Continuation Of Enrollment

Continuation Of Enrollment refers to a Medicare managed care policy allowing beneficiaries to remain enrolled in a Medicare health plan after moving outside the plan’s service area.

🧠 Full Definition

Continuation Of Enrollment is a Medicare managed care option that permits beneficiaries enrolled in a Medicare Advantage or Medicare+Choice plan to continue plan enrollment after relocating outside the plan’s approved service area.

Under this policy, Managed Care Organizations (MCOs) may offer continued enrollment on a permanent basis for eligible beneficiaries who move outside the original service area while still maintaining plan coverage.

MCOs choosing to offer Continuation Of Enrollment must disclose the option in marketing materials and make the policy available consistently to all eligible plan members within the service area.

📌 Key Characteristics

• Allows continued plan enrollment after relocation outside the service area
• Associated with Medicare managed care and Medicare Advantage plans
• May be offered on a permanent basis
• Must be disclosed in plan marketing materials
• Provides beneficiaries the option to continue coverage or disenroll

💡 Why It Matters

Understanding Continuation Of Enrollment helps Medicare beneficiaries evaluate coverage options when relocating outside their current health plan’s geographic service area.

This policy can affect:

• continuity of Medicare health coverage
• plan eligibility after relocation
• provider network access
• disenrollment decisions
• managed care coverage flexibility

🌐 MedicarePlans.com Perspective

Continuation Of Enrollment policies can help beneficiaries maintain healthcare coverage continuity during relocation situations, although provider network access and healthcare availability may differ outside the original service area.

🗣️ Example Use

“After relocating outside the original service area, the beneficiary elected to use the Continuation Of Enrollment option to remain enrolled in the Medicare Advantage plan.”

🔗 Related Terms

• Enrollment
• Enroll
• Enrollment Period
• Disenroll

📚 Source Definition

Original definition sourced from the Centers for Medicare & Medicaid Services (CMS).

CONTINUATION OF ENROLLMENT: Allows MCOs to offer enrollees the option of continued enrollment in the M+C plan when enrollees leave the plan’s service area to reside elsewhere. CMS has interpreted this to be on a permanent basis. M+C Organizations that choose the continuation of enrollment option must explain it in marketing materials and make it available to all enrollees in the service area. Enrollees may choose to exercise this option when they move or they may choose to disenroll.