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Rights for Disenrollment

Disenrollment: Your Rights and Responsibilities

Disenrollment is the process to end your membership in our plan. You can disenroll or your membership may be ended involuntarily for specific reasons shown below.

You can voluntarily disenroll:

  • In most cases, you can leave our plan by enrolling in another health plan during an available election period. Any member can disenroll during the Medicare Advantage Open Enrollment Period from January 1 – March 31 to return to original Medicare, or join another Medicare Advantage plan. If you want to switch from one of our plans including prescription drug coverage to original Medicare, which does not have a prescription drug plan, contact Vibra Health Plan Member Services and ask to be disenrolled. Or, call Medicare at 800.633.4227, 24 hours a day, seven days a week. TTY users should call 877.486.2048.
  • Note: If you disenroll from Medicare prescription drug coverage and do not have creditable prescription drug coverage, you may need to pay a late enrollment penalty if you join a Medicare drug plan. Creditable coverage means coverage that is expected to pay at least as much as Medicare’s standard prescription drug coverage, on average.

Reasons for involuntary disenrollment:

  • If you move out of our service area or are gone from it for more than six consecutive months, or if we no longer offer the plan in your geographic area, you will be disenrolled and return to original Medicare. If you qualify for a Special Enrollment Period, you can choose a new plan.
  • If you do not pay your plan premium or any late enrollment penalty for more than two calendar months, you could be disenrolled and return to original Medicare. If you qualify for a Special Enrollment Period, you can choose a new plan.
  • If we end your membership in our plan, we must tell you our reasons in writing for ending your membership. We must also explain how you can make a complaint about our decision to end your membership.

Updated October 1, 2018
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