Compare networks & plans

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

 

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.

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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 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.

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Premier Hospitals
Premier Medical Groups

Performance

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

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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
  • 6 medical groups

Find out if your doctor is covered in this network.

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Performance Hospitals
Performance Medical Groups
 

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ATTENTION: Effective January 1, 2019, the following zip codes will no longer be part of the Sharp Health Plan service area: 91934, 92004, 92036, 92066. This update will impact all individual and family plans and group plans. Sharp Direct Advantage plans will not be impacted.
 

Browse 2019 health plans

All our 2019 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$6,000
Out of Pocket Limit: Individual  ?$3,350$7,200$7,550$6,550
Out of Pocket Limit: Family  ?$6,700$14,400$15,100$13,300
Hospitalization (Facility Fee)  ?$250 per day (5-day max)$600 per day (5-day max)20% coinsurance*40% coinsurance*
Primary Care Visit  ?$15$30$4040% 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.

 PlatinumGoldBronzeMinimum Coverage
HSA Compatible  ?    
Avg. Medical Expenses Paid by Plan  ?90%80%60%60%
Annual Deductible  ?$0$0$6,300$7,900
Out of Pocket Limit: Individual  ?$3,350$7,200$7,550$7,900
Out of Pocket Limit: Family  ?$6,700$14,400$15,100$15,800
Hospitalization (Facility Fee)  ?10% coinsurance20% coinsurance100% coinsurance*0%*
Primary Care Visit  ?$15$30$75**$0**
Preventive Care Visit  ?$0$0$0$0
Lab Test$15$35$40$0*
ER Visit$150$325100% 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.

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


Download the plan comparison chart



Looking for coverage this year? See our 2018 health plans.

Page Last Updated: 9/18/2018

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