The resource information pertaining to ending your membership with Senior Health Plan is taken from the 2016 Evidence of Coverage (EOC). For members enrolled in the Silver plan, see Chapter 8, Ending your membership in the plan. For members enrolled in Silver Plus, Platinum or Platinum Plus, see Chapter 10, Ending your membership in the plan. To print a copy of the EOC, please click on the link.
In certain situations, members of Senior Health Plan (HMO) may be eligible to end their membership at other times of the year. This is known as a Special Enrollment Period.
Who is eligible for 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 are just examples, for the full list you can contact us at 1-800-642-8065 (Monday – Friday from 8:00 am to 8:00 pm, CST), call Medicare, or visit the Medicare website (http://www.medicare.gov):
When are Special Enrollment Periods? The enrollment periods vary depending on your situation.
What can you do? To find out if you are eligible for a Special Enrollment Period, please call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users call 1-877-486-2048. If you are eligible to end your membership because of a special situation, you can choose to change both your Medicare health coverage and prescription drug coverage. This means you can choose any of the following types of plans:
If you are enrolled in a plan with prescription drug coverage and receive "Extra Help" from Medicare to pay for your prescription drugs: If you switch to Original Medicare and do not enroll in a separate Medicare prescription drug plan, Medicare may enroll you in a drug plan, unless you have opted out of automatic enrollment.
Note: If you disenroll from Medicare prescription drug coverage and go without creditable prescription drug coverage, you may need to pay a late enrollment penalty if you join a Medicare drug plan later. ("Creditable" coverage means the coverage is expected to pay, on average, at least as much as Medicare's standard prescription drug coverage.) See your Evidence of Coverage for more information about the late enrollment penalty.
When will your membership end? Your membership will usually end on the first day of the month after your request to change your plan is received.