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Compare networks & plans

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

What’s new for 2021

 

  • High-quality health insurance is more important than ever. In addition to having some of the lowest rates in the region, Sharp Health Plan continues to be recognized in California and nationally for its affordable, high-quality care and service.
  • Reduced rates on Sharp Health Plan’s on-exchange Silver and Bronze plans.
  • California will continue to offer more San Diegans financial aid for coverage. Individuals with incomes up to $76,650 and households with incomes up to $157,200 (based on a family of four) will qualify for state-based financial help.
  • California now has 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 $750 per adult, whichever is greater, for 2021.

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.


Are you in our service area?
You must either live or work in our service area to qualify for coverage with Sharp Health Plan.

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 ➜

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

Find out if your doctor is covered in this network.

Search doctors
Premier hospitals
Sharp Chula Vista Medical Center  ➜
Sharp Coronado Hospital and Healthcare Center ➜
Sharp Grossmont Hospital  ➜
Sharp Mary Birch Hospital for Women & Newborns ➜
Sharp Memorial Hospital  ➜
Palomar Medical Center ➜
Palomar Medical Center Poway ➜
Rady Children’s Hospital (2 locations) ➜
Temecula Valley Hospital ➜
Premier medical groups
Sharp Rees-Stealy Medical Group ➜
Sharp Community Medical Group (SCMG) ➜

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
Sharp Chula Vista Medical Center  ➜
Sharp Coronado Hospital and Healthcare Center ➜
Sharp Grossmont Hospital  ➜
Sharp Mary Birch Hospital for Women & Newborns ➜
Sharp Memorial Hospital  ➜
Inland Valley Medical Center ➜
Palomar Medical Center ➜
Palomar Medical Center Poway ➜
Rady Children’s Hospital (2 locations) ➜
Rancho Springs Medical Center ➜
Temecula Valley Hospital ➜
Tri-City Medical Center ➜
Performance medical groups
Sharp Rees-Stealy Medical Group ➜
Sharp Community Medical Group (SCMG) ➜
SCMG Arch Health Medical Group ➜
SCMG Graybill Medical Group ➜
SCMG Graybill Medical Group - Temecula ➜
SCMG Inland North Medical Group ➜
Rady Children’s Health Network/CPMG ➜
 

Browse 2021 health plans

All of our 2021 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$7,000
Annual deductible: family  ?$0$0$8,0001$14,000
Out-of-pocket max: individual  ?$4,500$8,200$8,200$7,000
Out-of-pocket max: family  ?$9,000$16,400$16,400$14,000
Primary care visit  ?$15$35$400%*
Specialist visit$30$65$800%*
Preventive care visit ?$0$0$0$0
Urgent care visit$15$35$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$8,200$7,800$8,200
Out-of-pocket max: family  ?$9,000$16,400$15,600$16,400
Primary care visit  ?$15$35$40$65**
Specialist visit$30$65$80$95**
Preventive care visit ?$0$0$0$0
Urgent care visit$15$35$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.

Last update: Oct. 22, 2020

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