Disenrolling from Your Plan

There may be a time you need to disenroll from, or leave, the plan. This means your membership in Blue Cross Medicare Advantage is ending. There are also various reasons your disenrollment can be considered involuntary. All members can leave the plan during the Annual Enrollment Period. 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 (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.

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.
• 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 prescription drug plan, Medicare Supplement Insurance Plan, or stand-alone Medicare prescription drug plan.
• The Blue Cross Medicare Advantage contract has ended, and Blue Cross and Blue Shield of Illinois stops offering Blue Cross Medicare Advantage in any portion of the area where it had previously been available.
• The member intentionally misrepresents information to Blue Cross and Blue Shield of Illinois about reimbursement for third-party coverage.