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From finding a doctor to adding people to your plan, it's all here.

  • Get care
  • Types of care
  • Manage your plan
  • Forms
  • File a grievance
  • Pharmacy
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Get care

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Types of care

Types of care

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Member ID

Manage your plan

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Forms

Forms

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Marketing materials

File a grievance

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Medication

Pharmacy

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Get care

Get the care you and your family need to be happy and healthy. Covered care options can be different, depending on the plan you purchased. Check your Member Handbook for an explanation of your benefits. You'll find your Member Handbook on our Sharp Connect portal. Please log into your account for coverage details.

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Get care

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Get the care you and your family need to be happy and healthy. Covered care options can be different, depending on the plan you purchased. Check your Member Handbook for an explanation of your benefits. You'll find your Member Handbook on our Sharp Connect portal. Please log into your account for coverage details.

Talk to a nurse

Sharp Nurse Connection's specially trained registered nurses can talk with you about your illness or injury, help you decide where to seek care and provide advice on any health concerns you may have. 

Call 1-800-359-2002 to talk to a nurse after hours.

Out-of-area care

Outside of San Diego? We've got you covered. Find everything you need to know about getting referrals through Assist America®. Call 1-800-872-1414 (inside the U.S.) or 1-609-986-1234 (outside the U.S.).

Coverage Info

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Types of care

With Sharp you can get health care and services for every stage of life. Explore the types of care we cover for you or a loved one. Covered care options change depending on the plan you purchased, please log into your account for your coverage details.

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Types of care

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With Sharp you can get health care and services for every stage of life. Explore the types of care we cover for you or a loved one. Covered care options change depending on the plan you purchased, please log into your account for your coverage details.

Women's wellness

From menopause treatment to breast cancer screenings, get the comprehensive care you need from compassionate nurses and doctors.

Women's health resources

Children’s care

Your children deserve the best possible care. Get answers about eligibility, immunizations, and finding the right pediatrician.

Children's health resources

Behavioral health care

Find the compassionate care you need to restore balance in your life or that of a loved one.

Behavioral health resources

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Manage your plan

We have a separate, secure login for individual and family plan members to manage their account. This is your shortcut to the most popular member actions. From paying your bill, to adding and removing people to your plan it's all here.

Not seeing what you’re looking for? Go to the plan management center.

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Manage your plan

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We have a separate, secure login for individual and family plan members to manage their account. This is your shortcut to the most popular member actions. From paying your bill, to adding and removing people to your plan it's all here.

Change your coverage

You can make changes to your coverage during open enrollment, October 15 – January 31. The only time you can make a change outside this time period is when you have a “qualifying life event” in the past 60 days.

Find out how

Renew your plan

When your Sharp Health Plan coverage year is ready to renew, review our renewal information, and learn all about your renewal options.

Sharp Direct Advantage members

Get plan and benefit information here.

Not seeing what you’re looking for? Go to the plan management center.

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Forms

Member forms and resources, all in one place. You can get the information and care that you need quickly with these commonly-requested forms and resources.

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Forms

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Member forms and resources, all in one place. You can get the information and care that you need quickly with these commonly-requested forms and resources.

Get reimbursed for medical services or prescription drugs

Sometimes you may be required to pay in advance for healthcare services, for example, when you have an emergency while traveling. Find out if you qualify for a reimbursement and learn how to submit a request. Check out the "Medical bills and reimbursements" section of the FAQ.

View FAQ

Share your health information with others

You may want us to disclose your protected health information to someone else, like your partner or child. Here are the information and forms you'll need to authorize the release of that information.

Find out more

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File a grievance

Let us know if you’re having any problems with your current plan or plan provider so we can help. File a formal complaint or appeal and learn more about the grievance process.

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File a grievance

Let us know if you’re having any problems with your current plan or plan provider so we can help. File a formal complaint or appeal and learn more about the grievance process.

How to file a complaint

To start the grievance process, fill out the form, or download and print a paper form, and describe your situation in detail. Don’t forget to include specific information, such as where and when it happened, and what you believe Sharp Health Plan can do to resolve the concern.

How we'll respond

We will send you a letter to let you know that we received your grievance within five days and a decision letter within 30 days. If your grievance involves an imminent and serious threat to your health, including, but not limited to, severe pain, potential loss of life, limb or major bodily function, we will provide you with a decision within 72 hours.

How to contact us

Call us at 1-858-499-8300 or toll-free at 1-800-359-2002

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Pharmacy

Always show your Member ID card at the pharmacy. Ask the pharmacy if any of your medications aren’t covered. If the drug is covered by Sharp Health Plan, you are responsible only for the applicable copayment, and you will never pay more than the retail price. There may also be a deductible. In which case, you may be responsible for the full cost.

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Pharmacy

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Always show your Member ID card at the pharmacy. Ask the pharmacy if any of your medications aren’t covered. If the drug is covered by Sharp Health Plan, you are responsible only for the applicable copayment, and you will never pay more than the retail price. There may also be a deductible. In which case, you may be responsible for the full cost.

See covered medications

Review the drug list to find out if your medication is covered by Sharp Health Plan.

Search the drug list

Prior authorization for certain medications

Some medications require prior authorization. Your doctor will need to make a special request, then we will review the request to see if it meets the criteria for coverage.

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Understanding coronavirus

Get the latest updates and other member resources about the coronavirus and COVID-19.
Get the facts
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Avoiding coronavirus cyber scams

Get tips on how you can avoid coronavirus scams online.
Learn how
CVS Minute Clinic

Quick care at MinuteClinic

Services will have a cost equal to your copay for an office visit with your primary care physician. No copay is required for flu shots.
Find a MinuteClinic
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Understanding coronavirus

Get the latest updates and other member resources about the coronavirus and COVID-19.
Get the facts
members-online-320x268

Avoiding coronavirus cyber scams

Get tips on how you can avoid coronavirus scams online.
Learn how
CVS Minute Clinic

Quick care at MinuteClinic

Services will have a cost equal to your copay for an office visit with your primary care physician. No copay is required for flu shots.
Find a MinuteClinic

The flu shot is more important than ever this season.

All eligible individuals should receive the seasonal flu vaccine each year. It’s covered as a preventive care service at no cost to you.

WHERE TO GET A FLU SHOT
Paying your bill

Stay connected to your coverage

One of the best ways to mange your plan is with a Sharp Health Plan online account. You can check your benefits, balances, costs and much more from anywhere, anytime. Plus, it’s available on any device with internet access, including desktop and mobile.

LOG IN OR SIGN UP
Change Healthcare Outage

On February 21, 2024, Change Healthcare, a software and data analytics subsidiary of UnitedHealth Group's Optum unit, experienced a cybersecurity incident that resulted in nationwide product outages impacting payers, providers and pharmacies. Sharp Health Plan’s internal systems were not compromised. We are aware that Change Healthcare's outage has impacted some services for our providers. Sharp Health Plan is continuing to work in collaboration with affected providers to respond to this incident. We recognize that this situation is disruptive and are working quickly to ensure continuity of care and minimize the disruption of the Change Healthcare outage for providers. If you have further questions, please see UnitedHealth Group’s press release or Change Healthcare’s Cyberattack support pages below.


Press Release Support Page


View your Member Handbook

Find out if a particular treatment or service is covered by viewing your Member Handbook. Log in to your online account and select "Coverage & Benefits." If you would like a copy mailed to you, call Customer Care at 1-800-359-2002.

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Language assistance

We provide free interpreter and translation assistance for all members. For assistance, call Customer Care at 1-800-359-2002 and let us know your preferred language. We're glad to help.

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Independent resources for information on clinical quality and patient satisfaction

Hospital quality ratings ➜

Medical group quality ratings ➜

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Knowing the warning signs and when to be screened can help with early detection.

View information ➜

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Learn about risk factors and when to get screened.

Get details ➜

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View the CDC’s recommendations to stay safe during flu season.

View recommendations ➜

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