Blue Cross Medicare Advantage Dual Care Plus (HMO-SNP)℠
Disenrolling From Your Plan
Need to leave your Blue Cross Medicare Advantage Dual Care Plus (HMO-SNP) plan? Learn when and how you can.

Guidelines for Leaving the Plan
There may be a time you need to leave your Medicare plan. This means your membership in a Blue Cross Medicare Advantage Dual Care Plus (HMO-SNP) plan is ending.
Voluntary Disenrollment — When You Choose to Leave Your Plan
You may end your membership in our plan during certain times of the year, known as enrollment periods.
- All members have the option to leave the plan during the Annual Enrollment Period between October 15 and December 7.
- If you qualify for a Special Enrollment Period, you may be eligible to leave the plan at other times of the year.
To voluntarily disenroll:
- You must choose to leave the Plan.
- You need to provide signed, written notice to Blue Cross Medicare Advantage Dual Care Plus (HMO-SNP). If you enrolled through your employer group, your employer must make the request to disenroll you. You can find out more details about this in your Evidence of Coverage.
- To learn more, call Customer Service at the number listed on your member ID card. Or call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, seven days a week. If you are hearing or speech impaired, please call 1-877-486-2048.
Involuntary Disenrollment — When You are Removed From Your Plan
There are certain cases when a member will be disenrolled from the plan:
- Death of the member.
- Member moves out of the plan’s service area.
- Member no longer qualifies for Medicare and/or Medicaid.
- The member fails to pay premiums or late enrollment penalties.
- The member enrolls in a different Medicare Advantage Prescription Drug plan, Medicare Supplement Insurance or stand-alone Medicare Prescription Drug plan.
- Blue Cross and Blue Shield of Texas stops offering this plan in the area where it had previously been available.
- The member intentionally misrepresents information given to BCBSTX about reimbursement for third-party coverage.
No matter the reason, we will never remove you from your plan because of your health.