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The Sharp Direct Advantage® difference

As part of the Sharp HealthCare family, we provide direct access to The Sharp Experience, from health insurance to health care. The Sharp Experience isn’t one thing we do. It’s everything we do. It’s our culture, our care philosophy and our promise to transform the health care experience for each other and those we serve. We believe San Diegans deserve more, so our Medicare Advantage plans are designed specifically to do just that.

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Rated 4.5 out of 5 stars for 2020 and 2021

Sharp Health Plan earned a 4.5 out of 5 overall star rating for 2020 and 2021 from the Centers for Medicare and Medicaid Services (CMS), and achieved a 5-Star score for ratings of the health plan, health care quality, drug plan and care coordination. Every year, Medicare evaluates plans based on a 5-star rating system.

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Affordable

 You could save money and get more with Sharp Direct Advantage
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Direct

Delivering The Sharp Experience, from health insurance to health care
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Local

Medicare by San Diegans, for San Diegans
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Simple

Easy to enroll with personalized support

You could save money and get more

You’ve earned your Medicare benefits, now it’s time to enjoy them. Sharp Health Plan members have access to extensive prescription drug benefits, emergency care coverage worldwide and so much more.

Select a plan:

Individual plans

ID card$0 monthly premium1 DentalComprehensive dental coverage option2
Prescriptions$0 mail-order generic prescriptionsChiropracticExpanded chiropractic coverage
Doctor's visitsLow copays for primary care physician visitsVisionVision care and hearing coverage
icon-teal-coachWellness program with free health coachingGym$0 gym access through Silver&Fit®
TravelEmergency Travel ServicesAcupunctureUp to 30 acupuncture visits/$10 per visit3

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1 for Sharp Direct Advantage Gold Card; $58 monthly premium for Sharp Direct Advantage Platinum Card
2 comprehensive dental is included in the Platinum Card plan
3 combined with chiropractic visits

Sharp HealthCare former employees

ID card$0 monthly premium4 DentalComprehensive dental coverage
Prescriptions$4 mail-order preferred generic prescriptionsChiropracticExpanded chiropractic coverage
Doctor's visits$5 copays for primary care physician visitsicon-blue-visionVision care and hearing coverage
icon-blue-coachWellness program with free health coachingGym membership$0 gym access through Silver&Fit®
TravelEmergency Travel Services

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4 for Sharp Direct Advantage Basic; $62 monthly premium for Sharp Direct Advantage Premium

City of San Diego (SDPEBA)

$0
$0 Select Care medications 
$
$201 monthly premium5
$0
Gym access through Silver&Fit®
Copays$10 copays for primary care physician visits
$0
Wellness program with free health coachingVisionVision care and hearing aid coverage
$0
Per day for inpatient hospital care
$0
After-hours nurse advice
$0
Diagnostic radiology
$0
Ambulance

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5 You must continue to pay your Medicare Part B premium.

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: 3/12/2021
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