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Sharp Direct Advantage disclaimer

Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Direct Advantage is an HMO plan with a Medicare contract. Enrollment in Sharp Direct Advantage depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change each year. The formulary, pharmacy network and/or provider network may change at any time. You will receive notice when necessary. You must continue to pay your Medicare Part B premium.


ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-855-562-8853 (toll free) for additional information. (TTY users should call 711.) For your convenience, our office hours are: from October 1 to February 14: 7 days per week 8 a.m. to 8 p.m.

From February 15 to September 30: Monday through Friday, 8 a.m. to 8 p.m. and on weekends and holidays, your call will be handled by our voicemail system. A Customer Care Representative will return your phone call the next business day. Please contact Sharp Health Plan if you need information in another format.


 

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame 1-855-562-8853 (número gratuito) para obtener información adicional. (Los usuarios de TTY deben llamar al 711.) Para su conveniencia, nuestras horas de oficina son: 1 de octubre al 14 de febrero, los 7 días de la semana de 8 de la mañana a 8 de la tarde. El 15 de febrero al 30 de septiembre, lunes a viernes de 8 de la mañana a 8 de la tarde, y los fines de semana y festivos, su llamada será atendida por nuestro sistema de correo de voz. Un Representante de Servicios de Miembros le devolverá su llamada el día hábil siguiente. Por favor, póngase en contacto con Sharp Health Plan si usted necesita información en otro forma.

 

NON-DISCRIMINATION NOTICE

Sharp Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Sharp Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

 

Sharp Health Plan:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (such as large print, audio, accessible electronic formats, or other formats)
  •  Provides free language services to people whose primary language is not English, such as:
    • Qualified interpreters
    • Information written in other languages

 

If you need these services, contact Customer Care at 1-855-562-8853.

 

If you believe that Sharp Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with our Civil Rights Coordinator at:

 

  • Address: Sharp Health Plan Appeal/Grievance Department
  •                 8520 Tech Way, Suite 201
                    San Diego, CA 92123-1450

  • Telephone: 1-855-562-8853 (TTY: 711) Fax: (858) 636-2256

 

You can file a grievance in person or by mail, fax, or you can also complete the online Grievance/Appeal form on the Plan’s website sharphealthplan.com. Please call our Customer Care team at 1-855-562-8853 if you need help filing a grievance. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD).

 

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

    

Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Direct Advantage is an HMO plan with a Medicare contract. Enrollment in Sharp Direct Advantage depends on contract renewal. Read the full disclaimer.

H5386_2018 Website Rev1 Approved 1/29/2018

Page Last Updated: 1/23/2018
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