Sharp Direct Advantage

Medicare plans you can feel good about.


Sharp Direct Advantage can provide you cost savings and includes extra benefits like a free gym membership and chiropractic care.

 

Who we cover

Sharp Health Plan currently offers individual Medicare Advantage plans that are open to all Medicare-eligible individuals who reside in San Diego County.

Group Medicare Advantage plans are also available to former employees of Sharp HealthCare and retirees of the City of San Diego (SDPEBA).

Questions about your plan?

Call us at 1-855-562-8853, TTY users call 711. For your convenience, our office hours are 8 a.m. to 8 p.m. 7 days per week from October 1 to March 31: 7 days per week 8 a.m. to 8 p.m. From April 1 to September 30: Monday through Friday, 8 a.m. to 8 p.m. and on weekends and holidays, your call will be handled by our voicemail system. 

Customer Care also has free language interpreter services available for non-English speakers. Please contact Sharp Health Plan if you need information in another format. Por favor, póngase en contacto con Sharp Health Plan si usted necesita información en otro forma.

 

Get plan and benefit information for specific Sharp Direct Advantage plans:

 

Get care

At Sharp Health Plan, we are here to guide you to the right care at the right time. If you need to choose a Primary Care Physician (PCP), find a hospital, talk to a nurse or find other helpful information, we are here to help you get the care you need.




 

HOW TO GET CARE ➜

Pharmacy and prescription drugs

If you have prescriptions, we make it easy to search for covered medications, find a pharmacy close by, sign up to have your medications delivered to your door from our partner, Postal Prescription Services Mail Order, and learn of any recent recalls on medications.

ACCESS PHARMACY INFO ➜

How to appoint a representative

You may appoint any individual, including an attorney, to act as your representative to help you. A representative may be appointed at any time during the organization determination, coverage determination, appeals or grievance process.

LEARN HOW ➜

Member rights and disenrollment

We at Sharp Health Plan want to make sure you learn about your member rights and also receive information about voluntary and involuntary disenrollment from a Sharp Direct Advantage plan.

GET THE FACTS ➜

Manage your costs

Looking for cost-saving tips? In order to get the most out of your health plan, Sharp Health Plan offers options to explore to lower your health care costs.

EXPLORE OPTIONS ➜

Reporting fraud

Sharp Direct Advantage takes allegations of fraud and abuse seriously. If you think that you have been a victim of fraud or abuse or are aware of such instances, we encourage you to report your concern.

HOW TO FILE A REPORT ➜

Quality and Medicare star ratings

Sharp Health Plan and its providers participate in a variety of national quality measurement programs to determine plan performance and measure the health improvement of our members.

VIEW OUR RATINGS ➜

Forms, authorization and resources

You can get the information and care that you need quickly with these commonly-requested forms and resources. It’s all the information you need in one place.

DOWNLOAD FORMS ➜

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: 10/08/2018
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