98 2024 Evidence of Coverage for WA PEBB Kaiser Permanente Senior Advantage Chapter 8: Ending your membership in our plan Section 5 — We must end your membership in our plan in certain situations Section 5.1 – When must we end your membership in our plan? We must end your membership in our plan if any of the following happen: • If you no longer have Medicare Part A and Part B. • If you move out of our service area. • If you are away from our service area for more than six months. ♦ If you move or take a long trip, call Member Services to find out if the place you are moving or traveling to is in our plan's area. If you have been a member of our plan continuously prior to January 1999, and you were living outside of our service area before January 1999, you are still eligible as long as you have not moved since before January 1999. However, if you move and your move is to another location that is outside of our service area, you will be disenrolled from our plan. • If you become incarcerated (go to prison). • If you are no longer a United States citizen or lawfully present in the United States. • If you intentionally give us incorrect information when you are enrolling in our plan and that information affects your eligibility for our plan. We cannot make you leave our plan for this reason unless we get permission from Medicare first. • If you continuously behave in a way that is disruptive and makes it difficult for us to provide medical care for you and other members of our plan. We cannot make you leave our plan for this reason unless we get permission from Medicare first. • If you let someone else use your membership card to get medical care. We cannot make you leave our plan for this reason unless we get permission from Medicare first. ♦ If we end your membership because of this reason, Medicare may have your case investigated by the Inspector General. Where can you get more information? If you have questions or would like more information about when we can end your membership, call Member Services. Section 5.2 – We cannot ask you to leave our plan for any health-related reason We are not allowed to ask you to leave our plan for any health-related reason. What should you do if this happens? If you feel that you are being asked to leave our plan because of a health-related reason, call Medicare at 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week. (TTY 1-877-486-2048). kp.org