Leaving a Plan | ArchCare
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Leaving a Plan

“Disenrollment” from ArchCare Advantage means ending your membership with us. Disenrollment can be voluntary (your choice) or, in limited circumstances, involuntary (not your choice).

  • You might leave one of our plans because you decide that you want to leave.
  • Some situations require you to leave: for example, if you move out of one of our contracted nursing facilities, are absent from our service area for more than six consecutive months or if we no longer offer the plan in the nursing facility in which you reside.

 

Please refer to your Evidence of Coverage for more information, to learn about choices you have after you leave and to review the rules that may apply.

 

To disenroll, you must send ArchCare Advantage a written notice stating that you would like to disenroll from our plan. If you need assistance with the disenrollment, please call Member Services at 1‑800‑373‑3177 (TTY/TDD: 1‑800‑662‑1220), seven days a week, 8 a.m. to 8 p.m. Or you can call 1-800-MEDICARE (TTY/TDD 1‑877‑486‑2048), 24 hours a day, seven days a week.

 

Your coverage under Original Medicare resumes on the effective date of your disenrollment from ArchCare Advantage.

 

ArchCare Advantage has a contract with the Centers for Medicare & Medicaid Services (CMS), the government agency that runs Medicare. This contract may be renewed each year. However, our plan or CMS can decide to end the contract at any time. You will generally be notified in writing 90 days in advance if this situation occurs. However, your advance notice may be as little as 30 days, or even fewer days if CMS must end our contract in the middle of the year.

If ArchCare Advantage’s Medicare contract with CMS ends:

  • The benefits and rules described in your Evidence of Coverage will continue until your membership ends.
  • You will qualify for a special enrollment period so you can enroll in another Medicare plan to continue your coverage.

 

Please see your Evidence of Coverage for a complete list of termination of coverage and disenrollment provisions.

 


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