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Geaton mentioned that "straight" Medicare will follow them from State to State but Medicare Advantages and suppliments don't. Each State allows certain MAs and supplimentals to write policies. If you leave the State, you may not be able to transfer the insurance to another State.
I personally do not advise sending them with Lyft or Uber or taxis, since they are not responsible for their aid or safety after they get out of the vehicle. These are total strangers and the very elderly are very vulnerable. Even county-funded transport services won't take any rider who has memory or cognitive impairment unless they are accompanied.
Again, check with your parents' facility. Each ALF is different and operates in a different manner, and there will be choices you can assist with here if you are POA for your parents.
And yes, your parents can leave the facility any time they like if they are not in memory care, and for any reason, including trips to see family, cruises, etc if they are able. Much depends on the level of care they need and mentation. Someone in memory care would be in a locked facility, leaving only when accompanied by friends, family, or staff.