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Sterling RxSM & Rx PlusSM Information
| Sterling Plan: |
Sterling RxSM & Rx PlusSM Availability: |
| Sterling RxSM |
Available-All Counties |
| Sterling Rx PlusSM |
Available-All Counties |
| Sterling Rx SM Information: |
2008 Summary of Benefits Last Updated 11/07 Print Version - (pdf file - 250k): |
Click to View |
2008 Evidence of Coverage Last Updated 01/08 Print Version - (pdf file - 1.2mb): |
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RxSM & Rx PlusSM Brochure Last Updated 12/07 Print Version - (pdf file - 93k): |
Click to View |
2008 Abridged Formulary Last Updated 11/07 Print Version - (pdf file - 1.7mb): |
Click to View |
2008 Comprehensive Formulary Last Updated 05/08 Print Version - (pdf file - 1.2mb): |
Click to View |
2008 Electronic Comprehensive Formulary Current version Last Updated 09/08 Print Version - (pdf file - 829kb): |
Click to View |
| Sterling Rx Plus SM Information: |
2008 Summary of Benefits Last Updated 11/07 Print Version - (pdf file - 250k): |
Click to View |
2008 Evidence of Coverage Last Updated 01/08 Print Version - (pdf file - 1.2mb): |
Click to View |
RxSM & Rx PlusSM Brochure Last Updated 12/07 Print Version - (pdf file - 93k): |
Click to View |
2008 Abridged Formulary Last Updated 11/07 Print Version - (pdf file - 1.7mb): |
Click to View |
2008 Comprehensive Formulary Last Updated 05/08 Print Version - (pdf file - 1.2mb): |
Click to View |
2008 Electronic Comprehensive Formulary Current version Last Updated 09/08 Print Version - (pdf file - 829kb): |
Click to View |
| Low Income Subsidy 2008/2009 Information |
| 2009 BAE |
2009 BAE (Best Available Evidence) Policy guidance link: Click Here |
2008 LIS - Low Income Subsidy Premium Last Updated 08/08 Print Version - (pdf file - 66k): |
Monthly Plan Premium for People who get Extra Help from Medicare to Help Pay for their Prescription Drug Costs Chart. |
2009 LIS - Low Income Subsidy Premium Coming soon |
Coming Soon |
| 2008 Notice of Formulary Changes for RxSM and Rx PlusSM |
Release(1) NOC Last Updated 04/08 Print Version - (pdf file - 52kb): |
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Release(2) NOC Last Updated 05/08 Print Version - (pdf file - 52kb): |
Click to View |
Release(3) NOC Last Updated 05/08 Print Version - (pdf file - 52kb): |
Click to View |
Release(4) NOC Last Updated 06/08 Print Version - (pdf file - 52kb): |
Click to View |
Release(5) NOC Last Updated 07/08 Print Version - (pdf file - 52kb): |
Click to View |
Release(6) NOC Last Updated 08/08 Print Version - (pdf file - 52kb): |
Click to View |
Release(7) NOC Last Updated 09/08 Print Version - (pdf file - 50kb): |
Click to View |
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| Sterling Plan: |
Available Benefits: |
| Sterling RxSM or Rx PlusSM |
If you are a current Sterling RxSM or Rx PlusSM member,
Click to View |
Sterling RxSM or Rx PlusSM Last Updated 11/07 |
If you are NOT a current Sterling RxSM or Rx PlusSM member,
Click to View |
| Document Title: |
Downloads: |
2008 Out-Of-Network Coverage Last Updated 02/08 Print Version - (PDF 47k): |
Click to View |
2008 Grievance Coverage and Appeals Procedures Part D Last Updated 05/08 Print Version - (PDF 48k): |
Click to View |
2008 Quality Assurance Policies and Procedures Part D Last Updated 02/08 Print Version - (PDF 30k): |
Click to View |
2008 Contract Termination Policy Part D Last Updated 05/08 Print Version - (PDF 60k): |
Click to View |
2008 Contract Transition Policy Last Updated 05/08 Print Version - (PDF 48k): |
Click to View |
| Be Sure To..... |
| a) Completely fill out the information on all pages of the
Enrollment Application Form and initial statements where indicated. |
b) On page 3, be sure to sign and date the Application. You'll need
your Medicare Card to fill out the bottom portion.
(Do not send in your Medicare Card, simply copy the information on the card to page 1 of the Application.)
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| Enclose the following: |
| a) Completed four-page Enrollment Application Form. |
| b) First month's premium in the form of a check or money order made payable to Sterling. |
c) Mail To:
ATTN: Sterling Rx Enrollment Services
2219 Rimland Drive
Bellingham, WA 98226 |
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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 as well as your Sterling RxSM & Rx
PlusSM Identification Card.
Questions?
For clarification on any of these steps, don't hesitate to call, 1-888-858-8572
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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