Networks and health plans for individuals and families

Compare and shop health insurance plans that give you access to award-winning care in San Diego.

Premier

Performance

Premier

A select network of doctors, hospitals, and medical groups offering the most cost savings for individual and family plans.

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Premier offers the most value and access to a smaller pool of high-quality healthcare options. It is a good fit for people who care more about affordability and don't mind having a little less choice of providers. There's no compromise on quality here, just more value. If you live in central San Diego County, Premier might be a better fit for you.

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  • 900+ doctors
  • 7 hospitals
  • 2 medical groups

Find out if your doctor is covered in this network.

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Premier Hospitals
Premier Medical Groups

Performance

This is our largest network for individual and family plans, offering the most flexibility in choice of providers and in geographical coverage.

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Performance offers the most flexibility when it comes to choosing a provider and geographic coverage. It is a good fit for people who care more about having the freedom to choose where they get care in San Diego, and who don’t mind paying a little more on their monthly premium to get it. There’s no compromise on quality here, just more choice. If you want the flexibility to access providers across San Diego County (or outside of central San Diego County), Performance might be a better fit for you.

See covered zip codes in this network

  • 1,100+ doctors
  • 10 hospitals
  • 6 medical groups

Find out if your doctor is covered in this network.

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Performance Hospitals
Performance Medical Groups

Compare our networks in detail to find the best one for you.

Network overview brochures

 

Browse 2018 health plans

All our 2018 plans have the same great benefits. The main difference between plans is the monthly premium and the deductible—the amount you pay for care each year before Sharp Health Plan chips in.

Premier

Performance

A select network of doctors, hospitals, and medical groups designed to offer the most cost savings.

PlatinumGoldSilverBronze
HSA Compatible  ?check
Avg. Medical Expenses Paid by Plan  ?90%80%70%60%
Annual Deductible  ?$0$0$2,500$4,800
Out of Pocket Limit: Individual  ?$3,350$6,000$7,000$6,550
Out of Pocket Limit: Family  ?$6,700$12,000$14,000$13,100
Hospitalization (Facility Fee)  ?$250 per day (5-day max)$600 per day (5-day max)20% coinsurance*40% coinsurance*
Primary Care Visit  ?$15$30$2540% coinsurance*
Preventive Care Visit  ?$0$0$0$0
Lab Test$15$35$3540% coinsurance*
ER Visit$150$325$35040% coinsurance*
*Deductible applies

A broad network of doctors, hospitals and medical groups offering more choice and geographic coverage.

PlatinumGoldSilver**BronzeMinimum Coverage
HSA Compatible  ?
Avg. Medical Expenses Paid by Plan  ?90%80%70%60%60%
Annual Deductible  ?$0$0$2,500$6,300$7,150
Out of Pocket Limit: Individual  ?$3,350$6,000$7,000$7,000$7,350
Out of Pocket Limit: Family  ?$6,700$12,000$14,000$14,000$14,700
Hospitalization (Facility Fee)  ?10% coinsurance20% coinsurance20% coinsurance*100% coinsurance*0%*
Primary Care Visit  ?$15$25$35$75**$0**
Preventive Care Visit  ?$0$0$0$0$0
Lab Test$14$35$35$40$0*
ER Visit$150$325$350100% coinsurance*$0*

*Deductible applies / **Deductible applies after the first three non-preventive, primary care physician (PCP), urgent care, mental health or substance-use office visits. ** Contact us for plan availability.


Looking for coverage this year? See our 2017 health plans.

Get a plan recommendation and quote online or download an enrollment application. 

Page Last Updated: 10/11/2017

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