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Provider Manual

Discussion of Disenrollment from Medicare Advantage

Last Updated on August 28, 2018

With regard to our affiliated providers, Security Health Plan considers it inappropriate for medical personnel to initiate or to promote discussion of disenrollment in Medicare Advantage plans except in the rare circumstance in which the Security Health Plan's Medicare Advantage plans cannot or does not provide the covered medical items or services needed by a patient. Security Health Plan staff are prohibited from disenrolling, or requesting or encouraging an individual to disenroll, from any plan offered by Security Health Plan. There are exceptions to this rule such as disenrollment due to failure to pay premium and disruptive behavior.