Member rights and disenrollment

You can voluntarily disenroll from Sharp Direct Advantage by submitting a signed written notification or signed disenrollment form requesting to disenroll from our plan. This is found under the forms, guides, and resources section of the website. Please include your name, member ID, reason for disenrollment and signature on the written letter and mail it to:

Enrollment/Disenrollment
8520 Tech Way, Suite 201
San Diego, CA 92123

You can also call 1-800-MEDICARE or switch to another Medicare organization. If you disenroll by calling 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week, or consult www.medicare.gov or switch to another Medicare organization, you do not need to submit written notification to Sharp Direct Advantage. Your membership will end automatically once we receive the notification from Medicare. Once notification of the disenrollment request is received, typically your membership will end the first of the following month after the request is received.

If you leave our plan, it may take time before your membership ends and your new Medicare coverage goes into effect. During this time, you must continue to get your medical care and prescription drugs through our plan until your disenrollment goes into effect and your Sharp Direct Advantage coverage ends.

Involuntary disenrollment means that Sharp Direct Advantage can disenroll you from the plan if the following situations occur:

• If you no longer meet the eligibility requirements to remain a member of Sharp Direct Advantage.
• If you engage in disruptive behavior, to the extent that your continued enrollment seriously impairs the ability to arrange or provide medical care for you or for others who are members of the Plan.
• If you provide fraudulent information on an enrollment request
• If you permit abuse of an enrollment card by letting someone else use your medical ID card. If you are disenrolled for this reason, the Centers for Medicare and Medicaid Services (CMS) may refer your case to the Inspector General for additional investigation.