Contents

 General Information
 Customer Service
 Discount Rx Overview
 Discount Rx Formulary
 Discount Rx Application



The products and services described below are neither offered nor guaranteed under the Sterling Life Insurance Company contract with the Medicare Program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the Sterling Life Insurance Company grievance process.

This discount program is NOT a Medicare Part D Prescription Drug Program, nor does it constitute Creditable Prescription Drug Coverage for purposes of the Medicare Part D program.

Discounts offered through the use of a pharmacy discount card are not insurance and are not intended as a substitute for insurance.

Sterling Plan:
Availability:
Sterling Discount Rx®
All Counties


Sterling Discount Rx Information:
Sterling Discount Rx® Overview
   Click to View
Sterling Discount Rx® Brochure
Print Version - (pdf file - 70k):
   Click to View
Sterling Discount Rx® Formulary
Print Version - (pdf file - 859k):
   Click to View


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Sterling Plan:
Printable Enrollment Form:
Sterling Discount Rx® Application
Print Version - (pdf file - 23k):
    Download Enrollment Form

Be Sure To...
a) Completely fill out the information on the Enrollment Application Form.
b)  Include details on any dependents if applicable.

Enclose The Following...
a)  Completed Enrollment Application Form.
b)  If applicable, voided check for Monthly Automatic Bank Draft.
c)  Mail to:
ATTN: Enrollment Services
Sterling Discount Rx
PO Box 5348
Bellingham, WA 98227-5348

 
Once your completed Application and premium are received and processed, you will receive a Welcome Packet containing a wealth of information including a letter confirming your enrollment and its effective date.

Questions?

For clarification on any of these steps, don't hesitate to call, 1-866-215-2201 or 1-888-858-8567 for TTY. Staff is available to assist you Monday through Friday, 5:00 a.m. to 5:00 p.m. Pacific time.

 
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   2007