
Sterling Option IVSM Overview
Introducing Sterling Option IVSM
We are introducing a great new plan for 2008 that meets the needs of most Medicare
beneficiaries who are looking for both healthcare and prescription drug coverage.
This new plan is called Sterling Option IVSM and 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/option4tandc.pdf).
Sterling Option IVSM
Sterling Option IVSM 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. The prescription drug portion of the plan includes a network of
over 50,000 pharmacies nationwide, more than 3,000 prescription drugs and a mail
order pharmacy program, all at an affordable cost. And you’ll still 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 IVSM offers an out-of-pocket limit and
flexible preventive care benefit.
Sterling Care Coordinator
As part of the Sterling Option IVSM 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 IVSM 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 IVSM plan,
simply click the "back" button to return to the application process.
Sterling Option IV 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 IV SM
service area. Copayments and the plan premium apply.
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