B. Policy — disenrollment request

Individuals enrolled in an MA plan may disenroll by:

• Giving or faxing a signed written notice to the MA organization, or through their employer, where applicable;

• Submitting a request via the Internet to the MA organization (if the MA organization offers such an option); or

• Calling 1-800-MEDICARE (TTY 1-877-486-2048).

A request for disenrollment from an 1876 cost plan must:

• be made in writing,

• be signed by the beneficiary or representative,

• be in the form required by the organization or CMS, and

• be filed with the organization.

NOTE : SSA does not accept disenrollment requests for Medicare Advantage or 1876 cost plans (see HI00208.071B).