Auto-Enrollment Retroactive Notice

What is it?

If you get this YELLOW notice it means you automatically qualify for Extra Help with a retroactive (in the past) effective date because of one of the following:

You'll be automatically enrolled in a Medicare Prescription Drug Plan unless you decline coverage or join a plan yourself.

When should you get it?

You may get this notice at any time.

Who sends it?

Medicare

What should you do if you get this notice?

Download a sample

"Auto-Enrollment Retroactive Notice"

Publication, product, or other number

Product No. 11429

Unofficial name

YELLOW notice