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.

2023

Plan information

Drug list information

  • Prior authorization requirements (coming soon) Jan. 1, 2023
  • Step therapy requirements (coming soon) Jan. 1, 2023
  • Future formulary change file (coming soon) Jan. 1, 2023

2022

Plan information

Drug list information



Individual plan members

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

2023

Forms

  • Enrollment form for 2023
  • Plan change form for 2023
    • Disenrollment form for 2023 (coming soon)

Plan information

Evidence of Coverage

  • VIP Plan - EOC
  • Gold Card - EOC
  • Platinum Card - EOC

Annual Notice of Changes

2022

Forms

Plan information

Evidence of Coverage

Annual Notice of Changes

Former Sharp employees

Get details about coverage for former Sharp HealthCare employees.

2023

Forms

  • Enrollment form for 2023
  • Plan change form for 2023
    • Disenrollment form for 2023 (coming soon)

Plan information

Evidence of Coverage

  • Basic Plan - EOC
  • Premium Plan - EOC

Annual Notice of Changes

2022

Forms

Plan information

Evidence of Coverage

Annual Notice of Changes

City of San Diego retirees (SDPEBA)

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

2023

Forms

  • Enrollment form for 2023 (coming soon)

Plan information

Annual Notice of Changes Jan. 1, 2023

  • Sharp Direct Advantage SDPEBA - ANOC

Evidence of Coverage
Jan. 1, 2023

  • Sharp Direct Advantage SDPEBA - EOC
    • English (coming soon) | Spanish (coming soon)

2022

Aug. 1, 2022 to Dec. 31, 2022

Forms

Plan information

Annual Notice of Changes Aug. 1, 2022 to Dec. 31, 2022

Evidence of Coverage
Aug. 1, 2022 to Dec. 31, 2022

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_2023 Website

Page Last Updated: 10/01/2022
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