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Leaving an Aetna Medicare Plan

Leaving a plan

You need to know the reasons why your Medicare plan coverage could end or why we might disenroll you. Click on a topic below to learn more.

Why your coverage might end

You could lose your plan coverage if you don't pay your monthly premium. But before we disenroll you, we'll let you know you have three months to pay your premium. If we do disenroll you, you'll go back to Original Medicare. You may need to pay us for the premiums you owe us.

We may also disenroll you if you:

See your Evidence of Coverage to learn more.

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Why our contract with Medicare might end

We have a contract with the Centers for Medicare and Medicaid Services (CMS), the government agency that runs Medicare. This contract may be renewed each year. We or CMS can decide to end the contract at any time. Generally, we'll tell you 90 days before that happens. However, it may be only 30 days, or less if CMS ends our contract in the middle of the year.

If our contract with CMS ends:

See your Evidence of Coverage to learn more.

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Rights and responsibilities upon disenrollment

You can usually only leave our plan if you have a valid enrollment period. Each year, Medicare allows you to change your Medicare coverage during the annual open enrollment period – October 15 – December 7. Generally, enrolling in a new plan during this time will automatically disenroll you from our plan. You can also call us and ask us to disenroll you from our plan.

It may not be your choice to leave our Medicare plan. Some situations may require you to. You may have to leave if:

If any of these happen, you'll go back to Original Medicare. If you qualify, you can choose a new plan during a special election period.

Generally, your membership will end on the last day of the month after we get your request to switch to Original Medicare or another plan. If you choose to enroll in a Medicare prescription drug plan, your membership in the drug plan will begin the first day of the month after the drug plan gets your completed enrollment request.

Have questions about ending your coverage? Just call us at 1-888-247-1028
(TTY: 1-888-760-4748), 8 a.m. to 8 p.m., local time, 7 days a week, from October 1 - February 14, or 8 a.m. - 8 p.m., local time, Monday - Friday, from February 15 - September 30.

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Switching to Original Medicare

You can disenroll from your Medicare Advantage plan and go back to Original Medicare from January 1 to February 14 each year. The change is effective the first day of the month after we’ve received your request to disenroll. For example, a request made in January is effective February 1. A request made in February is effective March 1.

Just remember you can't join or switch to another Medicare Advantage plan during this period. You can enroll in a Medicare prescription drug plan during the Part D special election period.

During the Part D special election period you can either disenroll from your Medicare Advantage plan then enroll in a drug plan. You can just enroll in a drug plan. Doing so will automatically disenroll you from your Medicare Advantage plan.

That's not the case if you have a Medicare Advantage-only Private Fee for Service plan. You have to disenroll from that plan before you can enroll in a drug plan during the Part D special election period.

Your Original Medicare coverage will begin the day after your Aetna Medicare plan coverage ends.

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LET’S TALK Call us at 1-888-247-1028
(TTY: 711). We are available from
8 a.m. - 8 p.m., local time, 7 days a week, from 10/1 - 2/14,
8 a.m. - 8 p.m., local time, Monday - Friday, from 2/15 - 9/30

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Enter your phone number here


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Page last updated: October 1, 2015