
Sterling Option IIISM Overview
Introducing Sterling Option IIISM
We are introducing a great new plan for 2008 that meets the needs of most Medicare beneficiaries
who are looking for basic health coverage with protection from high out-of-pocket expenses.
Sterling Option IIISM is part of the Sterling family of insurance products
underwritten by Sterling Life Insurance Company.
Private Fee For Service
With this option, Medicare beneficiaries can buy plans from insurance companies that cover
both Medicare-covered services and enhanced coverage. The company you choose will be
paid by Medicare to provide coverage for your Medicare benefits. You’ll continue to pay Part
B premiums to Medicare and a premium directly to the insurance company for the plan.
A Medicare Advantage Private Fee-for-Service plan works differently than a Medicare supplement plan. Your doctor or hospital is not required to agree to accept the plan’s terms and conditions, and thus may choose not to treat you, with the exception of emergencies. If your doctor or hospital does not agree to accept our payment terms and conditions, they may choose not to provide health care services to you, except in emergencies. Providers can find the plan's terms and conditions on our website at www.sterlingplans.com (or the direct link to the provider terms and conditions of payment can be found online at: https://secure.sterlingplans.com/providers/pdf/option3tandc.pdf).
Sterling Option IIISM
Sterling Option IIISM is a Medicare Advantage Private Fee For
Service Plan underwritten by Sterling Life Insurance Company. It features the freedom
to choose doctors, hospitals (willing to accept our terms and conditions of payment), see specialists
without referral, and travel without losing
coverage. You’ll receive full coverage when traveling within the United States and coverage
for emergency or urgently needed services outside the U.S. In addition, Sterling
Option IIISM offers an out-of-pocket limit and
flexible preventive care benefit.
Sterling Care Coordinator
As part of the Sterling Option IIISM plan, you will have
access to a Sterling Care Coordinator. A Care Coordination Nurse will be there to help you with everyday
healthcare questions as well as the more complex issues that can arise from time
to time.
Customer Service
Questions on claims, covered benefits or anything related to your Sterling Option IIISM
plan can be handled by our experienced Customer Service Specialists.
Paperless Claims
When you present your Sterling Card, most claims will be handled electronically. Imagine, virtually no cumbersome paperwork!
Still have questions?
If you need more information, just give us a call @ 1-888-858-8572 to request a
callback from your local Licensed Sterling Representative. Again, there is no obligation. It’s just another way to
add to your education on the changing world of Medicare.
How To Sign Up
If you would like to sign up for the Sterling Option IIISM plan,
simply click the "back" button to return to the application process.
Sterling Option III SM is a Medicare Advantage Private Fee For
Service Plan offered by Sterling Life Insurance Company, a Medicare Advantage Organization
contracting with the Federal Government. Anyone entitled to Medicare Part A and enrolled
in Medicare Part B may apply. Enrollees must continue to pay their Medicare Part B
monthly premium and live in the Sterling Option III SM
service area. Copayments and the plan premium apply.
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