

What is it?

This notice alerts you that you automatically qualify for 

Extra Help

 and can join a Medicare Prescription Drug Plan at no cost to you.

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?

Contact your employer or union plan to learn how joining a Medicare drug plan may affect your current coverage.

Download a sample of this document

"Retiree Drug Subsidy Notice Dual Eligibles [PDF, 615 KB]"

Get this notice in Spanish [PDF, 610 KB].

Publication, product, or other number

Product No. 11334

Unofficial name

Not available at this time