Member Rights - Disenrollment

If you choose to enroll in a different plan during the Open Enrollment Period or at the next Annual Coordinated Election Period, you will automatically be disenrolled from your current plan.

There are several situations that may cause you to be disenrolled by your plan:

• You move out of your plan’s service area.
• Your plan’s Medicare contract ends.
• Your plan’s service area changes and you do not live in the revised service area.

Disenrollment due to any of the reasons above entitles you to a Special Enrollment Period. You will be given other Medicare options and the opportunity to enroll in a new plan.

You can also be disenrolled by your plan if:

• You do not pay your premiums in a timely fashion.
• You do not abide by the terms and conditions of your plan.
• You knowingly provide false information on your enrollment application or permit another individual to use your member ID card to receive medical services under the plan.

In any of the cases above, you will be notified of your disenrollment, the effective date and the reason. You have a right to a hearing under our grievance procedures. See the Evidence of Coverage you received when you enrolled for more information.

Finally, you can be disenrolled if:

• You lose your entitlement to either Medicare Part A or Part B.

If you lose your entitlement, you will be notified by the Centers for Medicare & Medicaid Services. Your Medicare Advantage plan will automatically end on the date your entitlement ends.