Member Disenrollment Rights
When can you end your membership in our plan?
You can end your membership during the Annual Enrollment Period.
The Annual Enrollment Period takes place from October 15 to December 7. During this time you can:
- Enroll in another Medicare health plan.
- Enroll in Original Medicare with a separate Medicare prescription drug plan. —OR—
- Enroll in Original Medicare without a separate Medicare prescription drug plan.
Your membership will end when your new plan’s coverage begins on January 1.
You can end your membership during the annual Medicare Advantage Disenrollment Period, but your choices are more limited.
You have the opportunity to make one change to your health coverage during the annual Medicare Advantage Disenrollment Period.
The annual Medicare Advantage Disenrollment Period takes place every year from January 1 to February 14.
During the annual Medicare Advantage Disenrollment Period, you can cancel your Medicare Advantage Plan enrollment and switch to Original Medicare. If you choose to switch to Original Medicare during this period, you have until February 14 to join a separate Medicare Prescription Drug Plan to add drug coverage.
Your membership will end on the first day of the month after we get your request to switch to Original Medicare. If you also choose to enroll in a Medicare prescription drug plan, your membership in the drug plan will begin the first day of the month after the drug plan gets your enrollment request.
In certain situations, you can end your membership during a Special Enrollment Period.
If any of the following situations apply to you, you are eligible to end your membership during a Special Enrollment Period. These situations include but are not limited to the following:
- You have moved out of the service area.
- You have the Oregon Health Plan (Medicaid).
- You receive “Extra Help."
- You leave coverage from your employer or union.
The dates of the Special Enrollment Periods vary depending on your situation.
How do you end your membership in our plan?
Usually, you end your membership by enrolling in another plan.
If you want to switch from our plan to Original Medicare but you have not selected a separate Medicare prescription drug plan, you must ask to be disenrolled from our plan. There are two ways you can ask to be disenrolled:
- You can make a request in writing to us. Contact Navigation Services at 866-798-2273 (TTY/TDD: 711) if you need more information on how to do this. —OR—
- You can contact Medicare at 800-MEDICARE (800-633-4227), 24 hours a day, 7 days a week. TTY/TDD users should call 877-486-2048.
Where can you get more information about when you can end your membership?
You can call Navigation Services at 866-798-2273 (TTY/TDD: 711) or review your Evidence of Coverage.
FamilyCare Health is an HMO with a Medicare and Oregon Health Plan (Medicaid) contract. Enrollment in FamilyCare Health Medicare Advantage plans depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. If you enroll in FamilyCare Community (HMO SNP), the Oregon Health Plan will pay your Part B premium for you. FamilyCare Community (HMO SNP) is available to people who qualify for Medicare and the Oregon Health Plan (Medicaid). Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Y0103_WEB_00354 — Approved (Updated 10/05/2017)