Beneficiaries' and Plan's Rights and Responsibilities Upon Disenrollment

Until your membership ends, you must keep getting your Medicare services through our Plan or you will have to pay for them yourself.

If you leave our Plan, it may take some time for your membership to end and your new way of getting Medicare to take effect (we discuss when the change takes effect later in this section). While you are waiting for your membership to end, you are still a member and must continue to get your care as usual through our Plan.

If you must get services from plan providers and doctors or other medical providers who are not plan providers before your membership in our Plan ends, neither we nor the Medicare program will pay for these services, with just a few exceptions. The exceptions are urgently needed care, care for a medical emergency, out-of-area renal (kidney) dialysis services, and care that has been approved by us. There is another possible exception, if you happen to be hospitalized on the day your membership ends. If this happens to you, call Member Services at (888) 285-9676 to find out if your hospital care will be covered by our Plan. If you have any questions about leaving our Plan, please call us at Member Services.

Beginning the effective date of termination/disenrollment, you can see any doctor through the Original Medicare Plan, unless you have enrolled in another Medicare Advantage plan.

When coverage from MD Care ends after the date of termination/disenrollment, your Medicare prescription drug coverage ends too. In order to have new health care coverage and prescription drug coverage after that date or to buy a Medigap policy while you still have a guaranteed right to buy one, you need to take action. For example, if you are returning to Original Medicare coverage, to receive Medicare prescription drug coverage you must join a Medicare prescription drug plan.

Please remember, if you disenroll and do not enroll in another Medicare Advantage plan with prescription drug coverage (or Medicare Prescription Drug Plan) or if you do not obtain other creditable coverage as good as Medicare, you may have to pay a late enrollment penalty if you enroll in Medicare prescription drug coverage in the future. If you don't take any action, you will be covered by the Original Medicare Plan beginning the termination/disenrollment effective date.

A NOTE ABOUT MEDIGAP RIGHTS

If you will be changing to the Original Medicare MD Care you might have a special temporary right to buy a Medigap policy, also known as Medicare supplement insurance, even if you have health problems.

For example, if you are age 65 or older and you enrolled in Medicare Part B within the past 6 months or if you move out of the service area, you may have this special right. Federal law requires the protections described above. Your State may have laws that provide more Medigap protections. If you have questions about Medigap or any special temporary rights you may have, you should contact your State Health Insurance Program at 1-(888) 285-9676 to get more information about Medigap policies in your State.

Call 1-800-MEDICARE (1-800-633-4227) for more information about trial periods. TTY users should call 1-877-486-2048, 24 hours a day/7days a week.

If you need any help, please call us at 1-(888) 285-9676 TTY users should call 1-(800) 735-2929.

We are open Monday through Friday, 8:30 a.m. to 5:30 p.m.