Sierra Health Services, Inc. is a diversified health care services company that, through its family of companies, delivers managed care benefit plans for employers, government programs and individuals. Health Plan of Nevada, Inc. Nevada's first and largest federally qualified health maintenance organization (HMO) is a mixed group/network model offering a full range of benefit plans including point-of-service (POS), individual plans for self-employed workers and a Medicare Advantage plan called Senior Dimensions. Health Plan of Nevada has been awarded an accreditation status of "Commendable" from the National Committee for Quality Assurance (NCQA), an independent, not-for-profit organization dedicated to measuring the quality of America's health care. Accreditation is for the Commercial HMO, Commercial POS and Medicare HMO product lines in Nevada, effective May 2006. Sierra Health and Life Insurance Company, Inc. A California-domiciled life and health indemnity insurance company, established in 1906 and acquired by Sierra Health Services in 1986, Sierra Health and Life is currently licensed in 43 states and the District of Columbia. Sierra Health and Life offers a preferred provider organization (PPO) product in Nevada and offers a stand-alone prescription drug plan, SierraRx, in 30 states and the District of Columbia. Southwest Medical Associates, Inc. Nevada's largest multi-speciality medical group employs nearly 250 primary and specialty care providers, who practice in 14 medical clinics in Southern Nevada.Southwest Medical Associates (SMA) also operates four urgent care centers (one open 24 hours a day) a surgery center and a radiology department using digital imaging. The clinics are considered industry leaders in their use of electronic medical record technology making SMA virtually paperless. Behavioral Healthcare Options, Inc. A mental health and substance abuse provider that offers utilization management, employee assistance programs, workers' compensation/stress claims management and claims administration. Family Health Care Services, Inc. A full-service home health agency licensed by the State of Nevada, certified by Medicare and Medicaid, employing nurses, therapists, medical-social workers and home health aides. Family Home Hospice, Inc. Licensed in Southern Nevada to care for terminally ill patients, the hospice offers inpatient and homebound support, bereavement support and other counseling programs. Sierra Health-Care Options, Inc. An administrative services company that provides utilization review and PPO services to large employer groups that choose to self-insure. THC of Nevada THC provides durable medical equipment and infusion services to patients in their homes. THC also provides these services to patients residing in assisted living facilities and residential care settings under arrangement with the individual facility. Sierra Community Health Care Foundation A nonprofit corporation established to receive and maintain funds of real property, and to use the income generated by that source for scientific, charitable and educational programs and projects selected by the Foundation's Board of Trustees.

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