Forms, guides and other resources

Find all the documents you need about your benefits in one place.

All members

Download forms, guides and other resources for all members.

Show details

2027

Plan information

Drug list (formulary) Jan. 1, 2027

English | Spanish

Provider & Pharmacy Directory Jan. 1, 2027

English | Spanish

Behavioral Health Provider Directory Jan. 1, 2027

English | Spanish

Dental insert

English | Spanish

Dental DHMO Schedule

(coming soon)

Dental PPO Schedule

(coming soon)

Drug list information

(coming soon)

2026

Plan information

Drug list (formulary) Oct. 1, 2026

English | Spanish

Provider and Pharmacy Directory July 1, 2026

English | Spanish

Provider and Pharmacy Directory Addendum Oct. 1, 2026

English | Spanish

Behavioral Health Provider Directory July 1, 2026

English | Spanish

Behavioral Health Provider Directory Addendum Oct. 1, 2026

English | Spanish

Delta Dental insert

English | Spanish

Delta Dental DHMO Schedule

English | Spanish

Delta Dental PPO Schedule

English | Spanish

Drug list information

Prior authorization requirementsOct. 1, 2026

Step therapy requirementsOct. 1, 2026

Future formulary change fileOct. 1, 2026

Forms

Ask for a coverage determination

Coverage determination form

View PDF | Fill out online

Request for redetermination form

View PDF | Fill out online

Ask for prior authorization

Prior authorization request

Continuity of care form

For new members

Other health insurance coverage questionnaire

View PDF | Fill out online

Request a refund

Part C member reimbursement request

Part D prescription reimbursement form

View PDF | Fill out online

Part D late enrollment penalty (LEP) reconsideration request

Share information with loved ones

Appointment of representative

Authorization for use or disclosure of protected health information (PHI)

Member resource guide

Medicare Member Resource Guide

INSPIRE

The exclusive magazine for Sharp Direct Advantage members

2026

Spring/Summer issue

2025

Fall/Winter issue

Spring/Summer issue

Individual plan members

Find forms, guides, and other resources for our individual plans.

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Forms

Enrollment form for 2026 Feb. 13, 2026

English | Spanish

Plan change form for 2026

English | Spanish

Disenrollment form for 2026

Plan information

Important contacts

2026 Medicare Enrollment Kit

English | Spanish

Low-Income Subsidy (LIS) premium summary chart

2026 Medicare Star Ratings flyer

English | Spanish

Summary of Benefits Jan. 1, 2026

Sharp Direct Advantage VIP and VIP Plus

English | Spanish

Sharp Direct Advantage Gold and Platinum

English | Spanish

Evidence of Coverage Jan. 1, 2026

Sharp Direct Advantage VIP Plus

English | Spanish

Sharp Direct Advantage VIP

English | Spanish

Sharp Direct Advantage Gold

English | Spanish

Sharp Direct Advantage Platinum

English | Spanish

Annual Notice of Change Jan. 1, 2026

Sharp Direct Advantage VIP

English | Spanish

Sharp Direct Advantage Gold

English | Spanish

Sharp Direct Advantage Platinum

English | Spanish

Former Sharp employees

Get details about coverage for former Sharp HealthCare employees.

Show details

2027

Forms

Enrollment form for 2027

English | Spanish (coming soon)

Plan change form for 2027

(coming soon)

Disenrollment form for 2027

(coming soon)

Plan information

Important contacts

(coming soon)

2027 Medicare Enrollment Kit

English | Spanish

Summary of Benefits Jan. 1, 2027

English | Spanish (coming soon)

Low-Income Subsidy (LIS) premium summary chart (coming soon)

2027 Medicare Star Ratings flyer

(coming soon)

Evidence of Coverage Jan. 1, 2027

Sharp Direct Advantage Basic

English | Spanish (coming soon)

Sharp Direct Advantage Premium

English | Spanish (coming soon)

Annual Notice of Changes Jan. 1, 2027

Sharp Direct Advantage Basic

English | Spanish (coming soon)

Sharp Direct Advantage Premium

English | Spanish (coming soon)

2026

Forms

Enrollment form for 2026 Feb. 13, 2026

English | Spanish

Plan change form for 2026

English | Spanish

Disenrollment form for 2026

Plan information

Important contacts

2026 Medicare Enrollment Kit

English | Spanish

Summary of Benefits Jan. 1, 2026

English | Spanish

Low-Income Subsidy (LIS) premium summary chart

2026 Medicare Star Ratings flyer

English | Spanish

Evidence of Coverage Jan. 1, 2026

Sharp Direct Advantage Basic

English | Spanish

Sharp Direct Advantage Premium

English | Spanish

Annual Notice of Change Jan. 1, 2026

Sharp Direct Advantage Basic

English | Spanish

Sharp Direct Advantage Premium

English | Spanish

City of San Diego retirees (SDPEBA)

Find out more about our exclusive plan for City of San Diego retirees.

Show details

2027

Forms

Enrollment form for 2027

English | Spanish (coming soon)

Disenrollment form for 2027

(coming soon)

Plan information

Important contacts

(coming soon)

2027 Medicare Enrollment Kit

English | Spanish

Summary of Benefits Jan. 1, 2027

English | Spanish

Low-Income Subsidy (LIS) premium summary chart (coming soon)

2027 Medicare Star Ratings flyer

(coming soon)

Evidence of Coverage Jan. 1, 2027

Sharp Direct Advantage SDPEBA

English | Spanish (coming soon)

Annual Notice of Change Jan. 1, 2027

Sharp Direct Advantage SDPEBA

English | Spanish

2026

Forms

Enrollment form for 2026 Feb. 13, 2026

English | Spanish

Disenrollment form for 2026

Plan information

Important contacts

2026 Medicare Enrollment Kit

Summary of Benefits Jan. 1, 2026

English | Spanish

Low-Income Subsidy (LIS) premium summary chart

2026 Medicare Star Ratings flyer

English | Spanish

Evidence of Coverage Jan. 1, 2026

Sharp Direct Advantage SDPEBA

English | Spanish

Annual Notice of Change Jan. 1, 2026

Sharp Direct Advantage SDPEBA

English | Spanish

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: 10/02/2026