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Compare networks and plans

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

What’s new for 2022

  • 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.
  • Under the American Rescue Plan (ARP), you may qualify for health coverage and enroll during the Special Enrollment Period. Thanks to ARP, Californians now have access to more financial help to pay for health insurance — and that includes individuals and families who haven't qualified for assistance in the past.

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.


Our service area

You must live 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 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
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
 

Browse 2022 health plans

All of our 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$3,7002$7,000
Annual deductible: family  ?$0$0$7,4002$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$350%*
Specialist visit$30$65$700%*
Preventive care visit ?$0$0$0$0
Urgent care visit$15$35$350%*
ER facility visit$150$350$4000%*
Hospital facility  ?$2507$600720%0%*

* Deductible applies
2. Plan includes a $10 individual/$20 family prescription drug deductible.
7. Per day. Five-day maximum.

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$3,7002$6,3004
Annual deductible: family  ?$0$0$7,4002$12,6004
Out-of-pocket max: individual  ?$4,500$8,200$8,200$8,200
Out-of-pocket max: family  ?$9,000$16,400$16,400$16,400
Primary care visit  ?$15$35$35$655
Specialist visit$30$65$70$955
Preventive care visit ?$0$0$0$0
Urgent care visit$15$35$35$655
ER facility visit$150$350$40040%*
Hospital facility  ?10%20%20%40%*

* Deductible applies
2. Plan includes a $10 individual/$20 family prescription drug deductible.
4. Plan includes a $500 individual/$1,000 family prescription drug deductible.
5. Deductible applies. Deductible waived for the first three non-preventive office or urgent care visits.

Last update: Oct. 22, 2020