In which situation may a Medicare Advantage organization decide to disenroll a member?

A Medicare Advantage organization may decide to disenroll a member in the case of failure to pay premiums on time. This is because timely payment of premiums is a critical condition for maintaining coverage. Without payment of premiums, the health plan cannot sustain its operation or provide benefits to other members, thus enforcing the compliance of financial responsibilities is essential.

Members are usually informed of payment deadlines and potential consequences of not meeting them, ensuring that they have a fair opportunity to maintain their coverage. In this context, financial responsibility and timely premium payments are foundational elements of the membership agreement between the member and the organization.

While there may be circumstances related to the other options, such as a member's request or changes in their personal situation, these do not typically lead to disenrollment initiated by the organization.