Membership Enrollment and Disenrollment Rights

How do you enroll in our plan?

HealthSun Health Plans will accept enrollment requests that are completed and signed during an in-person meeting with a HealthSun representative.

You may also submit an enrollment application directly to HealthSun Health Plans. Please call our Member Services Department for information on where to send your enrollment application.

Medicare beneficiaries may also enroll in HealthSun Health Plans through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

 

 

Beneficiaries with both Medicare Part A and Part B can choose to enroll in a Medicare Advantage Plan. You must reside in the service area of the plan. 

Typically, beneficiaries cannot enroll in a Medicare Advantage Plan outside of the Open Enrollment Period. However, in certain situations a Special Election Period (SEP) may be used during the other months of the year so that beneficiaries may be able to join, switch, or drop a Medicare Advantage HMO plan or a Prescription Drug plan. If you have any questions, please contact our Member Services Department. 

 

 

 

Membership Disenrollment

How do you end your membership in our plan?

 

You can make a request in writing to us. Contact Member Services if you need more information on how to do this (phone numbers are printed on the back cover of your “Evidence of Coverage” (EOC)).

-or- You can contact Medicare at 1-800-MEDICARE (1-800-633- 4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.

Enrollment Application

• 2020 Enrollment Application
  

Plan Change Form

• 2020 Plan Change Form
  

Address Change Form

• Change of Address Form

Disenrollment Form

• Disenrollment Form (English)

Member Rights and Responsibilities Upon Disenrollment

• Member's Right and Responsibilities Upon Disenrollment

For further information on disenrollment rights and responsibilities please contact our Member Services Department at (305) 447-4458 or (877) 336-2069. TTY users should call (877) 206-0500. We are available Monday through Friday from 8:00 a.m. - 8:00 p.m.

If we end your membership with our health plan we will inform you of our reason in writing and explain how you may file a complaint against us if you wish to do so.

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