Sierra VillageHealth (HMO) makes it easy for you to enroll in our plan.  Once you have reviewed the pre-enrollment information, simply print out the enrollment form below, fill it out, and mail it to Sierra VillageHealth, Senior Products Sales Department, P.O. Box 15645, Las Vegas, NV 89114-5645.  You may also submit your enrollment form in person at our Sales Office.

Enrollment Form

Once we have received your completed enrollment form, you will be enrolled (if approved by CMS) and you will receive notice (of acceptance or denial) following submission of the enrollment form to CMS.

Sierra VillageHealth is a Medicare Advantage Health Maintenance Organization Special Needs plan offered by Health Plan of Nevada, Inc., a UnitedHealthcare Company.  Health Plan of Nevada, Inc. is a health plan with a Medicare contract. This plan is available to anyone with Medicare Parts A & B who has been medically determined to have End-Stage Renal Disease (ESRD).  You must continue to pay your Medicare Part B premium and use plan providers for routine care.  Prescription coverage subject to limitations.