Disenrolling From Your Plan

Guidelines for Leaving the Plan

There may be a time you need to leave your Medicare plan. This means your membership in Blue Cross Medicare Advantage is ending.

Voluntary Disenrollment – When You Choose to Leave Your Plan

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 (or, if enrolled through your employer group, the employer group must make the request to Blue Cross Medicare Advantage 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 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.

Involuntary disenrollment

There are certain scenarios when a member must be disenrolled:

• Death of the member
• A move out of the plan’s service area
• Member no longer qualifies for Medicare
• Failure to pay any premiums or late enrollment penalties
• Enrollment in a different Medicare Advantage prescription drug plan or Medicare Supplement Insurance Plan
• The Blue Cross Medicare Advantage contract with Medicare has ended and Blue Cross and Blue Shield of Oklahoma stops offering this plan in the area where it had previously been available
• Intentional misrepresentation of information provided to BCBSOK about reimbursement for third-party coverage

No matter the reason, we will never remove you from your plan because of your health.