About Sharp Health Plan
Established in San Diego in 1992, Sharp Health Plan is the highest member-rated health plan in California. It’s been honored with the “Excellent” accreditation by the National Committee for Quality Assurance. NCQA Accreditation is the most comprehensive evaluation in the industry, and the only assessment that bases results on clinical performance and consumer experience. High-performing health plans choose NCQA Accreditation because it satisfies the demands of consumers, employers, and regulators.
Through CaliforniaChoice, Sharp Health Plan offers 12 HMO options – three in each of the Affordable
Care Act’s four Metal Tiers – giving you and your employees the flexibility you need at a price you’ll like.
As a member, you’ll receive award-winning care from nationally recognized doctors,
medical groups, and hospitals.
Quick Plan Highlights
Below are some of our most popular Sharp Health Plan health plans along with a snapshot of plan coverage and out-of-pocket costs. For a complete list of coverage options, click Download All Plans below to see the most current plan information.
These plans are effective beginning: 7/1/22
Silver HMO A
Network Premier Calendar Year Deductible $2,300 / $4,600 (applies to Max OOP) Out-of-Pocket Max Ind/Fam: $8,500 / $17,000 Dr. Office Visit (PCP): $40 Copay (ded waived) Urgent Care: $55 Copay (ded waived) Emergency Room $750 Copay
Gold HMO A
Platinum HMO A
Silver HMO A
|Calendar Year Deductible||$2,300 / $4,600 (applies to Max OOP)|
|Out-of-Pocket Max Ind/Fam:||$8,500 / $17,000|
|Dr. Office Visit (PCP):||$40 Copay (ded waived)|
|Urgent Care:||$55 Copay (ded waived)|
|Emergency Room||$750 Copay|
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† HSA Qualified High Deductible Plan
5) Copayments for supplemental benefits (Assisted Reproductive Technologies, Chiropractic Services, Adult Vision, ect.) do not apply to the annual out-of-pocket maximum.
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The CaliforniaChoice employee benefits program lets your employees select health
(HMO, PPO, HSA, and more) from eight of California's top carriers while you determine how much
company will contribute.