What is it?
You'll get this notice if you're eligible for Medicare and
and already have qualifying
through an employer or union. This notice alerts you that you automatically qualify for
, 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?
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
Get this notice in Spanish [PDF, 610 KB].
Publication, product, or other number
Product No. 11334
Not available at this time