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Compare networks and plans for 2025

Compare health insurance plans and provider networks which give you access to award-winning care in San Diego.

Browse our networks

Through our networks you can access award-winning doctors, hospitals, medical groups and much more. Both offer the same quality of care, but with different coverage to fit your needs and budget.


Our service area

You must live in our service area to qualify for coverage with Sharp Health Plan.

Compare networks and plans

Sep 28, 2015, 16:15 PM
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Browse 2025 health plans

All of our plans have the same great benefits. The main difference between plans is the monthly premium and the deductible — the amount you pay for care each year before Sharp Health Plan chips in.

Premier

Performance

A select network of doctors, hospitals, and medical groups designed to offer the most cost savings.

 PlatinumGoldSilverBronze HDHP
HSA-compatible  ?    check
Percentage of medical expenses paid by Sharp Health Plan   ? 90%80%70%60%
Annual deductible: individual  ? $0$0$5,4001$6,650
Annual deductible: family  ? $0$0$10,8001$13,300
Out-of-pocket max: individual  ? $4,500$8,700$8,700$6,650
Out-of-pocket max: family  ? $9,000$17,400$17,400$13,300
Primary care visit  ? $15$35$500%*
Specialist visit$30$65$900%*
Preventive care visit ? $0$0$0$0
Urgent care visit$15$35$500%*
ER facility visit$150$330$4000%*
Hospital facility  ? $2252$350230%0%*

* Deductible applies
1. Plan includes a $50 individual/$100 family prescription drug deductible
2. Per day. Five-day maximum

A broad network of doctors, hospitals and medical groups offering more choice and geographic coverage.

 PlatinumGoldSilverBronze
Percentage of medical expenses paid by Sharp Health Plan   ? 90%80%70%60%
Annual deductible: individual  ? $0$0$5,4001$5,8002
Annual deductible: family  ? $0$0$10,8001$11,6002
Out-of-pocket max: individual  ? $4,500$8,700$8,700$8,850
Out-of-pocket max: family  ? $9,000$17,400$17,400$17,700
Primary care visit  ? $15$35$50$60
Specialist visit$30$65$90$953
Preventive care visit ? $0$0$0$0
Urgent care visit$15$35$50$60
ER facility visit$150$330$40040%*
Hospital facility  ? 10%30%30%*40%*

* Deductible applies
1. Plan includes a $50 individual/$100 family prescription drug deductible
2. Plan includes a $450 individual/$900 family prescription drug deductible
3. Deductible applies. Deductible waived for the first three non-preventive office visits

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