Local health coverage, national recognition.

Thanks to you, Sharp Health Plan is recognized among the nation’s best.

At Sharp Health Plan, we believe in making life better. We’re honored that you’ve made us one of the highest rated health plans in the nation, and the highest member-rated health plan in California. Your praises acknowledge our commitment to improving your health care experience. Thank you for inspiring our continual pursuit of excellence in everything we do. See how Sharp Health Plan has been recognized for its commitment to excellence with our full list of honors and awards below.

5 out of 5 stars by Medicare

Every year, Medicare evaluates plans based on a 5-star rating system. Sharp Health Plan earned an overall rating of 5 out of 5 stars from Medicare for 2022.¹

Highest member-rated health plan - Medicare

Highest member-rated Medicare Advantage plan in San Diego

Sharp Direct Advantage members gave us the highest ratings for a Medicare Advantage plan in San Diego for 2022.²

Best Insurance Companies for Medicare Advantage in California for the second year in a row

Sharp Health Plan was named in the 2022 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage in California.³

5 out of 5 stars by Covered California

Every year, Covered California^™ evaluates plans based on a 5-star rating system. Sharp Health Plan earned an overall rating of 5 out of 5 stars for 2022; and was the only health plan to achieve a 5-star members’ care experience rating.⁴

Highest member-rated health plan - Health insurance

Highest member-rated health plan in California

Highest member-rated health plan in California for the seventh year in a row⁵, with the highest member ratings for health care, personal doctor and specialist amongst reporting California health plans in 2021.⁶

One of the highest rated health plans in the nation

One of the highest rated health plans in the nation with a rating of 4.5 out of 5 in the National Committee for Quality Assurance’s Private Health Insurance Plan ratings 2020–21.⁷

4 out of 5 stars from the Office of the Patient Advocate

Sharp Health Plan received 4 out of 5 stars in quality of medical care and in overall patient experience for 2021–22.⁸

San Diego’s Best Insurance Provider

The 2021 Union-Tribune Readers Poll named Sharp Health Plan the Best Insurance Provider.⁹

3-year Wellness & Health Promotion Accreditation from NCQA

In 2020, Sharp Health Plan was the only organization to earn a 3-year accreditation for its excellent wellness and health promotion programs. NCQA’s standard accreditation period is one year.

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1. Every year, Medicare evaluates plans based on a 5-star rating system.

2. Based on a 91% base group in the area of members’ overall rating of their health plan from the 2021 Consumer Assessment of Healthcare Providers and Systems^® score survey results achieved by Sharp Health Plan and SCAN Health Plan.

3. Based on U.S. News & World Report’s “2022 Best Insurance Companies for Medicare Advantage” along with 4 other insurers in California. Sharp Health Plan was also named to the “2021 Best Insurance Companies for Medicare Advantage” list along with 3 other insurers in California.

4. CMS scores qualified health plans (QHPs) offered through the Exchanges using the Quality Rating System (QRS) based on third-party validated clinical measure data and QHP Enrollee Survey responses. CMS calculates QRS ratings yearly on a 5-star scale. QHP issuers work with HHS-approved survey vendors that independently conduct the survey each year. QRS ratings and QHP Enrollee Survey results may change from year to year.

5. Among reporting CA plans. Based on 2015–2021 NCQA Quality Compass CAHPS results. Quality Compass is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

6, 7. The source for this data is Quality Compass^® 2021 and is used with the permission of the NCQA. Quality Compass^® 2021 includes certain CAHPS^® data. Any data display, analysis, interpretation or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation or conclusion. Quality Compass^® is a registered trademark of NCQA. CAHPS^® is a registered trademark of the AHRQ. Sharp Health Plan achieved the following summary ratings (9+10):64.73 for Rating of the Health Plan compared to the California all LOBs average (excluding PPOs & EPOs) of 50.74; 69.47 for Rating of Health Care compared to the California all LOBs average (excluding PPOs & EPOs) of 56.87; 75.69 for Rating of Personal Doctor compared to the California all LOBs average (excluding PPOs & EPOs) of 65.86; and 76.15 for Rating of Specialist compared to the California all LOBs average (excluding PPOs &EPOs) of 68.84.

8. The source for data contained in this publication is Quality Compass^® 2021 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass^® 2021 includes certain Consumer Assessment of Healthcare Providers and Systems (CAHPS^®) data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass is a registered trademark of NCQA. CAHPS^® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

9. Voted ‘Best Insurance Provider’ in the 2021 San Diego Union Tribune SD Best Readers Poll.

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Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Health Plan is an HMO with a Medicare contract. Enrollment with Sharp Health Plan depends on contract renewal. Read the full disclaimer.

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Page Last Updated: 5/12/2022