Sharp Health Plan

Category: Health insurance agency in San Diego, California

Address: 8520 Tech Way #200, San Diego, CA 92123, USA

Phone: +18584998300

Opening hours

Sunday: Closed

Monday: 8AM–5PM

Tuesday: 8AM–5PM

Wednesday: 8AM–5PM

Thursday: 8AM–5PM

Friday: 8AM–5PM

Saturday: Closed

Reviews

TRE T.

Jul 29, 2022

I’ve been more than satisfied with my experience with Sharp Healthplan. Sharp has been my primary care provider now for the past several years. I initially had been with Blue Cross during the time I had been initially hospitalized with an underlying condition. That experience was fine, but the process of contacting a live agent with fast answers became a process in itself. Since I am a local San Diegan, I decided to give Sharp Healthplan a chance to become my new insurance provider. They have exceeded my expectations with service when it has come to customer service via the telephone and in person visits. In honesty, as in life, there has been some bumps in the roads with service, but when noted, those issues were corrected in a timely manner or with explanation. I do appreciate the fact that my provider constantly asks for my feedback with surveys about my experiences with service. I do love my Sharp Follow My Health App that keeps me up to date with my medical records and other vital pieces of information that I need. The ability to check in for appointments in advance with my app or online has been a seamless process for me and has been a great tool as well. I think also during the past couple of years during Covid, I was thankful for Sharp providing free Covid Clinic Shots throughout the county. That was a big deal for me and my family. I would have never been this in touch with my health care provider, but as we get older, priorities change and just want to highlight the positives of my experience with Sharp.

Marquita Lawson

Jul 1, 2022

Daytime hours reps rock! 5 STARS After hours reps may benefit from further education or better resources and supervision. 3stars for their effort, 1 star for attitude or knowledge When we call after 5pm PST we feel the answers weren't satisfactory and call again the next morning, receiving satisfactory guidance. We still appreciate Sharp Health Plan has this service available to members. Thank you, Sharp Health Plan!

Joanna Mejia

Jun 7, 2022

Customer service with sharp health plan is amazing the people working there are amazing and I have no problem with. My problem with this insurance is over their MEDICAL DIRECTOR who cannot approve something that the doctor recommended for my son to have after surgery. It’s not like I’m getting things for free, I PAY for my insurance and it’s not cheap the medical director is not paying for the services. It’s not like approving something for my son that IS NEEDED is coming out of his pocket. I AM PAYING FOR IT monthly. I swear, Medical has less problems than sharp health plan.

Caleb Gardner

Feb 17, 2022

Alton was the reason for this 5 star review, I’ve had SHARP healthcare as my provider for 6 years now and never a problem. Until one day an urgent care visit didn’t get billed to the correct department and a few weeks later collections called me for the bill to be paid in full. Called a few times and always got the run around “we’ll look into it” hang up. However, this last time Alton picked up and said “let me fix this situation” called multiple departments, connected all the dots that needed to be and contacted me throughout the process. Very helpful and very relieved he could put this behind me.

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Questions & Answers

Sharp medicare program?

Ernie Martinez | Jan 23, 2022
Sharp Health Plan | Jan 23, 2022

Yes.. Sharp Health Plan offers a 5-star Medicare Advantage plan for San Diego County residents. For more information, please visit our website or contact our Customer Care team. Thank you.

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does my plan help pay for gym membership?

Mary Peltier | Aug 21, 2020
Sharp Health Plan | Aug 21, 2020

Yes, if you are enrolled in benefits through Sharp Health Plan, then you are eligible for a variety of discounts including gym memberships. Through our Best Health wellness program, we also offer free wellness assessments, fitness videos, exercise and workout plans and one-on-one health coaching. If you are a Sharp Direct Advantage Medicare member, you have $0 gym access through Silver&Fit. We encourage you to contact Customer Care at 1-858-499-8300 for more personalized assistance.

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My daughter goes to college in Brooklyn, New York. Where can she go for healthcare needs? Urgent needs?

Elaine Hartwig | Aug 21, 2021
Sharp Health Plan | Aug 21, 2021

Thanks for your question, Elaine. We have information about how to access out-of-area care on our website: http://sharphealthplan.com/outofareacare. If your daughter has additional questions, please have her call our Customer Care team at 1-858-499-8300 so that we can further assist her.

Sharp covers Family therapy but not couples. Why is this and what is the difference?

joan ahlgren | Aug 21, 2020
Sharp Health Plan | Aug 21, 2020

Our mental health services cover counseling for relational problems (i.e. couples counseling or family counseling) when medically necessary for a mental health diagnosis. Please contact our Customer Care team so that we can further assist you with any follow-up questions you may have. Thank you.

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I have children that I want to bring to Southeast Asia . Does my plan cover the cost for their immunizations?

Alice Ann Hill | Aug 21, 2020
Sharp Health Plan | Aug 21, 2020

Sharp Health Plan does cover certain preventive care vaccinations. Please contact our Customer Care team so that we can further assist you in verifying your plan details. Thank you.

I have a brother that has congestive heart failure. His heart is at 5%. What do we need to do to get a heart transplant?

Ana Aguirre | Aug 22, 2019
Sharp Health Plan | Aug 21, 2020

We’re so sorry to hear about your brother. Is he enrolled in benefits through Sharp Health Plan? If so, please ask him to contact our Customer Care team so that we can assist him.

do they have a Medicare program

Mark Guenin | Aug 22, 2019
Sharp Health Plan | Aug 22, 2019

Hi there, thank you for your question. Yes, Sharp Health Plan is an HMO with a Medicare contract. Our Medicare Advantage plan is called Sharp Direct Advantage. We invite you to visit our Sharp Direct Advantage website at sharpmedicareadvantage.com to learn more. You can also call us at 1-855-562-8853 (TTY/TDD 711).

can i go in their office and fill out an application in person?

Maria Morales Noriega | Aug 22, 2019
Sharp Health Plan | Aug 22, 2019

Thank you for your interest in Sharp Health Plan! Yes, you are welcome to stop by our office in Kearny Mesa and fill out an application in person. Our office is open during regular business hours from Monday to Friday, 8 am to 5 pm. Before you visit, we encourage you to take a moment to find out when you are eligible to enroll: sharphealthplan.com/our-plans/individual-and-family-plans/enrollment-information

Are Sleep Studies covered under the offered Health Plan? Is DME covered under the offered Health Plan?

Eugene Wong | Aug 22, 2018
Sharp Health Plan | Aug 22, 2019

Hello, thank you for your questions. Sharp Health Plan covers both DME (durable medical equipment) and sleep studies when determined to be medically necessary and approved by your primary care physician or other network provider. Please feel free to visit our website for more information about our plans.

How can I find my group number?

Joe Dawson | Aug 22, 2018
Sharp Health Plan | Aug 22, 2019

Hi, thank you for your question. If you have coverage through your employer, you can find your group number, called an account number, listed on the front of your Sharp Health Plan member ID card. If you have additional questions, please call Customer Care toll-free at 1-800-359-2002. You can call us Monday to Friday, 8 am to 6 pm.

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How do I get Glucose meter And test strips.

augie varela | Aug 22, 2018
Sharp Health Plan | Aug 22, 2019

Hi there – thank you for your question. A good first step is to call your personal doctor, or primary care physician, and they will be able to help you get the care you need. You can check your Sharp Health Plan member ID card or Sharp Connect account to find the phone number to your doctor’s office. If you are being treated by an endocrinologist, that is the doctor who may order your diabetic supplies. If deemed medically necessary, your doctor will provide information about how blood glucose monitors and test strips are dispensed by network providers. Please check your current Evidence of Coverage (also known as Member Handbook) for detailed information about your coverage for diabetic supplies.

Where do I go for a refund?

Lori Wyman | Aug 22, 2018
Sharp Health Plan | Aug 21, 2020

If you have a question about a refund, please contact our Customer Care team. We are available to assist you Monday to Friday, 8 a.m. to 6 p.m.

Is there chiropractic coverage?

Anna Keppler | Aug 22, 2018
Sharp Health Plan | Aug 22, 2019

Hello – thank you for asking. Some Sharp Health Plan members have access to chiropractic services through their benefit plans. If your benefit plan does not include chiropractic services, please note that all Sharp Health Plan members can receive discounts on alternative care services through our health plan partner, American Specialty Health. You can learn more at: sharphealthplan.com/members/types-of-care/acupuncture-and-chiropractic

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