Maybe both you and your spouse have coverage, or maybe you just became eligible for Medicare. For whatever reason, if you find yourself covered by another insurance company, we need to know to ensure that we are managing your benefits correctly.
Your primary plan is the plan that is responsible for paying your medical claims first.
Your secondary coverage provides reimbursement for your medical expenses after your primary plan has paid its share, according to your benefit plan.
You cannot choose which plan is your primary coverage — those rules are set by law.
Please read and review the disclosure below. Once finished, enter your full name to certify the information in this form is accurate.
By completing and submitting this form you certify that all information provided in this form is complete and accurate to the best of your knowledge, and you authorize Sharp Health Plan to verify the information provided in this form.
Thank you for taking time to complete this form. If you have any questions or need to update information provided previously, please call Customer Care at 1-858-359-2002.
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