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City of San Diego (SDPEBA) retirees

Our exclusive plan for City of San Diego retirees and their dependents.

As a City retiree who is eligible for Medicare, you get comprehensive medical services plus added benefits like vision, hearing, and free health coaching.

Membership in SDPEBA (San Diego Public Employee Benefit Association), MEA (Municipal Employees Association), REA (Retired Employees’ Association), or RFPA (Retired Fire and Police Association) is not required to join.

To join, you must:

  • Be eligible for Medicare Part A and Part B
  • Reside in San Diego County, and
  • Be a City of San Diego retiree or dependent
 Sharp Direct Advantage (HMO)
Plan overview
Monthly plan premium$208
Annual out-of-pocket maximum (medical)$1,500
Doctor visits
Primary care physician visit$10
Specialist visit$10
Preventive care$0
Lab services / X-rays$0
Diagnostic radiology (e.g., MRIs)$0
Hospital visits and emergencies
Urgently needed services$10
Emergency room (waived if admitted to hospital)$50
Outpatient surgery$50
Supplemental benefits
Routine eye exam (every 12 months)$0
Hearing aids$3,500 allowance every 36 months
Silver&Fit® $0
Chiropractic care$10, limit 30 visits per year (combined)
Over-the-counter (OTC) items Up to $100 per quarter
Prescription drug coverage
30-day retail prescription drugs 
   Preferred Generic / Generic$10 / $10
   Preferred Brand / Non-Preferred$20 / $20
   Specialty / Select Care 
question mark iconIncludes select generic drugs.
25% of the cost / $0
100-day mail prescription drugs 
   Preferred Generic / Generic$20 / $20
   Preferred Brand / Non-Preferred$40 / $40
   Specialty / Select Care 
question mark iconIncludes select generic drugs.
Not offered / $0

Best Medicare Advantage Plan in California

Sharp Health Plan was the only plan to be included in the 2024 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage in California.

Best Insurance Companies - Medicare Advantage - California (US News & World Report 2024)


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.

H5386_2024 Medicare Website_Rev6

Page Last Updated: 4/17/2024
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