Disenrollment Rights and Responsibilities

Generally, members can only disenroll during a valid election period (i.e. Annual Election Period: Oct. 15—Dec. 7). You must continue to use health plan services until your disenrollment is effective. There are two types of disenrollment—voluntary and involuntary.

You may disenroll from a BCBSAZ plan only at certain times of the year, or under the circumstances listed below, by doing one of the following:

Send a written request to BCBSAZ:

13985 W. Grand Ave., Ste. 200
Surprise, AZ 85374

Or Call 24 hours a day, seven days a week: 1-800-MEDICARE (1-800-633-4227)
TTY hearing impaired users should call 1-877-486-2048

Voluntarily Ending Your Membership

You can voluntarily disenroll with BCBSAZ by notifying us, calling 1-800-Medicare or switching to another Medicare organization. If you notify BCBSAZ you must submit a written notification requesting to disenroll from our plan. Please ensure to include your name and member ID on the written notification. Once we receive a notification of your disenrollment request, we will confirm your disenrollment effective date. If you do not have a valid election period, we must deny your request to disenroll as requested.

If you disenroll by calling 1-800-Medicare or switching to another Medicare organization, you do not need to submit a written notification to BCBSAZ; your membership will end automatically once we receive the notification from Medicare and we will notify you of your disenrollment effective date in writing.

Involuntarily Ending Your Membership

Involuntary disenrollment means that BCBSAZ can disenroll you from the plan if the following situations occur:

  • If you no longer meet the requirements eligible to remain a member of BCBSAZ.
  • If you engage in disruptive behavior, to the extent that your continued enrollment seriously impairs BCBSAZ’s ability to arrange or provide medical care for you or for others who are members of our Plan.
  • If you provide fraudulent information on an enrollment request or if you permit abuse of an enrollment card by letting someone else use your medical ID card. If you are disenrolled for this reason, the Centers for Medicare and Medicaid Services (CMS) may refer your case to the Inspector General for additional investigation.
  • Failure to pay late enrollment penalty.
  • Failure to pay plan premium.

Information About Medigap Rights

If you will be changing to Original Medicare you might have a special temporary right to buy a Medigap policy, also known as Medicare supplement insurance, even if you have health problems. For example, if you are age 65 or older and you enrolled in Medicare Part B within the past 6 months or if you move out of the service area, you may have this special right. Federal law requires the protections described above. Your state may have laws that provide more Medigap protections.

If you have questions about Medigap or Medigap rights in Arizona, you should contact the Arizona State Health Insurance Program at 602-542-4446 or 1-800-432-4040 (statewide hotline to leave a message). TTY users call 711. You can also call 1-800-MEDICARE (1-800-633-4227) for more information. TTY users should call 1-877-486-2048.

Please Note These Important Points

We cannot ask you to leave the Plan because of your health.

We cannot ask you to leave your health plan for any health-related reasons. If you ever feel that you are being encouraged or asked to leave our Plan because of your health, you should call 1-800-MEDICARE (1-800-633-4227), which is the national Medicare help line. TTY users should call (877) 486-2048. You may call 24 hours a day, 7 days a week.

If we end your membership involuntarily, we will send you notification telling you the reason and what to do if you disagree with our decision.

You have the right to file a complaint with Medicare if we end your membership in our Plan. Please contact them at the information above or visit their website.