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CommunityCare is here for you. We are dedicated to taking care of our members and ensuring you have access to health care services.

Disenrollment Rights and Responsibilities

If you leave CommunityCare, you have other options available:

  • You can join a different Medicare health plan
  • You can join Original Medicare with a prescription drug plan
  • You can join Original Medicare without a prescription drug plan

You may end your membership in our plan only during certain times of the year, known as enrollment periods. All members have the opportunity to leave the plan during the Annual Enrollment Period and during the Medicare Advantage Open Enrollment Period. In certain situations, you may also be eligible to leave the plan at other times of the year. Until your membership ends, you must keep getting your medical services and drugs through our plan.

If you have questions about enrolling in a Medicare Advantage plan in your area, contact 1-800-MEDICARE (1-800-633-4227) (toll free), or 1-877-486-2048 (toll-free TTY for the hearing/speech impaired), 24 hours a day, 7 days a week

Note: If you disenroll from Medicare prescription drug coverage and go without creditable prescription drug coverage for a continuous period of 63 days or more, you may have to pay a Part D late enrollment penalty if you join a Medicare drug plan later.

For more information about your rights and responsibilities, please review the evidence of coverage applicable to your health plan. You can contact our Customer Service number at 1-800-642-8065 for additional information. (TTY/TDD users should call 1-800-722-0353). Hours are Monday through Friday from 8:00 am to 8:00 pm.

You can also contact Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week, and ask to be disenrolled. TTY users should call 1-877-486-2048.

Disenrollment Form

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