Beneficiaries’ and Plan’s Rights and Responsibilities Upon Disenrollment

Ways to Disenroll:

If you wish to disenroll from Humana, you may do so by selecting one of the following methods of disenrollment:

1. Sending or faxing Humana a letter indicating you want to disenroll
2. Joining another health plan will disenroll you from Humana
3. Calling 1-800-MEDICARE (1-800-633-4227) or, for the hearing impaired, call 1-877-486-2048

The Centers for Medicare & Medicaid Services limits when and how often you can change your Medicare plan. Generally, you may not disenroll from a plan outside of the Annual Enrollment Period (from November 15 through December 31 of each year) unless you meet certain special exceptions. If you have questions regarding whether you qualify for special circumstances, please contact a Customer Care Representative at 1-800-281-6918 or, for the hearing impaired, call 1-800-833-3301, 8:00 a.m. – 8:00 p.m., 7 days a week.

Disenrollment Responsibilities:

Humana will notify you of your disenrollment effective date after we receive approval of your disenrollment from the Centers for Medicare & Medicaid Service (CMS). Until your disenrollment is effective, you must continue to fill your prescriptions at Humana network pharmacies in order to receive your prescription benefit.

By Completing a Disenrollment Request:

You will be disenrolling from the Humana Medicare prescription drug plan you are currently enrolled in. If you do not enroll in another Medicare prescription drug plan or a Medicare Advantage plan with prescription drug coverage, or have other coverage as good as Medicare, you may have to pay a penalty for this coverage in the future. There are limited times in which you will be able to join other Medicare Advantage or Medicare prescription drug plans, unless you qualify for special circumstances.

If you have questions regarding your disenrollment or the disenrollment process, call us at 1-800-281-6918 or, for the hearing impaired, call 1-800-833-3301, 8:00 a.m. – 8:00 p.m., 7 days a week.

¹Some exceptions/restrictions may apply