Disenroll

Ending your Moda Health Medicare membership

You may choose to end your Medicare membership with us. You may also have to end your membership because you have moved out of our service area or for other reasons. Whether you choose to leave or have to leave, please review your Evidence of Coverage.

Questions? Please call our Moda Health Customer Service at 503-265-4762 or toll-free at 877-299-9062. TTY users, dial 711. Customer Service is available from 7 a.m. to 8 p.m., Pacific Time, seven days a week from October 1 through March 31. (After March 31, your call will be handled by our automated phone system Saturdays, Sundays and holidays.)

To end your membership, please complete the disenrollment form for your plan:

2020 disenrollment form

2019 disenrollment forms

Last updated Oct. 9, 2020
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