If you decide to disenroll from your Simplete Medicare Advantage plan, you are ending your membership. Disenrollment can be voluntary (your choice) or involuntary (not your choice). For more information on enrollment or disenrollment, see your Evidence of Coverage.

If you decide you want to leave your plan, you can do this for any reason. However, there are limits to when you can leave, how often you can make changes, and what type of plan you can join after you leave. Call us for more information.

Simplete may disenroll you for these reasons:

• If you move permanently out of the plan’s service area and do not voluntarily disenroll, or if you live outside the plan’s service area for more than 6 months out of a year.
• If your entitlement to Medicare Part A or Medicare Part B ends.
• If you supply fraudulent information or make any misrepresentations on your enrollment request form that materially affect your eligibility to enroll in the plan.
• If your behavior is disruptive, unruly, abusive, or uncooperative to the extent that your membership in your plan seriously impairs our ability to arrange covered services for you or other individuals enrolled in the plan.
• If you knowingly permit abuse or misuse of your Simplete Medicare Advantage ID card.
• If you fail to pay plan premiums, copayments, coinsurance, or other payments required by the plan.
• If the contract between Health Alliance Medicare and CMS, which certifies Medicare Advantage plans, is terminated.