In this article “When and How To Cancel Or Disenroll”, you will learn when and how to cancel or disenroll from your Medicare Advantage or prescription drug plan if you don’t like your current plan.
When can you disenroll from my plan?
Disenrollment occurs when you request to leave your plan after its effective date. You can generally disenroll from your plan during:
What changes can you make during the AEP?
During AEP, anyone with an Advantage plan or Prescription Drug plan can make any change they need to if they don’t like their current coverage.
Here’s a quick rundown of what you can do during the Annual Enrollment Period:
- Change to a Medicare Advantage plan from Original Medicare.
- Change from a Medicare Advantage plan to Original Medicare.
- Change from one Medicare Advantage plan to another.
- Enroll in a Part D prescription drug plan.
- Change from one Prescription drug plan to another.
- Opt out of Medicare prescription drug coverage completely.
Changes you make during the AEP go into effect January 1 of the next year.
What changes can you make during the MA-OEP?
During MA-OEP, you have a one-time opportunity to enroll in another Medicare Advantage plan or disenroll from your current Medicare Advantage plan and return to Original Medicare. This period lasts from Jan 1st to March 31. Your new coverage will start on the following 1st of the month.
What about SEP?
You can also disenroll or make changes during a Special Enrollment Period (SEP) if you qualify. Circumstances that may qualify you for a Special Enrollment Period (SEP) are but NOT limited to these:
- moving out of a plan’s service area
- losing group Medicare employer coverage
- qualifying for a low-income subsidy
- newly qualifying for a Special Needs Plan due to a chronic health condition
- eligibility for both Medicare and Medicaid (dual eligibility)
How do I cancel or disenroll?
The most convenient way to cancel your plan before the effective date is to call your Insurance Agent. Your agent or customer care department will guide you through the cancellation process.
If you prefer, you can fax or mail a signed written request to cancel your plan.
To disenroll from your plan without calling customer service, you must send a signed, written disenrollment request and a special election disenrollment questionnaire. After you fill them out and sign, you can fax or mail them to your current company. If you prefer, you can write and sign your own disenrollment request.
Include the following information in the written request
- Member’s name
- Member ID number
- Plan name, or prescription drug plan (PDP) name.
- A statement that you want to disenroll from your plan
- Requested disenrollment date
Who can complete a disenrollment request?
Only the member or the member’s healthcare power of attorney (POA) or legal guardian can complete a disenrollment request.
What are your options during disenrollment?
There are options with disenrollment. When you disenroll from your plan, you can enroll in another carrier’s plan or return to Original Medicare.
Prescription drug plans (PDPs) are only available through private companies. If you do not maintain prescription drug coverage through Medicare Part D or other coverage that is at least as good as the Medicare drug benefit, you may incur a late enrollment penalty (LEP) that will be due as part of your monthly premium for the duration of any future PDP enrollment.
Your current plan will notify you of your disenrollment effective date after CMS approves the disenrollment. Until your disenrollment is effective, continue to fill your prescriptions in your network pharmacies to receive your prescription benefits.