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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, Maryland 212441850CENTER FOR DRUG AND HEALTH PLAN CHOCOLATE:November 2, 2009TO:Non-renewing
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How to fill out non-renewing medicare advantage organizations

01
To fill out non-renewing medicare advantage organizations, follow these steps:
02
Review the notice: Start by carefully reading and understanding the notice you received from the medicare advantage organization. Pay attention to the reason for non-renewal and any important instructions provided.
03
Gather necessary documents: Collect all the documents and information required to complete the application or enrollment process. This may include your personal information, health records, and any supporting documentation.
04
Contact customer service: Reach out to the medicare advantage organization's customer service department. They can provide guidance and answer any questions you may have regarding the non-renewal process.
05
Complete the application/enrollment form: Fill out the application or enrollment form provided by the medicare advantage organization. Make sure to provide accurate and complete information to ensure a smooth processing of your request.
06
Submit the form: Once you have filled out the application or enrollment form, submit it to the medicare advantage organization through the specified method (online, mail, fax, etc.). Keep a copy of the submitted form for your records.
07
Follow up: After submitting the form, follow up with the medicare advantage organization to confirm receipt and check the status of your application or enrollment. This will ensure that your request is being processed correctly and timely.
08
Stay informed: Stay updated on any further communication or instructions provided by the medicare advantage organization regarding your non-renewal and any alternative options available to you.
09
Seek assistance if needed: If you encounter any difficulties or have concerns during the non-renewal process, consider seeking assistance from a medicare counselor or a professional knowledgeable in medicare regulations.

Who needs non-renewing medicare advantage organizations?

01
Non-renewing medicare advantage organizations are needed by individuals who:
02
- Have been notified by their current medicare advantage organization that their plan will not be renewed for the upcoming coverage year.
03
- Wish to explore alternative medicare advantage organizations for their healthcare coverage.
04
- Want to switch to a different medicare advantage organization due to changes in their healthcare needs or preferences.
05
- Are unsatisfied with the services or benefits provided by their current medicare advantage organization and seek better options.
06
- Have experienced a significant life event that requires a change in their medicare advantage organization (e.g., moving to a new state).
07
It is recommended to consult with a medicare counselor or professional for personalized advice and guidance on whether non-renewing medicare advantage organizations are suitable for one's specific circumstances.
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Non-renewing Medicare Advantage organizations are health plans that, for a variety of reasons, have decided not to renew their contracts with Medicare for providing Medicare Advantage coverage in a given area.
Organizations that decide not to renew their Medicare Advantage contracts must file a non-renewal notice with the Centers for Medicare & Medicaid Services (CMS).
Filling out the non-renewal notice involves providing specific information regarding the organization's decision, including the reason for non-renewal, affected plans, and any required member notifications.
The purpose is to formally notify CMS and affected beneficiaries that the organization will no longer be offering certain Medicare Advantage plans, ensuring compliance with federal regulations.
The report must include the organization's name, the specific plans being non-renewed, the reasons for non-renewal, and a timeline for notifying members.
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