When you sign up for a Medicare Advantage (MA) Health Plan, like PFFS plans, you are entering into a contract with the plan. It’s essential to understand the terms of this agreement, including the obligations and penalties for termination of the agreement. You can leave or switch PFFS plans during the year if you qualify for special enrolment or if you have a qualifying life event. You can also leave because your health status has changed, and you can no longer use the plan or the services. Before you leave, you must understand your obligations and how the plan’s termination process works. Failure to understand your obligations and rights under the plan may result in consequences impacting your coverage or benefits, cost-sharing obligations and/or financial responsibility for the services you received before leaving the plan.
A beneficiary can exit and re-enroll in a new Medicare Advantage (MA) plan as long as they do not have a break in Part B. You may change plans during the Annual Election Period (AEP), which is the seven (7) week period before the first day of each new calendar year. You can also change plans in the middle of the year if you experience certain qualifying life events, such as moving to a new area or losing a job. You may also change plans during the Coordination Period, which is the two (2) months before when your current plan year ends. If you do not wish to change plans during these periods, you may change plans any time during the calendar year without a break in Medicare Part B coverage or a gap in plan coverage.
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