SharpHealthPlan.com no longer supports this Internet browser. For the best experience on our website, please upgrade your browser to the latest version.
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.
Protect your identity by knowing the signs of fraudulent schemes and questionable offers involving Medicare. An identity thief might try to use your Medicare information to get paid for care you never received.
If you suspect fraud, abuse or waste, contact us immediately. Call our Regulatory Affairs Department at 1-858-499-8237. Or, send a letter to:
Sharp Direct AdvantageFraud and Abuse Investigations8520 Tech Way Suite 201San Diego CA 92123
You do not have to give your name. Just tell us why you think fraud is occurring. Give us the name of the provider or member, and tell us what you are worried about. We take your questions and input seriously. Every effort will be made to protect your
identity. There will be no retaliation for good faith reporting.
You may also contact Medicare directly with concerns about Medicare Advantage plans or Medicare Prescription Drug Plans.
The Health Insurance Portability and Accountability Act’s (HIPAA) medical privacy regulations govern the use and release of a patient’s personal health information, also known as Protected Health Information (PHI). In the event that state
law or hospital policy is more restrictive than the HIPAA privacy regulations, the more restrictive law or policy will apply.
Under the HIPAA privacy regulations, patients must be informed about how their PHI will be used and given the opportunity to object to or restrict the use or release of their information.
Sharp Direct Advantage's Notice of Privacy Practices.
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.