Rights and Responsibilities Upon Disenrollment 

When We Must End Your Membership

By law, CenCal CareConnect cannot remove you from the plan for any reason related to your health status. If you believe your membership is being ended unfairly, you can contact Medicare for help: 

• 1-800-MEDICARE (1-800-633-4227) 

• TTY: 1-877-486-2048 

• Available 24/7 

Membership will end if: 

• You no longer have Medicare Part A and Part B. 

• You lose Medi-Cal eligibility through CenCal Health (in this case, the state will automatically return you to Original Medicare). 

• You move outside our service area (Santa Barbara or San Luis Obispo counties) for more than six months. 

• You are incarcerated. 

• You become unlawfully present in the United States. 

• You provide false or incomplete information about other prescription drug coverage you may have. 

Membership may end (with Medicare/Medi-Cal approval) if: 

• You intentionally gave false information when joining the plan that affects your eligibility. 

• Your ongoing behavior disrupts the care of other members and makes it hard for us to provide services. 

• You allow another person to use your CenCal CareConnect member ID card. 

• If your membership ends for these reasons, Medicare may request a review by the Inspector General. 

How to Prevent Disenrollment

• Let Member Services know if you’ll be outside of Santa Barbara or San Luis Obispo counties for longer than six months. 

• Report any address changes right away to your County Human Services Agency. 

• Make sure you complete your Medi-Cal renewal each year. If you need help, contact: 

• • Santa Barbara County Department of Social Services: 1-866-404-4007 

• • San Luis Obispo County Department of Social Services: 1-800-834-3002 

• • Or call CenCal Health Member Services for support. 

Ways to Disenroll from CenCal CareConnect

You can choose to leave CenCal CareConnect (HMO D-SNP) at any time, for any reason. Unlike some Medicare plans that only allow you to make changes during certain periods of the year, CenCal CareConnect allows you to disenroll whenever it’s right for you. 

If you decide to leave, your membership will stop at the end of the month in which we receive your request. You will still receive Medi-Cal benefits through CenCal Health, but it may take some time before your new Medicare plan takes effect. 

1. Call Member Services 

• Toll-free: 1-877-814-1861
• TTY: CA Relay at 711 
• 7 days a week, 8 a.m. to 8 p.m., PT  

2. Send us a signed request

You may mail a letter to CenCal CareConnect Member Services at the address below:

CenCal CareConnect (HMO D-SNP)
ATTN: Enrollment
4050 Calle Real
Santa Barbara, CA 93110 

If we need more details, we’ll reach out to you directly. 

3. Join a different Medicare health or drug plan

When you enroll in another plan, you’ll automatically be disenrolled from CenCal CareConnect. Your CenCal CareConnect membership will end the day before your new plan starts. 

After your disenrollment is processed, CenCal Health will mail you a confirmation letter with the official end date. 

Care During Your Transition

If you seek care outside of CenCal CareConnect’s network before your disenrollment is effective, you may be responsible for the costs if the provider does not bill CenCal Health. To avoid unexpected bills, call Member Services to confirm your disenrollment date before scheduling services outside our network. 

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