Triple-S Advantage may choose to reduce its service area or not renew its contract with the Centers for Medicare &Medicaid Services (CMS) for the following year. As established by law, CMS may also refuse to renew its contract with Triple-S Advantage. This could result in contract termination or non-renewal, which may lead to termination of a beneficiary’s enrollment in Triple-S Advantage.
All benefits and the rules described in you Evidence of Coverage and the Summary of Benefits will continue until the effective end date of your membership. This means that you will continue receiving your health care and/or prescription drug benefits the same way you are doing now.
If Triple-S Advantage contract with CMS is not renewed or is terminated, Triple-S Advantage will give notice by mail to affected members prior to the termination’s effective date.
Members affected by a non-renewal or a contract termination are granted a period of time known as a Special Enrollment Period (SEP) to choose another Medicare Advantage plan. SEP’s are periods outside of the usual enrollment periods that allow members who change residence or whose current plan terminates to change to another plan.
For additional information, we encourage you to contact our Member Service Center at 1-888-620-1919. TTY users should call 1-866-620-2520 (for the hearing impaired). Both lines are available 24 hours a day, 7 days a week.
Last update: 10/01/2016