Your rights and responsibilities upon disenrollment:

• You must continue to use network providers and pharmacies until you are disenrolled from our plan.
• You may only disenroll or switch plans under certain circumstances.
• You have the right to make a complaint if we ask you to leave our plan.

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.
• If we are no longer contracting with Medicare or we leave your service area.
• You move out of our service area permanently or for more than six months.
• You fail to pay your plan premium.
• You provide fraudulent information when you enroll or let someone else use your enrollment ID card to get covered services.