HealthExtras




For Immediate Release                                   Contact: Aaron Finch
- ---------------------                                   301-548-2900
                                                        AFinch@HealthExtras.com


               HEALTHEXTRAS REPORTS RECORD SECOND QUARTER RESULTS
                                      - - -
             Revenues Up 70% and Net Income Up 132% Over Prior Year

     ROCKVILLE,  MD, July 29,  2003 --  HealthExtras,  Inc.  (NASDAQ:  HLEX),  a
pharmacy benefit management  company,  today announced its financial results for
the second quarter ended June 30, 2003.

Second Quarter Highlights
- -------------------------

 -   Net income for the second  quarter 2003 was $2.2 million or $.07 per share,
     a 132% increase over comparable  after-tax  second quarter 2002 earnings of
     $947,000 ($1.5 million as reported).

 -   Revenues for the second quarter 2003 totaled $94.1 million,  a 70% increase
     over second  quarter 2002 revenues of $55.2  million.

 -   Over 2.0 million  prescriptions were processed during the quarter and total
     earnings before interest,  taxes,  depreciation,  and amortization (EBITDA)
     were $4.3 million.

"We are pleased with the Company's financial performance," said David T. Blair,
Chief  Executive  Officer of  HealthExtras.  "This quarter's  strong  financial
performance  was  driven by new client  additions,  high  generic  utilization,
increased formulary compliance, and the continued integration of PNNC, our most
recent acquisition."

Operating  income for the six  months  ended June 30,  2003  increased  to $6.9
million a 214% increase over the $2.2 million from the same period in 2002. The
financial  results were  consistent  with  management's  expectations,  and the
Company  confirms  that it is on track to achieve  its  previously  stated 2003
financial  guidance of  approximately  $375 million in revenues and earnings of
$.30 per share.

The Company  generated cash from operations of $13.0 million for the six months
ended June 30, 2003.  "While year over year  increases in revenues and earnings
are  significant,  it is  also  important  to note  that  segment  margins  and
operating cash flow objectives are also on target", added Blair.

About  HealthExtras  (www.healthextras.com)
HealthExtras,  Inc., a pharmacy benefit management company,  currently provides
benefits to over two million members and the Company's  clients include managed
care  organizations,  large employer groups,  unions,  government  agencies and
individual consumers.

The Company's  integrated pharmacy benefit management services include:  claims
processing, mail order services, benefit design consultation,  drug utilization
review, formulary management and drug data analysis services. Additionally, the
Company   operates  a  national  retail  pharmacy   network  with  over  53,000
participating   pharmacies.

This press release contains  forward-looking  information.  The forward-looking
statements  are made  pursuant  to the safe  harbor  provisions  of the Private
Securities   Litigation  Act  of  1995.   Forward-looking   statements  may  be
significantly  impacted  by  certain  risks  and  uncertainties   described  in
HealthExtras'  filings with the Securities and Exchange  Commission.

Financial Information Follows:

                                    - more -





HealthExtras, Inc.
Balance Sheet Information as of June 30, 2003
- ---------------------------------------------



Assets

                                                               
Current assets:
Cash and cash equivalents .................................       $  26,162,251
Accounts receivable .......................................          39,824,162
Income taxes receivable ...................................           1,644,580
Deferred income taxes .....................................           1,286,313
Deferred charges ..........................................           1,969,137
Other current assets ......................................           1,199,076
                                                                  -------------

    Total current assets ..................................          72,085,519

Fixed assets, net .........................................           3,398,537
Deferred income taxes .....................................           1,636,104
Intangible assets, net ....................................          13,777,773
Goodwill ..................................................          33,666,142
Restricted cash ...........................................           1,000,000
Other assets ..............................................             840,909
                                                                  -------------

Total assets ..............................................       $ 126,404,984
                                                                  =============

Liabilities and stockholders' equity

Current liabilities:
Accounts payable ..........................................       $  40,943,439
Accrued expenses and other current liabilities ............           2,231,203
Deferred revenue ..........................................           5,227,282
                                                                  -------------

    Total current liabilities .............................          48,401,924

Notes payable .............................................          14,000,000
                                                                  -------------

      Total liabilities ...................................          62,401,924
                                                                  -------------

Stockholder's equity:
Common stock ..............................................             324,141
Additional paid-in capital ................................          70,810,251
Retained deficit ..........................................          (7,131,332)
                                                                  -------------

    Total stockholder's equity ............................          64,003,060
                                                                  -------------

Total liabilities and stockholders' equity ................       $ 126,404,984
                                                                  =============




  Income Statement




                                                    For the quarter                For the quarter
                                                 ended June 30, 2002             ended June 30, 2003

                                                                                
 Revenue ...................................           $  55,248,679                  $  94,114,780
                                                       -------------                  -------------

 Direct expenses ...........................              44,658,926                     83,863,324
 Selling, general & administrative .........               9,003,208                      6,492,387
                                                       -------------                  -------------

   Total operating expenses ................              53,662,134                     90,355,711
                                                       -------------                  -------------

   Operating income ........................               1,586,545                      3,759,069

 Interest expense, net .....................                  59,738                        114,330
                                                       -------------                  -------------

 Income before income taxes ................               1,526,807                      3,644,739

Provision for income taxes .................                      --                      1,407,000
                                                       -------------                  -------------

Net income .................................           $   1,526,807                   $  2,237,739
                                                       =============                  =============

EPS - basic ................................           $        0.05                    $      0.07
EPS - diluted ..............................           $        0.05                    $      0.07

Weighted average common shares .............                  32,291                         32,403
basic (in thousands)

Weighted average common shares .............                  32,501                         33,280
diluted (in thousands)





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