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.

2026

Plan information

Drug list (formulary) Jan. 1, 2026

English | Spanish

Provider & Pharmacy Directory Jan. 1, 2026

English | Spanish

Behavioral Health Provider Directory Jan. 1, 2026

(coming soon)

Dental insert

English | Spanish

Dental Schedule - VIP and Platinum members

(coming soon)

Dental Schedule - Gold members and Former Sharp HealthCare employees

(coming soon)

Dental Schedule - Delta Dental Medicare Advantage PPO

(coming soon)

Drug list information

(coming soon)

2025

Plan information

Drug list (formulary) Oct. 1, 2025

English | Spanish

Provider & Pharmacy Directory July 1, 2025

English | Spanish

Behavioral Health Provider Directory July 1, 2025

English | Spanish

Dental insert

English | Spanish

Dental Schedule - VIP Plan and Platinum Card members

English | Spanish

Dental Schedule - Gold Card members and Former Sharp HealthCare employees

English | Spanish

Dental Schedule - Delta Dental Medicare Advantage PPO

English | Spanish

Drug list information

Prior authorization requirements Oct. 1, 2025

Step therapy requirements Oct. 1, 2025

Future formulary change file Oct. 1, 2025



Member resource guide

Medicare Member Resource Guide

INSPIRE

The exclusive magazine for Sharp Direct Advantage members

2025

Spring/Summer issue

2024

Spring/Summer issue

Fall/Winter issue

Individual plan members

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

2026

Forms

Enrollment form for 2026

English | Spanish

Plan change form for 2026

(coming soon)

Disenrollment form for 2026

(coming soon)

Plan information

Important contacts

(coming soon)

2026 Medicare Enrollment Kit

Low-Income Subsidy (LIS) premium summary chart

2026 Medicare Star Ratings flyer

(coming soon)

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 (coming soon)

Sharp Direct Advantage VIP

English | Spanish (coming soon)

Sharp Direct Advantage Gold

English | Spanish (coming soon)

Sharp Direct Advantage Platinum

English | Spanish (coming soon)

Annual Notice of Changes Jan. 1, 2026

Sharp Direct Advantage VIP

English | Spanish

Sharp Direct Advantage Gold

English | Spanish

Sharp Direct Advantage Platinum

English | Spanish

2025

Forms

Enrollment form for 2025 Apr. 4, 2025

English | Spanish

Plan change form for 2025

English | Spanish

Disenrollment form for 2025

Plan information

Important contacts

2025 Medicare Enrollment Kit Dec. 4, 2024

English | Spanish

Summary of Benefits Jan. 1, 2025

English | Spanish

Low-Income Subsidy (LIS) premium summary chart

2025 Medicare Star Ratings flyer

English | Spanish

Evidence of Coverage Jan. 1, 2025

Sharp Direct Advantage VIP Plan

English | Spanish

Sharp Direct Advantage Gold Card

English | Spanish

Sharp Direct Advantage Platinum Card

English | Spanish

Annual Notice of Changes Jan. 1, 2025

Sharp Direct Advantage VIP Plan

English | Spanish

Sharp Direct Advantage Gold Card

English | Spanish

Sharp Direct Advantage Platinum Card

English | Spanish

Former Sharp employees

Get details about coverage for former Sharp HealthCare employees.

2026

Forms

Enrollment form for 2026

English | Spanish (coming soon)

Plan change form for 2026

(coming soon)

Disenrollment form for 2026

(coming soon)

Plan information

Important contacts (Extra & Group VIP)

(coming soon)

Important contacts (Basic & Premium)

(coming soon)

2026 Medicare Enrollment Kit

(coming soon)

Summary of Benefits Jan. 1, 2026

English | Spanish

Low-Income Subsidy (LIS) premium summary chart

2026 Medicare Star Ratings flyer

(coming soon)

Evidence of Coverage Jan. 1, 2026

Sharp Direct Advantage Basic

English | Spanish (coming soon)

Sharp Direct Advantage Premium

English | Spanish (coming soon)

Annual Notice of Changes Jan. 1, 2026

Sharp Direct Advantage Basic

English | Spanish

Sharp Direct Advantage Premium

English | Spanish

2025

Forms

Enrollment form for 2025

English | Spanish

Plan change form for 2025

English | Spanish

Disenrollment form for 2025

Plan information

Important contacts (Extra & Group VIP)

Important contacts (Basic & Premium)

2025 Medicare Enrollment Kit

English | Spanish

Summary of Benefits Jan. 1, 2025

English | Spanish

Low-Income Subsidy (LIS) premium summary chart

2025 Medicare Star Ratings flyer

English | Spanish

Evidence of Coverage Jan. 1, 2025

Sharp Direct Advantage Basic Plan

English | Spanish

Sharp Direct Advantage Premium Plan

English | Spanish

Annual Notice of Changes Jan. 1, 2025

Sharp Direct Advantage Basic Plan

English | Spanish

Sharp Direct Advantage Premium Plan

English | Spanish

City of San Diego retirees (SDPEBA)

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

2026

Forms

Enrollment form for 2026

Disenrollment form for 2026

(coming soon)

Plan information

Important contacts

(coming soon)

2026 Medicare Enrollment Kit

(coming soon)

Summary of Benefits Jan. 1, 2026

English | Spanish (coming soon)

Low-Income Subsidy (LIS) premium summary chart

2026 Medicare Star Ratings flyer

(coming soon)

Evidence of Coverage Jan. 1, 2026

Sharp Direct Advantage SDPEBA

English | Spanish (coming soon)

Annual Notice of Changes Jan. 1, 2026

Sharp Direct Advantage SDPEBA

English | Spanish (coming soon)

2025

Forms

Enrollment form for 2025

Disenrollment form for 2025

Plan information

Important contacts

2025 Medicare Enrollment Kit

Summary of Benefits Jan. 1, 2025

English | Spanish

Low-Income Subsidy (LIS) premium summary chart

2025 Medicare Star Ratings flyer

English | Spanish

Evidence of Coverage Jan. 1, 2025

Sharp Direct Advantage SDPEBA

English | Spanish

Annual Notice of Changes Jan. 1, 2025

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.

H5386_2026_Medicare Website

Page Last Updated: 10/01/2025
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