Disenrolling From Your Plan
Guidelines for Leaving the Plan
There may be a time you need to disenroll from, or leave, the plan. This means your membership in Blue Cross Medicare Advantage Dual Care (HMO SNP) is ending. Disenrollment can be voluntary. For example, you may move out of the service area. It can also be involuntary because of various reasons. All members can leave the plan during the Annual Enrollment Period (AEP). No matter the reason, we are never allowed to ask you to leave the plan because of your health.
You may end your membership in our plan during certain times of the year, known as enrollment periods. All members have the option to leave the plan during the Annual Enrollment Period between October 15 and December 7. If you qualify for a Special Enrollment Period, you may be eligible to leave the plan at other times of the year.
To voluntarily disenroll:
- You must choose to leave the Plan.
- You need to provide signed, written notice to Blue Cross Medicare Advantage Dual Care (HMO SNP) (or, if enrolled through your employer group, the employer group must give Blue Cross Medicare Advantage Dual Care the request to disenroll you). You can find details about this in your Evidence of Coverage.
- For more information, call customer service at the number listed on the back of your member ID card, or call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. If you are hearing or speech impaired, please call 1-877-486-2048.
There are times when the plan must disenroll a member:
- The individual moves out of the plan’s service area and becomes ineligible to be an enrollee of Blue Cross Medicare Advantage Dual Care (HMO SNP).
- The member no longer qualifies for Medicare.
- The individual dies.
- The member fails to pay any premiums or late enrollment penalties.
- The member enrolls in a different Medicare Advantage, Medicare Advantage Prescription Drug plan, Medicare Supplement or stand-alone Medicare Prescription Drug plan.
- The Blue Cross Medicare Advantage Dual Care (HMO SNP) contract has ended, and Blue Cross and Blue Shield of New Mexico stops offering Blue Cross Medicare Advantage Dual Care (HMO SNP) in any portion of the area where it had previously been available.
- The member intentionally misrepresents information to Blue Cross and Blue Shield of New Mexico about reimbursement for third-party coverage.