You may choose to disenroll from Healthfirst Medicare Plan under the following circumstances:

During the Annual Enrollment Period that runs from October 15th through December 7th each year, you may disenroll from Healthfirst Medicare Plan and return to Original Medicare or you may enroll in another Medicare Advantage Plan or Prescription Drug Plan and be disenrolled from our plan.  We will send you confirmation of your disenrollment that will be effective January 1st of the following year.  If you did not intend to disenroll from our plan, you will need to contact us to cancel your disenrollment before the last day of the month when you are scheduled to be disenrolled.

During the Medicare Advantage Annual Disenrollment Period that runs from January 1st through February 14th each year, you may disenroll from our plan and return to Original Medicare.  You may do this either by enrolling into a Prescription Drug Plan or by asking us to disenroll you.  The effective date for disenrollment would be end of the month in which you made a completed request.

If you are a dual eligible member who has medical assistance from the State or receives Extra Help for Part D drugs from Medicare, you may disenroll at any time.  Your disenrollment would be effective with the start of the new month.  You may choose to disenroll by contacting Healthfirst Medicare Plan in writing – be sure to sign and date your disenrollment request – or by enrolling into another Medicare Advantage or Prescription Drug Plan.

If you qualify for other Special Enrollment Periods, when you use that option to enroll into another Medicare Advantage Plan or a Prescription Drug Plan you will automatically be disenrolled from our plan.