Compare networks & plans

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

Coronado Bridge

What’s new for 2020

  • The Sharp Silver Performance plan is once again available off-exchange. This plan offers a uniquely affordable option that provides access to Rady Children’s Physician Network, SCMG Arch Health Medical Group and SCMG Graybill.
  • California will offer more San Diegans financial aid for coverage. Individuals with incomes up to $74,940 and households with incomes up to $154,500 (based on a family of four) will qualify for state-based financial help. Our Covered California® plans offer some of San Diego’s lowest rates (reduced up to 15% on select plans).
  • In 2020, California will have a statewide coverage mandate, resulting in a tax penalty for those who do not have health insurance. The penalty is based on 2.5% of household income or a minimum of $695 per adult, whichever is greater.
 

Browse our networks

Through our networks you can access award-winning doctors, hospitals, medical groups and much more. Both offer the same quality of care, but with different coverage to fit your needs and budget.

Premier

Performance

Premier

A select network of doctors, hospitals and medical groups in central San Diego offering the most value.

See more details

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 or work in central San Diego County, Premier might be a better fit for you.

See covered ZIP codes in this network ➜

  • 1,200+ doctors
  • 10 hospitals
  • 2 medical groups

Find out if your doctor is covered in this network.

Search doctors
Premier hospitals
Premier medical groups

Performance

A broad network of doctors, hospitals and medical groups offering greater choice and geographical coverage.

See more details

Performance offers the most flexibility for choosing a provider and geographic coverage. It's a good fit for people who want freedom to choose where they get care in San Diego, and who don’t mind paying a little more to get it. If you want access to providers across San Diego County (or outside of central San Diego County), Performance may be a better fit.

See covered ZIP codes in this network ➜

  • 1,700+ doctors
  • 13 hospitals
  • 7 medical groups

Find out if your doctor is covered in this network.

Search doctors
Performance hospitals
Performance medical groups
 

Check your ZIP code

Let’s make sure you’re covered under the Premier or Performance network — or both.

 

Browse 2020 health plans

All of our 2020 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 HDHP
HSA-compatible  ?   check
Percentage of medical expenses paid by Sharp Health Plan  ?90%80%70%60%
Annual deductible: individual  ?$0$0$4,0001$6,900
Annual deductible: family  ?$0$0$8,0001$13,800
Out-of-pocket max: individual  ?$4,500$7,800$7,800$6,900
Out-of-pocket max: family  ?$9,000$15,600$15,600$13,800
Primary care visit  ?$15$30$400%*
Specialist visit$30$60$800%*
Preventive care visit ?$0$0$0$0
Urgent care visit$15$30$400%*
ER facility visit$150$350$4000%*
Hospital facility  ?$250 per day (5-day max)$600 per day (5-day max)20%*0%*

1Plan includes a $300 individual/$600 family prescription drug deductible.
*Deductible applies

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

 PlatinumGoldSilverBronze
Percentage of medical expenses paid by Sharp Health Plan  ?90%80%70%60%
Annual deductible: individual  ?$0$0$4,0001$6,3002
Annual deductible: family  ?$0$0$8,0001$12,6002
Out-of-pocket max: individual  ?$4,500$7,800$7,800$7,800
Out-of-pocket max: family  ?$9,000$15,600$15,600$15,600
Primary care visit  ?$15$30$40$65**
Specialist visit$30$65$80$95**
Preventive care visit ?$0$0$0$0
Urgent care visit$15$30$40$65**
ER facility visit$150$350$40040%*
Hospital facility  ?10%20%20%*40%*

1Plan includes a $300 individual/$600 family prescription drug deductible.
2Plan includes a $500 individual/$1,000 family prescription drug deductible.
*Deductible applies
**Deductible waived for the first three non-preventive office or urgent care visits.

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


Download the 2020 plan comparison chart



Looking for coverage this year? See our 2019 health plans.

Page last updated: Nov. 6, 2019

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