
Sterling Partners ® - Montana : Plan Overview
Sterling Partners ® - Montana
At Sterling we offer healthcare coverage to meet the needs of most Medicare beneficiaries. Sterling Partners ® - Montana is a Medicare Advantage Private Fee For Service Plan underwritten by Sterling Life Insurance Company. As a member of Sterling Partners ® - Montana you can go to any doctor or specialist that accepts Medicare payment and accepts the terms and conditions of the Sterling Partners ® - Montana plan.
Medicare Advantage Private Fee For Service
With Medicare Advantage Private Fee For Service, Medicare beneficiaries can buy plans
from insurance companies that include both Medicare-covered services and additional coverage. The company
you choose will be paid by Medicare to provide coverage for your Medicare benefits. You will still be in
the Medicare program and must continue to pay Part B premiums to Medicare. In addition, you will pay 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/partnersMTtandc.pdf).
Prescription Drug Coverage
The Sterling Partners ® - Montana plan covers both Medicare Part B
and Part D prescription drugs listed in the Sterling Partners ® - Montana formulary. A
formulary is a list of drugs covered by the plan. As a member of Sterling
Partners ® - Montana, you must use a network pharmacy to receive your Part D
covered prescription drugs.
Network Hospitals
This plan is unique. Sterling Partners ® - Montana has contracted
with two local hospitals: St. Patrick Hospital and Health Sciences Center in Missoula and Saint Vincent
Healthcare in Billings. Even though Sterling Partners ® - Montana has a written contract
with these hospitals, you may still receive services from any hospital or healthcare facility eligible
to participate in original Medicare. However, by selecting to use a Network Hospital and facilities you
are assured lower cost sharing for some services.
Sterling Care Coordinator
As part of the Sterling Partners ® - Montana plan, you will have
access to a Sterling Care Coordinator. At your request, a coordinator will be available to help you with
everyday healthcare questions as well as the more complex issues that can arise from time to time.
Sterling Forever Fit Wellness Program
Sterling Forever Fit offers a variety of health and fitness tools designed to
enrich your every day life. As a Sterling Forever Fit member, you’ll receive: membership at your
choice of more than 8,000 participating fitness centers and gyms; discounts for use of exercise
and movement practitioners; savings on selected health and fitness magazines; information on
nutrition and other wellness solutions; and answers from member services professionals who are
ready to hear your questions.
Additional Beneficial Services
Sterling Partners ® - Montana also includes: preventive
dental*, travel medical benefits, and a 24-hour toll-free Nurse Advice line.
Customer Service
Our experienced customer service specialists can assist you with questions
about claims, covered benefits or anything related to your Sterling Partners® - Montana
plan.
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 speak
with a
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 Partners® - Montana
plan, simply click the “back” button to return to the application process.
An insurance company with a Medicare Advantage contract to offer a Private Fee
For Service plan (H5839). Anyone entitled to Medicare Part A and enrolled in Medicare Part B may apply.
*Limitations and/or copayments apply.
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