On Tuesday, December 2, 2003, beginning at 9:30 a.m. Eastern Time, Sierra Health Services, Inc. will host a conference for research analysts and institutional investors. The conference will be held at the New York Palace Hotel, 455 Madison Avenue, New York, New York. Retail investors and members of the general public may access a web simulcast of the conference by visiting the Investors page at www.sierrahealth.com.

Anyone listening to Sierra management presentations will be presumed to have read Sierra's Annual Report on Form 10-K/A for the year ended December 31, 2002, and Quarterly Reports on Form 10-Q/A for the period ended March 31, 2003 and on Form 10-Q for the periods ended June 30, 2003 and September 30, 2003. Listeners should review cautionary statements under "Management's Discussion and Analysis of Financial Condition" and "Results of Operations."

Any statements made or issued that are not historical facts are forward-looking and should be considered in connection with certain cautionary statements contained in our Annual Report on Form 10-K/A for the year ended December 31, 2002. Such statements are made pursuant to the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995 and identify important risk factors that could cause our actual results to differ materially from those expressed in any projected, estimated or forward-looking statements relating to Sierra.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.