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

2025 plans

Explore next year's plans below. If you need to enroll in a plan by December, please see our 2024 plans.

	Basic (HMO)	Premium (HMO)
Plan overview
Monthly plan premium	$0	$71
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	$50
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
Delta Dental DHMO	$13 monthly premium	$13 monthly premium
Delta Dental PPO	$40 monthly premium	$40 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 Includes select generic drugs.	$0	$0
100-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 Includes select generic drugs.	$0	$0

Best Medicare Advantage Plan in California

Sharp Health Plan was included in the 2025 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 2025)

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.

FIND OUT MORE

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Enroll online

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_2025_Medicare Website

Page Last Updated: 10/01/2024