Disenrollment Rights & Responsibilities 

You may choose to end your membership in our plan during annual enrollment periods. All members have the opportunity to leave the plan during the Annual Enrollment Period and during the Medicare Advantage Open Enrollment Period. In certain situations, you may also be eligible to leave the plan at other times of the year (referred to as the Special Enrollment Period).

  • Annual Enrollment Period from October 15 to December 7
  • Open Enrollment Period every year from January 1 to  March 31
  • Special Enrollment Periods vary based on your situation, such as moving out of the plan’s service area or if you have Medicaid. For the full list of special enrollment period events, you can contact the plan, call Medicare, or visit the Medicare website (www.medicare.gov)

www.medicare.gov

Please refer to Chapter 10 of your Evidence of Coverage for a complete description of the rights and responsibilities upon disenrollment.