Sharp Health Plan

At Sharp Healthcare, it is our mission to improve the health of everyone we serve. And at San Diego’s leading health care provider, we’re proud to touch the lives of more individuals in our community than any other health care system.

Provider Finder

Form Name Effective Date Download Form
Employee Declination of Coverage HMO
Download
Employer Group Size Attestation
Download
Employer Sharp Connect Registration
Download
HMO Master Application
01/01/2017 Download
PPO Employer Application CA NHIC SGERAPP ACA CA 2016
Download
Small Group HMO Submission Checklist
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Sole Proprietor, Partner, or Corporate Officer Statement
Download
Form Name Effective Date Download Form
HMO Employee Application
03/01/2017 Download
HMO Employee Application - Spanish
03/01/2017 Download
Member Reimbursement Request Form - Medical Services
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Member Reimbursement Request Form - RX
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PPO Employee Application
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Form Name Effective Date Download Form
Medical HMO
Sharp Platinum 90 HMO A 0/20/500 Plan
01/01/2017 Summary SBC
Sharp Platinum 90 HMO A 0/20/1000 Plan
01/01/2017 Summary SBC
Sharp Platinum 90 HMO B 0/20/500 Plan
01/01/2017 Summary SBC
Sharp Platinum 90 HMO B 0/20/1000 Plan
01/01/2017 Summary SBC
Sharp Platinum 90 HMO 0/10/300 Plan
01/01/2017 Summary SBC
Sharp Platinum 90 HMO 0/10/350 Plan
01/01/2017 Summary SBC
Sharp Platinum 90 HMO 0/15/250 Plan
01/01/2017 Summary SBC
Sharp Platinum 90 HMO 0/20/250 Plan
01/01/2017 Summary SBC
Sharp Platinum 90 HMO 0/20/300 Plan
01/01/2017 Summary SBC
Sharp Gold 80 HMO 0/30/1000 Plan
01/01/2017 Summary SBC
Sharp Gold 80 HMO 0/30/30% Plan
01/01/2017 Summary SBC
Sharp Gold 80 HMO 0/35/1500 Plan
01/01/2017 Summary SBC
Sharp Gold 80 HMO 0/40/40% Plan
01/01/2017 Summary SBC
Sharp Gold 80 HMO 0/40/1000 Plan
01/01/2017 Summary SBC
Sharp Gold 80 HMO 500/10/50% Plan
01/01/2017 Summary SBC
Sharp Gold 80 HMO 1000/30/30% Plan
01/01/2017 Summary SBC
Sharp Silver 70 HMO 1750/40/40% Plan
01/01/2017 Summary SBC
Sharp Silver 70 HMO 2000/40/50% Plan
01/01/2017 Summary SBC
Sharp Bronze 60 HDHP 6500/60/50% Plan
01/01/2017 Summary SBC
Medical HMO - Mirrored Plans
Mirrored - Sharp Platinum 90 HMO 0/15 + Child Dental 1 Plan
01/01/2017 Summary SBC
Mirrored - Sharp Platinum 90 HMO 0/15 + Child Dental 2 Plan
01/01/2017 Summary SBC
Mirrored - Sharp Gold 80 HMO 0/30 + Child Dental 1 Plan
01/01/2017 Summary SBC
Mirrored - Sharp Gold 80 HMO 0/30 + Child Dental 2 Plan
01/01/2017 Summary SBC
Mirrored - Sharp Silver 70 HDHP HMO 2000/20% + Child Dental Plan
01/01/2017 Summary SBC
Mirrored - Sharp Silver 70 HMO 2000/45 + Child Dental 1 Plan
01/01/2017 Summary SBC
Mirrored - Sharp Silver 70 HMO 2000/45 + Child Dental 2 Plan
01/01/2017 Summary SBC
Mirrored - Sharp Bronze 60 HDHP HMO 4800/40% + Child Dental Plan
01/01/2017 Summary SBC
Mirrored - Sharp Bronze 60 HMO 6300/75 + Child Dental Plan
01/01/2017 Summary SBC
Medical PPO
Platinum 0 Copay
01/01/2017 Summary SBC
Gold 0 Copay
01/01/2017 Summary SBC
Silver 2000 Copay
01/01/2017 Summary SBC
Bronze 4800 HDHP
01/01/2017 Summary SBC
Form Name Effective Date Download Form
Small Group Brochure
01/01/2017 Download
Assist America Brochure
Download
Chiro Acupuncture Rates
Download
Chiro Acupuncture
Download
Member Resource Guide Generic
Download
Preventative Care Guide Final
Download
Provider Network Comparison Brochure
Download
3rd Quarter Non-Mirrored HMO Rates
07/01/2017 Download
Small Group Plan Brochure January 2016
Download
Small Group Underwriting
03/01/2017 Download
Choice Prov Directory 2015
Download
HMO Underwriting Matrix
03/01/2017 Download
Performance Prov Directory 2015
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Premier Prov Directory 2015
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Value Prov Directory 2015
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Form Name Effective Date Download Form
Health Plan Contact Sheet
Download