The Sharp Experience is your Medicare advantage

You may see Sharp HealthCare doctors. But the only way to ensure you have the full Sharp Experience from coverage to care is with a Sharp Direct Advantage plan, only from Sharp Health Plan. The Sharp Experience isn’t one thing we do. It’s everything we do. As a Sharp Health Plan member, you’ll enjoy an extra level of personalized care and service.

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
  
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Affordable

 

$0 and low cost monthly premium plan options

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Direct

Delivering The Sharp Experience, from coverage to 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, a comprehensive dental plan, emergency care coverage worldwide and so much more.

Individuals

Plans for Medicare-eligible individuals residing in San Diego County

ID card   $0 monthly premium1   Dental   Comprehensive dental coverage option2
Prescriptions Up to $100 each quarter for eligible over-the-counter health products3 Chiropractic Expanded chiropractic coverage
Doctor's visits $0 copay for primary care physician visits4 Vision Vision care and hearing coverage
icon-teal-coach Free wellness program including personal health coaching Gym Free fitness resources through Silver&Fit®
Travel Emergency Travel Services Acupuncture Up to 30 acupuncture visits per plan year at $10 per visit5

1 Applies to both Sharp Direct Advantage Gold Card Plan and Sharp Direct Advantage VIP Plan
2 Platinum Card and VIP Plan.
3 $80 for Gold Card and VIP Plan and $100 for Platinum Card plan.
4 VIP Plan only.
5 Combined with chiropractic visits.

Former Sharp employees

Our exclusive plans provide coverage for you and your dependents.

ID card   $0 monthly premium for Sharp Direct Advantage Basic, or $62 monthly premium for Sharp Direct Advantage Premium   Dental   Comprehensive dental coverage option*
Prescriptions $4 mail-order preferred generic prescriptions Chiropractic Expanded chiropractic coverage
Doctor's visits $5 copays for primary care physician visits icon-blue-vision Vision care and hearing coverage
icon-blue-coach Wellness program with free health coaching Gym membership $0 gym access through Silver&Fit®
Travel Emergency Travel Services

* Dental benefit is optional for Sharp Direct Advantage Basic and Premium members

City of San Diego (SDPEBA)

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

$0
  $0 Select Care medications  
$
  $208 monthly premium*
$0
Gym access through Silver&Fit®
Copays $10 copays for primary care physician visits
$0
Wellness program with free health coaching Vision Vision care and hearing aid coverage
$0
Per day for inpatient hospital care
$0
After-hours nurse advice
$0
Diagnostic radiology
$0
Ambulance

* 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: 10/04/2021
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