Sierra Health and Life Insurance Company, Inc.




	Individual PPO Plans Individual HSA Plans Summaries of Benefits Distinct Advantage Plan Option 1 Distinct Advantage Plan Option 2 Distinct Advantage Plan Option 3 Distinct Advantage Plan Option 4 Distinct Advantage Plan PPO RX Distinct Advantage Plan Option 1 Distinct Advantage Plan Option 2 Distinct Advantage Plan Option 3 Distinct Advantage Plan Option 4 Distinct Advantage Plan PPO RX Distinct Advantage Plan Option 1 Distinct Advantage Plan Option 2 Distinct Advantage Plan Option 3 Distinct Advantage Plan Option 4 Distinct Advantage Plan PPO RX Distinct Advantage Plan Option 1 Distinct Advantage Plan Option 2 Distinct Advantage Plan Option 3 Distinct Advantage Plan Option 4 Distinct Advantage Plan PPO RX Distinct Advantage Plan Option 1 Distinct Advantage Plan Option 2 Distinct Advantage Plan Option 3 Distinct Advantage Plan Option 4 Distinct Advantage Plan PPO RX Provider Directories and Provider Networks Southern Nevada Provider Directory Northern Nevada Provider Directory Utah Provider Directory UnitedHealthcare Choice Plus Network Provider Directory Southern Nevada and Mohave County General Dentists Directory Southern Nevada and Mohave County Dental Specialists Directory SHL Northern Nevada Dental Directory Southern Nevada Provider Directory Northern Nevada Provider Directory Utah Provider Directory UnitedHealthcare Choice Plus Network Provider Directory Southern Nevada and Mohave County General Dentists Directory Southern Nevada and Mohave County Dental Specialists Directory SHL Northern Nevada Dental Directory Southern Nevada Provider Directory Northern Nevada Provider Directory Utah Provider Directory UnitedHealthcare Choice Plus Network Provider Directory Southern Nevada and Mohave County General Dentists Directory Southern Nevada and Mohave County Dental Specialists Directory SHL Northern Nevada Dental Directory Southern Nevada Provider Directory Northern Nevada Provider Directory Utah Provider Directory UnitedHealthcare Choice Plus Network Provider Directory Southern Nevada and Mohave County General Dentists Directory Southern Nevada and Mohave County Dental Specialists Directory SHL Northern Nevada Dental Directory Southern Nevada Provider Directory Northern Nevada Provider Directory Utah Provider Directory UnitedHealthcare Choice Plus Network Provider Directory Southern Nevada and Mohave County General Dentists Directory Southern Nevada and Mohave County Dental Specialists Directory SHL Northern Nevada Dental Directory Southern Nevada Provider Directory Northern Nevada Provider Directory Utah Provider Directory UnitedHealthcare Choice Plus Network Provider Directory Southern Nevada and Mohave County General Dentists Directory Southern Nevada and Mohave County Dental Specialists Directory SHL Northern Nevada Dental Directory Southern Nevada Provider Directory Northern Nevada Provider Directory Utah Provider Directory UnitedHealthcare Choice Plus Network Provider Directory Southern Nevada and Mohave County General Dentists Directory Southern Nevada and Mohave County Dental Specialists Directory SHL Northern Nevada Dental Directory Prescription Drug Lists (Formularies) 2-Tier Closed Preferred Drug List 3-Tier Preferred Drug List 3-Tier & 2-Tier Online Searchable Preferred Drug List 5-Tier Preferred Drug List Pharmacy Reimbursement Claim Form Medical Necessity Request Form Prescription Drug Mail Order Program 2-Tier Closed Preferred Drug List 3-Tier Preferred Drug List 3-Tier & 2-Tier Online Searchable Preferred Drug List 5-Tier Preferred Drug List Pharmacy Reimbursement Claim Form Medical Necessity Request Form Prescription Drug Mail Order Program 2-Tier Closed Preferred Drug List 3-Tier Preferred Drug List 3-Tier & 2-Tier Online Searchable Preferred Drug List 5-Tier Preferred Drug List Pharmacy Reimbursement Claim Form Medical Necessity Request Form Prescription Drug Mail Order Program 2-Tier Closed Preferred Drug List 3-Tier Preferred Drug List 3-Tier & 2-Tier Online Searchable Preferred Drug List 5-Tier Preferred Drug List Pharmacy Reimbursement Claim Form Medical Necessity Request Form Prescription Drug Mail Order Program 2-Tier Closed Preferred Drug List 3-Tier Preferred Drug List 3-Tier & 2-Tier Online Searchable Preferred Drug List 5-Tier Preferred Drug List Pharmacy Reimbursement Claim Form Medical Necessity Request Form Prescription Drug Mail Order Program 2-Tier Closed Preferred Drug List 3-Tier Preferred Drug List 3-Tier & 2-Tier Online Searchable Preferred Drug List 5-Tier Preferred Drug List Pharmacy Reimbursement Claim Form Medical Necessity Request Form Prescription Drug Mail Order Program 2-Tier Closed Preferred Drug List 3-Tier Preferred Drug List 3-Tier & 2-Tier Online Searchable Preferred Drug List 5-Tier Preferred Drug List Pharmacy Reimbursement Claim Form Medical Necessity Request Form Prescription Drug Mail Order Program Programs and Services 24-hour Telephone Advice Nurse Service Contracted Hospitals and Urgent Care Facilities in Southern Nevada Health Education and Wellness Online Member Center Prescription Drug Mail Order Program Quality Corner 24-hour Telephone Advice Nurse Service Contracted Hospitals and Urgent Care Facilities in Southern Nevada Health Education and Wellness Online Member Center Prescription Drug Mail Order Program Quality Corner 24-hour Telephone Advice Nurse Service Contracted Hospitals and Urgent Care Facilities in Southern Nevada Health Education and Wellness Online Member Center Prescription Drug Mail Order Program Quality Corner 24-hour Telephone Advice Nurse Service Contracted Hospitals and Urgent Care Facilities in Southern Nevada Health Education and Wellness Online Member Center Prescription Drug Mail Order Program Quality Corner 24-hour Telephone Advice Nurse Service Contracted Hospitals and Urgent Care Facilities in Southern Nevada Health Education and Wellness Online Member Center Prescription Drug Mail Order Program Quality Corner 24-hour Telephone Advice Nurse Service Contracted Hospitals and Urgent Care Facilities in Southern Nevada Health Education and Wellness Online Member Center Prescription Drug Mail Order Program Quality Corner Forms Individual PPO Plan Enrollment Form Change Form Coordination of Benefits Form HIPAA Member Authorization Form Nevada Claim Form Notice of Privacy Practices Pharmacy Reimbursement Claim Form Individual PPO Plan Enrollment Form Change Form Coordination of Benefits Form HIPAA Member Authorization Form Nevada Claim Form Notice of Privacy Practices Pharmacy Reimbursement Claim Form Individual PPO Plan Enrollment Form Change Form Coordination of Benefits Form HIPAA Member Authorization Form Nevada Claim Form Notice of Privacy Practices Pharmacy Reimbursement Claim Form Individual PPO Plan Enrollment Form Change Form Coordination of Benefits Form HIPAA Member Authorization Form Nevada Claim Form Notice of Privacy Practices Pharmacy Reimbursement Claim Form Individual PPO Plan Enrollment Form Change Form Coordination of Benefits Form HIPAA Member Authorization Form Nevada Claim Form Notice of Privacy Practices Pharmacy Reimbursement Claim Form Individual PPO Plan Enrollment Form Change Form Coordination of Benefits Form HIPAA Member Authorization Form Nevada Claim Form Notice of Privacy Practices Pharmacy Reimbursement Claim Form Individual PPO Plan Enrollment Form Change Form Coordination of Benefits Form HIPAA Member Authorization Form Nevada Claim Form Notice of Privacy Practices Pharmacy Reimbursement Claim Form

Individual and Family Plans

Thank you for being our member!

To review your plan's summary of benefits, look for a doctor in our network, or find a medication in our formulary, click on the appropriate links to your left.

We also encourage you to review the great programs and services available to you.