What is it?
The "Initial Enrollment Questionnaire" (IEQ) asks about other health insurance you have that might pay before Medicare does, like group health plan coverage from your or a family member's employer, liability insurance, or workers' compensation.
When should I get it?
About 3 months before your Medicare coverage starts
Who sends it?
Medicare
What should I do if I get this notice?
- Fill out the IEQ and return it to Medicare so your bills are paid correctly and on time.
- You can also complete the IEQ online at MyMedicare.gov.
Note
The IEQ will be available online 90 days before and up to 180 days after your entitlement date. If you try to fill it out online before or after this time, you won't be able to access it.
Download a sample
Not available at this time
Publication, product, or other number
Not available at this time
Unofficial name
Not available at this time