Rights and responsibilities upon disenrollment

Information about ending your membership

You may end your membership in our Medicare health 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, October 15 to December 7.

You also may end your membership during the Medicare Advantage Open Enrollment Period, January 1 through March 31 every year. Beginning in 2019, if you're enrolled in a Medicare Advantage plan, you'll have a one-time opportunity to:

  • Switch to a different Medicare Advantage plan
  • Drop your Medicare Advantage plan and return to Original Medicare, Part A and Part B
  • Sign up for a stand-alone Medicare Part D Prescription Drug Plan (if you return to Original Medicare). Most Medicare Advantage plans include prescription drug coverage already. Usually you can't enroll in a stand-alone Medicare Prescription Drug plan if you already have a Medicare Advantage plan, but there are some situations where you can. Call your plan if you have questions.
  • Drop your stand-alone Medicare Part D Prescription Drug Plan.

In certain situations, you may also be eligible to leave the plan at other times of the year during a Special Enrollment Period.

Usually, to end your membership in our plan, you simply enroll in another Medicare Advantage plan or stand-alone Part D Prescription Drug Plan during one of the enrollment periods. However, if you want to switch from our plan to Original Medicare without a Medicare prescription drug plan, or switch back to Original Medicare with or without a Medicare Supplement (Medigap) plan, you must ask to be disenrolled from our plan.

There are two ways you can ask to be disenrolled:

  • You can make a request in writing to us. Contact Member Services if you need more information on how to do this.
    or
  • You can contact Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.

Your membership usually ends on the first day of the month after your request is received.

Your rights and responsibilities upon disenrollment

  • You must continue to use network pharmacies (if you have prescription drug coverage) until you are disenrolled from our plan.
  • You may only disenroll or switch Medicare Advantage plans or prescription drug plans under certain circumstances.
  • You have the right to make a complaint if we ask you to leave our plan.

Our rights and responsibilities upon your disenrollment

We will let you know, in writing, the date your coverage ends. We have the right to disenroll you for the following reasons:

  • You are no longer eligible for Medicare Part A and/or B or Medicare prescription drug coverage.
  • We are no longer contracting with Medicare or we leave your service area.
  • You move out of our service area.
  • You materially misrepresent third-party reimbursement.
  • You fail to pay your plan premium.
  • You provide fraudulent information when you enroll or let someone else use your membership card to get covered services.
  • Disruptive behavior.

Questions? Call us:

Prospective members
8 a.m. to 8 p.m., 7 days a week
1-800-446-8882
TTY WA Relay 711

Current members
MEMBER SERVICES
8 a.m. to 8 p.m., 7 days a week
1-888-901-4600
TTY WA Relay 711

Medicare Star Quality Ratings

Our Medicare Advantage health plan in Washington was rated 4.5 out of 5 stars for 2019. Our 4.5 out of 5 star rating is based on quality, service, and member satisfaction, so you get the peace of mind that comes with knowing you're getting high-quality care. 1

NCQA quality rating

Kaiser Permanente Washington Medicare Advantage (HMO) plan was rated 5 out of 5 in the National Committee for Quality Assurance (NCQA) Medicare Health Insurance Plan Ratings 2017-2018.2