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Wisconsin - Sterling Option IISM Information
| Sterling Plan: |
Sterling Option II Availability: |
| Sterling Option II SM |
Available In
Barron, Brown, Buffalo, Burnett, Calumet, Columbia, Dane, Dodge, Door, Dunn, Fond du Lac, Green, Iowa, Jefferson, Kewaunee, Lafayette, Manitowoc, Marinette, Oconto, Outagamie, Pepin, Pierce, Polk, Rock, Sauk, Shawano, Sheboygan, St. Croix, Washburn, Waupaca, and Winnebago counties. |
| Sterling Option IISM Information: |
Sterling Option IISM Overview
Last Updated 11/07 |
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Sterling Option IISM Brochure
Last Updated 12/07
Print Version - (pdf file - 170k): |
 Click to View |
Sterling Care Coordination Brochure
Last Updated 11/07
Print Version - (pdf file - 160k): |
Click to View |
Sterling Forever Fit Directory
Last Updated 11/07
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Sterling Forever Fit Brochure
Last Updated 11/07
Print Version - (pdf file - 160k): |
Click to View |
2008 Summary of Benefits
Last Updated 11/07
Print Version - (pdf file - 2.2mb): |
Click to View |
2008 Evidence of Coverage
Last Updated 01/08
Print Version - (pdf file - 1.2mb): |
Click to View |
PFFS: What You Need to Know
Last Updated 11/07
Print Version - (pdf file - 70k): |
Click to View
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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): |
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2008 Electronic Comprehensive Formulary Current version
Last Updated 09/08
Print Version - (pdf file - 829kb): |
Click to View |
| 2008 Notice of Formulary Change |
Release(1) NOC
Last Updated 04/08
Print Version - (pdf file - 52kb): |
Click to View |
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 |
| 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 |
| Sterling Plan: |
Available Benefits: |
Sterling Option IISM
Last Updated 11/07 |
If you are a current Sterling Option IISM member,
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Sterling Option IISM
Last Updated 11/07 |
If you are NOT a current Sterling Option IISM member,
Click to View |
| Document Title: |
Downloads: |
Out-Of-Network Coverage
Last Updated 02/08
Print Version - (PDF 47k): |
Click to View |
2008 Grievance Coverage and Appeals Procedures
Last Updated 05/08
Print Version - (PDF 48k): |
Click to View |
2008 Quality Assurance Policies and Procedures Part D & non-Part D
Last Updated 02/08
Print Version - (PDF 30k): |
Click to View |
2008 Contract Termination Policy
Last Updated 05/08
Print Version - (PDF 60k): |
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 4, be sure to sign and date the Application. You'll need your Medicare Card to fill out the bottom portion on Page 1.
(Do not send in your Medicare Card, simply copy the information on the card to this page 1 of the Application.) |
| 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: Enrollment Services
Sterling Life Insurance/SterlingPlans.com
PO Box 1917
Bellingham, WA 98227-9715 |
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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 Option IISM Identification Card.
2008 Medicare Advantage PFFS Disclaimer:
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.
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.
Click here for a listing of offices near you.
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Product Information : Sterling Option IISMInformation: Wisconsin
