This is in reference to your notice to us that you do not want to be enrolled in the
            medical insurance part of Medicare. A new health insurance card will be mailed to
            you within a few days and it will show that you have coverage only under the hospital
            insurance part of Medicare.
         
         Premiums for medical insurance will not be deducted from your future benefit payments.
            If any premiums have been withheld from your benefit payments, they will be refunded
            to you in a separate check.
         
         If you want information about enrolling for medical insurance coverage at some future
            date, please get in touch with any Social Security office.