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Rights and Responsibilities Upon Disenrollment

"Disenrollment" from an Aetna Medicare plan means ending your membership with us. Disenrollment can be voluntary (your choice) or, in limited circumstances, involuntary (not your choice).

• You might leave one of our plans because you decide that you want to leave. During specified times (November 15 - December 31), you can choose to disenroll from your current Medicare plan.
  
  
• Some situations require you to leave. For example, if you move out of our geographic service area, are absent from our service area for more than six consecutive months or if we no longer offer the plan in your geographic area.

Please refer to your Evidence of Coverage for more information, to learn about choices you have after you leave, and to review the rules that may apply.

To disenroll, send Aetna a written notice that you'd like to disenroll from your Aetna Medicare plan. Or call 1-800-MEDICARE (TTY/TDD 1-877-486-2048), 24 hours a day, 7 days a week. Members enrolled through a group should also notify their group benefits representative before they disenroll from Aetna.

Your coverage under Original Medicare resumes on the effective date of your disenrollment from your Aetna Medicare plan.

Contact Us

Call Member Services 7 days a week, from 8:00 a.m. - 8:00 p.m.

• Aetna Medicare Advantage members (with or without prescription drug plan): 1-800-282-5366 (TTY/TDD 1-800-628-3323)
• Aetna Medicare Rx members (prescription drug plan only): 1-877-238-6211 (TTY/TDD 1-888-760-4748)

Mailing Address:
Aetna Inc.
151 Farmington Avenue
Hartford, CT 06156
USA

Find general Medicare contact information.

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Updated 12/2007