How to Enroll & Disenroll

To start or end your membership in CareAdvantage, you need to complete certain forms and send them to the CareAdvantage Unit. If you have questions about these forms or the enrollment and disenrollment process, call the CareAdvantage Unit and a Navigator will help you.

Disclaimer Notices

  How do I enroll?
If you are eligible for CareAdvantage, you can choose one of these ways to enroll:

	Call the CareAdvantage Unit and ask to have an Enrollment Form mailed to you. You can also download the Enrollment Form. Complete and send it to the CareAdvantage Unit.
	Or you can apply online through the official Medicare enrollment website, by going to the CMS Online Enrollment Center (OEC).

If you want more information about Medicare Perscription Drug Coverage please visit the Medicare website at www.medicare.gov

  How do I disenroll?
If you decide to leave CareAdvantage, you must tell the Health Plan of San Mateo (HPSM) or Medicare about your decision.

	Fax or mail a Disenrollment Form to the CareAdvantage Unit. Be sure to sign and date your form. If you fax this form, you still need to send the original copy. CareAdvantage Unit Health Plan of San Mateo 701 Gateway Blvd, Suite 400 South San Francisco, CA 94080 Fax: (650) 616-2190
	HPSM will send you a letter that tells you when your membership will end. This is the disenrollment date. You must continue to receive all medical care from CareAdvantage providers until the effective date of disenrollment. Contact us to verify your disenrollment date before you seek medical services outside of CareAdvantage’s network.

For a description of the rights and responsibilities upon disenrollment for CareAdvantage members and HPSM, please read Section 11 of the Evidence of Coverage, Ending Your Membership.

  Who else can I call for questions about my rights?

	You can call the national Medicare helpline, 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.
	You can call the San Mateo Health Insurance Counseling and Advocacy Program Office (HICAP). They provide free counseling to Medicare beneficiaries, disabled adults, seniors and their families or other representatives on how the health care system works and how to get services. They can be reached at (650) 627-9350 or 1-800-434-0222.

Our office hours are Monday through Friday, 8:00 a.m. to 5:00 p.m. Health Plan of San Mateo, 701 Gateway, Suite 400, South San Francisco, CA 94080.