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Contract Termination
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Gateway Health Plan Medicare AssuredSM Potential for Contract Termination
What happens to you if Gateway Health Plan® leaves the Medicare program or Gateway Health Plan Medicare AssuredSM leaves the area where you live?
Gateway Health Plan® has a contract with the Centers for Medicare & Medicaid Services (CMS), the government agency that runs Medicare. This contract renews each year. At the end of each year, the contract is reviewed, and either Gateway Health Plan® or CMS can decide to end it. You will get 90 days advance notice in this situation. It is also possible for our contract to end at some other time during the year, too. In these situations we will try to tell you 90 days in advance, but your advance notice may be as little as 30 or fewer days if CMS must end our contract in the middle of the year.
If Gateway Health Plan® leaves the Medicare program or changes its service area so that it no longer includes the area where you live, we will tell you in writing. If this happens, your membership in Gateway Health Plan Medicare AssuredSM will end, and you will have to change to another way of getting your Medicare benefits. Your choices for how to get your Medicare will always include Original Medicare and joining a Prescription Drug Plan to complement your Original Medicare coverage. Your choices may also include joining another Medicare Advantage Plan, or a Private Fee-for-Service plan, if these plans are available in your area and are accepting new members.
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