How to Cancel or Leave the Plan

How to Cancel or Leave the Plan

Disenrollment

How to Apply

You can change health plans only at certain times during the year. From October 15 – December 7, you can join, switch or drop a Medicare health or drug plan for the following year. In addition, from January 1 – March 31, anyone enrolled in a Medicare Advantage Plan (except an MSA plan) can switch plans or return to Original Medicare (and join a stand-alone Medicare Prescription Drug Plan). Generally, you can’t make changes at other times except in certain situations, such as if you move out of your plan’s service area, want to join a plan in your area with a 5-star rating, or qualify for (or lose) Extra Help paying for prescription drug costs.

The most convenient way to cancel your plan before the effective date is to call Member Services toll-free at 1.833.276.8306 or local at 713.295.5007. To disenroll from your plan, you must send us a signed, disenrollment form.

Mail to

P.O. Box 301413
Houston, TX 77230

H9826_IT_10045_092919_M Last updated August 18, 2020.