Skip to Main Content
Del Mar

Individual & Family Plans

Individual & Family Plans

The open enrollment period for new coverage is now closed

You can enroll and/or change your coverage if you have a Qualifying Event. View a list of Qualifying Events and the required documentation you must submit with your application. You have up to 60 days from a Qualifying Event to enroll and/or change your existing plan. 

If you have a qualifying event and are shopping for a health insurance plan, you can use our Individual and Family Plans Enrollment Guide to find the best coverage for your lifestyle and budget.

Shop & Compare

Our Networks

For individuals and families, Sharp Health plan offers two provider networks, Performance and Premier. Both networks cover the same essential health benefits and give you access to award-winning doctors, hospitals and medical groups.

Plan Options

Our plans are designed to give you the flexibility you need, while keeping costs manageable. Whether you prefer to pay a higher monthly premium with lower copays, a lower monthly premium with higher copays, or somewhere in between, we have a plan that’s right for you.

Performance Plans (Click metal tiers for plan details)

Platinum Gold Silver Bronze Minimum Coverage
*Deductible Applies
Medical Expenses Paid By Plan 90% 80% 70% 60% 60%
Annual Deductible $0 $0 $2,000 $5,000 $6,600
Out-Of-Pocket Limit: Individual $4,000 $6,250 $6,250 $6,250 $6,600
Out-Of-Pocket Limit: Family $8,000 $12,500 $12,500 $12,500 $6,600
Primary Care Visit $20 $30 $45 $60 0%*
Preventive Care Visit $0 $0 $0 $0 $0
Lab Test $20 $30 $45 30% coinsurance 0%*
ER Visit $150 $250 $250 $300 0%*

Premier Plans (Click metal tiers for plan details)

Platinum Gold Silver Bronze
Medical Expenses Paid By Plan 90% 80% 70% 60%
Annual Deductible $0 $0 $2,000 $4,500
Out-Of-Pocket Limit: Individual $4,000 $6,250 $6,250 $6,250
Out-Of-Pocket Limit: Family $8,000 $12,500 $12,500 $12,500
Primary Care Visit $20 $30 $45 40%
Preventive Care Visit $0 $0 $0 $0
Lab Test $20 $30 $45 40% coinsurance
ER Visit $150 $250 $250 40% coinsurance

A printable version of our Application, Policy Quick Change Form and Rate Sheet are available below

Application for Exemption from the Shared Responsibility Payment

Use these applications if you and/or anyone in your tax household have experienced a hardship that keeps you from getting health coverage.

Shop for Plans

Financial Assistance

Depending on your income level and family size, you may be eligible for financial assistance under the Affordable Care Act (ACA) to help pay for your health coverage.

To find out if you are eligible for premium assistance or cost-sharing subsidies, visit Covered California’s Shop and Compare calculator.

If you choose to take advantage of the financial assistance programs offered through Covered California, you must submit your Sharp Health Plan application through Covered California’s website. To apply for a Sharp individual or family plan through Covered California, visit CoveredCA.com.