Former Sharp HealthCare employees

Our exclusive plans provide coverage for you and your dependents.

Our Basic and Premium plans provide comprehensive medical service plus added benefits like vision, hearing, dental and free health coaching.

To join, you must:

  • Be eligible for Medicare Part A and Part B
  • Reside in San Diego County
  • No longer be employed by Sharp HealthCare
 Basic (HMO)Premium (HMO)
Plan overview
Monthly plan premium$0$62
Deductible$0$0
Annual out-of-pocket maximum$3,400$3,400
Doctor visits
Primary care physician visit$5$5
Specialist visit$20$10
Preventive care$0$0
Lab services / X-rays$5 / $5$0 / $0
Diagnostic radiology (e.g., MRIs)10%5%
Hospital visits and emergencies
Urgently needed services$25$10
Emergency room$50$10
Hospitalization$125/day for days 1 through 5. $0/day for days 6 and beyond.$50/day for days 1 through 6. $0/day for days 7 and beyond.
Outpatient surgery$150$50
Supplemental benefits
Dental premium$13 monthly premium$13 monthly premium
Routine eye exam (every 12 months)$20$20
Hearing aids$1,000 allowance every 36 months$1,000 allowance every 36 months
Silver&Fit®$0$0
Chiropractic care$10, limit 30 visits per year$10, limit 30 visits per year
Prescription drug coverage
30-day retail prescription drugs 
   Preferred Generic / Generic$2 / $6$2 / $6
   Preferred Brand$40$40
   Non-Preferred / Specialty$90 / 33% of the cost$90 / 33% of the cost
   Select Care 
question mark iconIncludes select generic drugs.
$0$0
90-day mail prescription drugs 
   Preferred Generic / Generic$4 / $12$4 / $12
   Preferred Brand$80$80
   Non-Preferred / Specialty$180 / Not offered$180 / Not offered
   Select Care 
question mark iconIncludes select generic drugs.
$0$0

Rated 5 out of 5 stars for 2022

Sharp Health Plan earned a 5 out of 5 overall star rating for 2022 from the Centers for Medicare and Medicaid Services (CMS).

Every year, Medicare evaluates plans based on a 5-star rating system.

Medicare rated 5 out of 5 stars

Basic and Premium ID cards

The Sharp Experience is your Medicare advantage

 

You may see Sharp HealthCare doctors. But the only way to ensure you have The Sharp Experience from coverage to care is with a Sharp Direct Advantage plan, only from Sharp Health Plan.



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: 3/22/2022
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