In which situation may a Medicare Advantage organization disenroll a member from an MA plan?

A Medicare Advantage organization may disenroll a member from an MA plan if premiums are not paid on a timely basis. This is a crucial aspect of maintaining enrollment in any health insurance plan, including Medicare Advantage. Timely payment of premiums is a condition for continued coverage; if a member fails to meet this requirement, the organization has the right to terminate their membership in the plan.

While it might seem that other options could lead to disenrollment, they do not adhere strictly to the policies governing Medicare Advantage plans. For instance, members can relocate to a new state without necessarily being disenrolled, as many plans accommodate such changes with appropriate modifications to coverage. Furthermore, a member's request for disenrollment is a voluntary action and is not something the organization initiates. As for age limits, while there are eligibility criteria tied to age for initial enrollment, once enrolled, a member's age does not automatically lead to disenrollment as long as they maintain enrollment obligations. Therefore, timely payment of premiums stands as the valid reason for disenrollment in this context.