Triple-S Advantage may choose to reduce its service area or to not renew its contract with the Centers for Medicare & Medicaid Services (CMS) for the following year. As established by federal law, CMS may also decide not to renew its contract with Triple-S Advantage. This could result in contract termination or non-renewal, which may lead to the termination of a beneficiary’s enrollment in Triple-S Advantage.
All benefits and rules described in you Evidence of Coverage and Summary of Benefits will continue until the end of your membership. This means that you will continue receiving your health care and prescription drug benefits through your plan as usual until your membership ends.
If Triple-S Advantage’s contract with CMS is not renewed or is terminated, Triple-S Advantage will give notice by mail to all affected members prior to the effective date of termination.
Members affected by a non-renewal or contract termination are granted a period of time, known as a Special Enrollment Period (SEP), to choose another Medicare Advantage plan. SEPs are periods outside regular enrollment periods that allow members to change to another plan if they have changes residence or if their current plan has ended.
For additional information, we encourage you to contact our Member Service Center at 1-888-620-1919; Monday through Sunday, from 8:00 a.m. to 8:00 pm. TTY/TDD users should call 1-866-620-2520.
Last update: 10/04/2017