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STORIES ON HEALTH
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Sierra Health Services Begins Marketing Medicare Prescription Drug Plan and Medicare Advantage PPO Plan In Nevada
Las Vegas, October 11, 2005 - Sierra
Health and Life Insurance Company,
Inc. (SHL), a wholly owned subsidiary
of Sierra Health Services, Inc.
(NYSE:SIE) has begun marketing its
stand-alone Medicare prescription drug
plan (PDP), SierraRx, throughout
Nevada, for a January 1, 2006 effective
date. Marketing is also underway for
SHL's Medicare Advantage PPO plan,
Sierra Spectrum, for Medicare beneficiaries
in all of Nevada's counties.
SierraRx will be available through
most major retail pharmacy chains and a
large number of independent pharmacies.
Sierra Rx plan members will have
access to a comprehensive list of drugs
for a monthly premium of $22.12. The
plan also provides a mail order benefit
for maintenance drugs, first dollar coverage
for generic drugs and a $250
deductible for brand and specialty drugs.
Co-payments will range from as little
as $1 for a 30-day supply of generic
drugs to 25% coinsurance for specialty
drugs, up to the initial annual coverage
limit of $2,250. Once the initial coverage
limit is reached, a coverage gap will
occur and members will be responsible
for 100% of their prescription drug costs
until they reach a maximum annual out
of pocket expense of $3,600. Once the
maximum annual out of pocket expense
is reached, catastrophic coverage will be
available and the member will pay the
greater of $2 for generic or brand name
prescription drugs, $5 for specialty
drugs, or a 5% coinsurance payment.
SHL will also participate with the
Centers for Medicare & Medicaid
Services (CMS) in the auto-enrollment
of Medicare beneficiaries who also have
Medicaid benefits, known as dually eligible
beneficiaries. SHL expects to realize
approximately 2,800 members from the
initial auto-enrollment process.
SHL's Medicare Advantage PPO
plan, Sierra Spectrum, will include a
comprehensive prescription drug benefit
similar to that of SierraRx. Plan members
have a monthly premium of $39 in
2005. Sierra Spectrum also includes
physician and hospital coverage.
For many years, Sierra has offered a
Medicare managed care plan in Nevada
through its subsidiary company, Health
Plan of Nevada (HPN). HPN's plan,
Senior Dimensions, has always provided
a comprehensive pharmacy benefit for
its members and will continue to do so
in 2006. Current Senior Dimensions
members do not need to take any action
during the initial enrollment period as
they will have the Medicare prescription
drug plan available to them through
their benefit plan beginning January
2006.
The CMS prescription drug plan
enables SHL to expand its product line
to include the stand-alone Sierra Rx
PDP plan.
"Many Medicare beneficiaries have
been in critical need of a comprehensive
outpatient prescription drug plan,"
Jonathon W. Bunker, President of SHL,
said. "We are pleased to provide that
opportunity for them, through our
stand-alone PDP, SierraRx, or our
Medicare Advantage PPO, Sierra
Spectrum."
Medicare beneficiaries can call the
following numbers to find out more
information about SierraRx and Sierra
Spectrum benefit plans: SierraRx/866-
789-0565; Sierra Spectrum/702-562-
8021 or 877-559-4512.
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