Rights & Responsibilities (Disenrollment)

Ending your membership in Blue Shield Promise Cal MediConnect Plan may be voluntary (your own choice) or involuntary (not your own choice):

  • You might leave our plan because you have decided that you want to leave
    • There are only certain times during the year, or certain situations, when you may voluntarily end your membership in the plan. The Evidence of Coverage (EOC) Chapter 10 and section A tells you when you can end your membership in the plan
    • The process for voluntarily ending your membership varies depending on what type of new coverage you are choosing. The Evidence of Coverage (EOC) Chapter 10 and section B tells you how you can end your membership in the plan
  • There are also limited situations where you do not choose to leave, but we are required to end your membership. The Evidence of Coverage (EOC) Chapter 10 and section F tells you about situations when we must end your membership

If you are leaving our plan, you must continue to get your medical care through our plan until your membership ends.

For more information on ending your membership, please refer to EOC Chapter 10 Section 1 of your Evidence of Coverage Document.



Material ID: H0148_19_028_WEB
Back to Top

You are leaving Blue Shield of California Promise Health Plan's website

If you enter the web site https://ocrportal.hhs.gov, please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Office for Civil Rights web site that adheres to the rules, policies, regulations and terms of use of that agency. If you enter the web site http://www.hhs.gov, please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the U.S. Department of Health & Human Services web site that adheres to the rules, policies, regulations and terms of use of that agency. If you enter the web site of CMS (Centers for Medicare & Medicaid Services) (http://www.cms.gov), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the CMS's web site that adheres to the rules, policies, regulations and terms of use of that service. If you enter the web site https://www.ssa.gov/medicare/prescriptionhelp/, please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Medicare Prescription Drug Plan Costs web site that adheres to the rules, policies, regulations and terms of use of that service. If you enter the web site https://secure.ssa.gov/i1020/start, please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Official Website of the U.S. Social Security Administration that adheres to the rules, policies, regulations and terms of use of that agency. If you enter the web site of Beacon Health Strategies (beaconhealthstrategies.com), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Beacon Health Strategies web site that adheres to the rules, policies, regulations and terms of use of that service. If you enter the web site My Advocate (www.myadvocatehelps.com), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the My Advocate web site that adheres to the rules, policies, regulations and terms of use of that service. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site American Specialty Health (ASH) (www.ashlink.com/ash/ashco.aspx?hp=Care1st), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the ASH web site that adheres to the rules, policies, regulations and terms of use of that service. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site Dental Providers (www.deltadentalins.com), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Dental Providers web site that adheres to the rules, policies, regulations and terms of use of that service. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site Hearing Services/ Hearing Aids (www.epichearing.com), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Hearing Services web site that adheres to the rules, policies, regulations and terms of use of that service. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site VSP (www.vsp.com), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the VSP web site that adheres to the rules, policies, regulations and terms of use of that service. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site KEPRO (www.keproqio.com), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the KEPRO web site that adheres to the rules, policies, regulations and terms of use of that service. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site Livanta (www.bfccqioarea5.com ), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Livanta web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site U.S. Department of Health and Human Services (ocrportal.hhs.gov/ ), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the U.S. Department of Health and Human Services web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site CalDuals (http://calduals.org/ ), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the CalDuals web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site California Department of Health Care Services (https://www.dhcs.ca.gov/ ), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the California Department of Health Care Services web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site CMS (Centers for Medicare & Medicaid Services) (http://www.cms.gov), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the CMS (Centers for Medicare & Medicaid Services) web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site California Department of Health Care Services (DHCS) (https://www.healthcareoptions.dhcs.ca.gov/), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the California Department of Health Care Services (DHCS) web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site Medi-Cal Dental Program (https://www.denti-cal.ca.gov/), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Medi-Cal Dental Program web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site Solera4me (https://www.solera4me.com/bluepromisemedicare), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Solera4me web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site Department of Managed Healthcare (http://www.dmhc.ca.gov/FileaComplaint/IndependentMedicalReviewComplaintForms.aspx), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Department of Managed Healthcare web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site.