March 12, 2020 — In accordance with guidance from the California Department of Managed Health Care (DMHC), we have reduced the cost-sharing to $0 for all medically necessary
screening and testing for the 2019 Novel Coronavirus (or COVID-19). These cost-sharing waivers are effective immediately for your commercial and IFP clients
employees who are enrolled in benefits plans through Sharp Health Plan, including high deductible health plans.
Cost-share information for clientsemployees
These cost-sharing waivers include, but are not limited to copays, deductibles and coinsurance. Medically necessary screening and testing for COVID-19 includes hospital (including emergency department), urgent care, provider office visits, and telehealth
appointments for the purpose of screening and/or testing for COVID-19. ClientsEmployees with questions can visit our website for more information.
Precautions Sharp HealthCare is taking
Sharp HealthCare is vigilantly monitoring the progression of COVID-19 in San Diego, California and throughout the world. Sharp has a robust emergency preparedness process designed to address
communication, treatment protocols, provider capacity, medical supplies, and coordination with public health agencies, other health care entities and community partners.
How Sharp Health Plan is preparing
As part of the Sharp HealthCare integrated delivery system, Sharp Health Plan is involved in the assessment and planning for COVID-19 to ensure the health and safety of our members and our community. Our emergency preparedness process includes:
- Monitoring guidance from federal agencies and local public health officials
This includes the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO) and the San Diego County Health & Human Services Agency.
Because things are changing so rapidly, we have decided that the most effective, efficient and reliable way for us to share COVID-19 information with members is through our website.
From there, we are directing members to the CDC, the WHO and the San Diego County Health & Human Services Agency for real-time updates about the status of the virus and recommended preventive care actions. We have also shared this information
with our customer-facing staff so that they are prepared to assist members with questions.
- Tracking utilization patterns
We’re using claims data from urgent care, ER, and doctor visits, and phone calls to our after-hours nurse advice line to track member utilization. This will give us insight into potential impact to our membership.
- Following emergency preparedness plans
If necessary, we are prepared to follow emergency preparedness plans that are in place to address situations like global pandemics. This includes determinations about whether additional policy changes are needed to ensure that members get essential care.
Future policy changes may include easing network and referral requirements. Implementation of these interventions would be based on an assessment of current risks (as determined by federal agencies and local health officials) and any identified or
anticipated access to care issues. We will notify you and your clientsemployees of any changes.
- Implementing social distancing strategies
If necessary, we are prepared to implement social distancing strategies to help reduce the risk of transmission among staff, while ensuring sufficient resources are available to complete core Health Plan functions.
For your convenience, we have created a downloadable FAQ
that you can share with your employees that may have questions. For the latest updates, please refer employees to our website.
While the impact of COVID-19 continues to develop, please visit the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO) and the San Diego County Health & Human Services Agency for the latest information.