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33.12.2 Withdrawal Applicants or members may withdraw from the SeniorCare program at any time. To withdraw by phone, call the SeniorCare Customer Service Hotline at 1-800-657-2038. A request to withdraw can be made in writing to: SeniorCare P.O. Box 6710 Madison, WI 53716-0710 A SeniorCare member is eligible for an enrollment fee refund only if they meet the requirements listed in 33.3.2.1 REFUNDS. If an applicant chooses to withdraw their application prior to eligibility confirmation, they will get a refund. If they later wish to “opt in”, they must re-apply. To re-apply, a new application and enrollment fee are required. Once eligible, if a member chooses to “opt-out” and SeniorCare receives the request to withdraw within the timeframe for obtaining a refund, they will get a refund of the original enrollment fee. If, within thirty calendar days of opting out, the member requests to opt in, they would need to send in another enrollment fee but would not have to send in another application form. Eligibility will be restored back to the beginning of their benefit period, once the fee is received and processed. The enrollment fee must be received by the deadline identified in the CARES notice to comply with the administrative rule requirement that they meet eligibility requirements. If within thirty calendar days of opting out they do not contact SeniorCare and SeniorCare does not receive the enrollment fee, they will have to submit a new application and another $30 enrollment fee if they want to re-enroll in the program. If the member chooses to opt-out and does not do so within the timeframe for obtaining a refund, they will not get a refund. SeniorCare Customer Service would counsel the member that they will not be getting a refund, and they can keep their case open in the event their circumstances change and they want to use the SeniorCare benefit in the next 12 months. If the member still opts out, but contacts SeniorCare within thirty calendar days of opting out to request to opt in, the original enrollment fee that had not been refunded will be applied. They will not have to send in another application form. The person will be made eligible back to their original eligibility begin date for that benefit period. This page last updated in Release Number: 26-03 Release Date: 08/12/2026 Effective Date: 08/12/2026 33.13 SeniorCare Notice of Decision A written notice is sent to the applicant indicating SeniorCare certification, benefit reduction, denial, or termination. The initial notice of decision will provide information regarding total income used for determining the participation level. It will also provide the member with information regarding spenddown, deductible and co-payment amounts.