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City of San Diego employees & retirees

We’re proud to partner with SDPEBA and provide health benefits for the City of San Diego’s employees and retirees.

Active employee

Plan information for active employees

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As an active City employee, you can choose from three Sharp Health Plan HMO options. All of our plans provide comprehensive medical services, including coverage for doctor office visits, hospital stays, surgery, outpatient procedures, periodic immunizations, physical exams, prescription drugs and more. Choose the plan that best meets your needs and budget.


Plan information

Summaries of Benefits
Jan. 1, 2023

Summaries of Benefits and Coverage Jan. 1, 2023



For assistance, call 1-888-840-4747, Monday to Friday, 8 am to 6 pm. (TTY users: call 711.)

Non-Medicare retiree

Plan information for non-Medicare retirees

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As a City retiree who is not yet eligible for Medicare, you have access to our family of Sharp HealthCare providers through the Sharp non-Medicare Retiree plan. This plan provides comprehensive medical services, including coverage for doctor office visits, hospital stays, surgery, outpatient procedures, periodic immunizations, physical exams, prescription drugs and more.

Eligibility requirements for non-Medicare retirees

  • Be a City of San Diego retiree or that person's spouse or dependents.
  • Live in the Sharp Health Plan service area (San Diego and southern Riverside Counties).
  • Membership in MEA, REA, RFPA or SDPEBA is not required to join this health plan.


Plan information

Summaries of Benefits
Jan. 1, 2023

Summary of Benefits and Coverage
Jan. 1, 2023

 

Ready to enroll?

DOWNLOAD ENROLLMENT APPLICATION

For assistance, call 1-888-840-4747, Monday to Friday, 8 am to 6 pm.
(TTY users: call 711.)

Medicare retiree

Plan information for Medicare retirees

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As a City retiree who is eligible for Medicare, you have access to our family of Sharp HealthCare providers through Sharp Direct Advantage. This plan provides comprehensive medical services, as well as extra benefits, such as acupuncture and chiropractic care, free Silver&Fit gym access, and discounts on vision and hearing aids.

Request a one-on-one appointment

NEW! Beginning January 2023, the Sharp / SDPEBA Medicare Plan will include the following plan enhancements!

  2022 NEW for 2023
Benefit
Hearing aids $1,000 allowance every 36 months $3,500 allowance every 36 months
Routine eye exam (every 12 months) $20 copay $0 copay
Eyeglass lenses (every 2 years) $20 materials copay $20 materials copay
Frames or contact lenses  $130 allowance for prescription glasses (or contacts, in lieu of glasses) every 2 years $400 allowance for prescription glasses (or contacts, in lieu of glasses) every 2 years
Over-the-counter (OTC) items N/A $100 allowance every quarter

Eligibility requirements for Sharp Direct Advantage

  • Be a Medicare beneficiary with Part A and enrolled in Part B. (You must continue to pay your Medicare Part B premium.)
  • Be a resident of San Diego County, and a City of San Diego retiree or that person’s Medicare-eligible spouse or dependents.
  • Membership in MEA, REA, RFPA or SDPEBA is not required to join Sharp Direct Advantage.


Plan information

Annual Notice of Changes
Jan. 1, 2023

Evidence of Coverage
Jan. 1, 2023



Have questions? Call 1-855-562-8853, Monday to Friday, 8 am to 6 pm.
(TTY users: call 711.)

 

Ready to enroll?

ENROLL ONLINE

Note: Safari and Microsoft Edge users may encounter issues with enrolling online. We recommend using Google Chrome or Firefox instead.

Alternatively, if you’d prefer to mail in your enrollment form instead, you can download the enrollment form here.

To learn more about the plan, please visit Sharp Direct Advantage.

For assistance, call 1-855-562-8853, Monday to Friday, 8 am to 6 pm.
(TTY users: call 711.)

 

Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Direct Advantage is an HMO plan with a Medicare contract. Enrollment in Sharp Direct Advantage depends on contract renewal. Read the full disclaimer.

COBRA / Cal-COBRA

Plan information for COBRA and Cal-COBRA members

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When you leave/lose City employment, you have an opportunity to continue your health benefits through COBRA. You must contact Sharp Health Plan within 60 days of leaving / losing employment to elect this temporary extension of benefits, which allows you to extend your coverage through Sharp Health Plan for up to 18 months with your active plan option. And if you need to continue this coverage beyond the first 18 months since leaving / losing City employment, you are also eligible to continue Sharp Health Plan coverage for an additional 18 months through Cal-COBRA.

For assistance, call 1-888-840-4747, Monday to Friday, 8 am to 6 pm.
(TTY users: call 711.)

Last updated: February 11, 2022
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