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Old 08-03-2010, 02:02 PM
 
Location: San Antonio Texas
11,435 posts, read 15,951,948 times
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I know of a man who is currently enrolled in Secure Horizons HMO due to restrictions, but wants to leave that Plan and go back to his Original Medicare + Tricare For Life, which would cover him all the way (100%) with ample choice of doctors. Does he have to wait until November to do so for a January 1 effective date or can he disenroll from Secure Horizons at any time and back to Medicare and TFL?
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Old 08-03-2010, 07:34 PM
 
9 posts, read 15,754 times
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Originally Posted by wehotex View Post
I know of a man who is currently enrolled in Secure Horizons HMO due to restrictions, but wants to leave that Plan and go back to his Original Medicare + Tricare For Life, which would cover him all the way (100%) with ample choice of doctors. Does he have to wait until November to do so for a January 1 effective date or can he disenroll from Secure Horizons at any time and back to Medicare and TFL?
He can disenroll in Nov, effective Jan 1st unless he was enrolled under fraudulent terms. If he was, he can dispute this through medicare. An agent SHOULD NOT try to enroll tri care patients in a MA plan. It is not in their best interest.
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Old 08-03-2010, 07:48 PM
 
Location: San Antonio Texas
11,435 posts, read 15,951,948 times
Reputation: 5224
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Originally Posted by Sissydada View Post
He can disenroll in Nov, effective Jan 1st unless he was enrolled under fraudulent terms. If he was, he can dispute this through medicare. An agent SHOULD NOT try to enroll tri care patients in a MA plan. It is not in their best interest.
One of the large medical groups here in SA insists that it is better for them because of some of the extras like gym membership, glasses, etc.. Most of the patients are smart enough to know better though. I've been trying to tell this man for a while now that he's better off with TFL than his Secure Horizons. When hi wife obtained her Medicare recently, and he saw how easy it was, he decided that he wanted out of SH because of the limited doctor selection. It's too bad that he would have to wait.
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