2024 Evidence of Coverage for WA PEBB Kaiser Permanente Senior Advantage 97 Chapter 8: Ending your membership in our plan can start using your red, white, and blue Medicare card to get services under Original Medicare. You will not get anything in writing that tells you that you have Original Medicare after you disenroll. If you choose Original Medicare and you want to get Medicare Part D prescription drug coverage, you will need to enroll in a prescription drug plan. Section 2.1 – Where can you get more information about when you can end your membership? If you have any questions about ending your group membership, you can: • Contact your group's benefits administrator. • Call Member Services. • Find the information in the Medicare & You 2024 handbook. • Contact Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week (TTY 1-877-486-2048). Section 3 — How do you end your Senior Advantage membership? You may request disenrollment by: • Requesting disenrollment with your group's benefits administrator by submitting a signed disenrollment request prior to the date you would like to be terminated. You should always consult them before taking any action because it can affect your eligibility for group benefits. • Calling toll free 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048. • Sending written notice to the following address: Kaiser Permanente Medicare Department P.O. Box 232407 San Diego, CA 92193-9914 Section 4 — Until your membership ends, you must keep getting your medical items, and services through our plan Until your membership ends, and your new Medicare coverage begins, you must continue to get your medical services and items through our plan. • Continue to use our network providers to receive medical care. • If you are hospitalized on the day that your membership ends, your hospital stay will be covered by our plan until you are discharged (even if you are discharged after your new health coverage begins). 1-877-221-8221 (TTY 711), 7 days a week, 8 a.m. to 8 p.m.