Please read this agreement entirely and carefully before accessing this website. By accessing the site, you agree to be bound by Sharp Health Plan's Terms and Conditions of Use and Website Privacy Policy as set forth below. Sharp Health Plan reserves the right at its discretion to modify the Terms and Conditions of Use and Website Privacy Policy or any portion of the website without notice or liability. Your continued use of the website after any such modifications shall constitute your agreement to be bound by any such changes. If you do not agree to the terms and conditions of this agreement or do not acknowledge receipt of our privacy policy, you may not use this site.

Minors

This website is intended for use by Sharp Health Plan members. You must be at least 12 years old to access the website or to use any of our products or services through the site. Personal representatives can view a minor’s eligibility and benefits information. By using the website, you represent that you are at least 12 years old and are otherwise authorized to access the website.

Security

You are responsible for safeguarding and maintaining the secrecy of your password at all times. We believe that we have taken all reasonable security steps to encrypt your personal information so that it cannot be read as the information travels over the Internet. However, nothing is entirely foolproof, and as a customer, you accept the risk of conducting financial and private transactions via the Internet. You may not copy, disclose, loan, rent, sell, lease, give away, give your password to or otherwise allow access to this website by any other person.

Follow these safety precautions when viewing and managing your information.

• Never access your health or financial information on a public Wi-Fi network, such as at a public library or coffee shop.
• Use a unique username and password for each of your devices and accounts.
• Update your passwords regularly. Do not use the same password for multiple accounts.
• Choose PINs that do not show up in your wallet. For example, do not use your birthdate or address.
• Keep up with software updates. These updates include regular security patches to help safeguard your information.

Staying informed and keeping your information secure is key to protecting yourself and others from scams, fraud and abuse. Here are tips to avoid potential fraud and abuse. 

1. Keep your ID cards and personal information secure at all times.
2. Be alert for recent health care scams. Television, newspapers, social media and trusted sources online can provide you with credible information on recent schemes. 
3. Review your health care documents to ensure they are accurate.

Disclaimers

SharpHealthPlan.com/Personal Data Release is an account that Sharp Health Plan provides to its Medicare members to allow them to validate their identify and consent to release their health information via a secure application programming interface (commonly known as an “API”). The information provided should in no way be taken to be the provision or practice of medical, nursing or health care diagnosis, advice or services. Sharp Health Plan has used reliable sources in an effort to provide broad consumer understanding and knowledge of health related topics. This information should not be considered complete or to be a substitute for a call, visit, consultation or advice from your physician or other health care providers, as necessary.

If you have specific health-related questions, please call your physician or other health care provider. If you have a health problem, or think you may, please consult your own physician. Do not depend on the information presented on this website, as each individual case is different.

Except for information, products or services clearly identified as being supplied by Sharp Health Plan, Sharp Health Plan does not operate, control or endorse in any way information, products or services on the internet.

In accessing this website and the Internet generally, you assume all responsibility and risk for use. While Sharp Health Plan takes reasonable measures to protect its website, Sharp Health Plan cannot guarantee that files available for downloading will be free of contaminating or destructive properties. Users are responsible for implementing sufficient procedures to protect themselves and their own computer systems. Sharp Health plan is not liable for errors in data or transmission or for lost data.

THIS WEBSITE, ITS CONTENT AND ALL SITE-RELATED SERVICES ARE PROVIDED "AS IS", WITHOUT WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO, THOSE OF TITLE, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT OR ANY WARRANTY ARISING FROM A COURSE OF DEALING, USAGE, OR TRADE PRACTICE. IN ADDITION, SHARP HEALTH PLAN DISCLAIMS ANY REPRESENTATION OR WARRANTY THAT ANY INFORMATION ACCESSIBLE VIA THIS SITE IS ACCURATE, COMPLETE OR CURRENT OR THAT ACCESS TO THIS SITE WILL BE UNINTERRUPTED OR ERROR-FREE. SHARP HEALTH PLAN WILL NOT BE LIABLE TO YOU OR ANYONE ELSE FOR ANY DECISION MADE OR ACTION TAKEN BY YOU OR ANYONE ELSE IN RELIANCE UPON THE INFORMATION PROVIDED.

Limitations of Liability

YOU AGREE THAT USE OF OUR WEBSITE IS ENTIRELY AT YOUR OWN RISK. SHARP HEALTH PLAN SHALL NOT BE LIABLE FOR ANY DAMAGES, INCLUDING ANY DIRECT, INDIRECT, SPECIAL, PUNITIVE, INCIDENTAL, EXEMPLARY OR CONSEQUENTIAL DAMAGES, EVEN IF SHARP HEALTH PLAN HAS BEEN PREVIOUSLY ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, WHETHER BASED UPON PRINCIPLES OF CONTRACT, WARRANTY, MISREPRESENTATION, NEGLIGENCE OR OTHER TORT, BREACH OF ANY STATUTORY DUTY, PRINCIPLES OF INDEMNITY, THE FAILURE OF ANY LIMITED REMEDY TO ACHIEVE ITS ESSENTIAL PURPOSE, OR OTHERWISE ARISING OUT OF OR IN CONNECTION WITH THE USE, INABILITY TO USE, OR PERFORMANCE OF THIS SITE OR THE INFORMATION, SERVICES, PRODUCTS, CONTENT AND OTHER MATERIALS AVAILABLE FROM OR THROUGH THIS SITE, INCLUDING WITHOUT LIMITATION ANY SUCH DAMAGES CAUSED BY ANY FAILURE OF PERFORMANCE, ERROR, OMISSION, INTERRUPTION, DELETION, DEFECT, DELAY, INOPERATION OR TRANSMISSION, COMPUTER VIRUS, COMMUNICATION LINE FAILURE, THEFT OR DESTRUCTION OR UNAUTHORIZED ACCESS TO, ALTERATION OF, OR USE OF ANY PERSONAL INFORMATION (AS THAT TERM IS DEFINED IN THE PRIVACY POLICY).

YOU SPECIFICALLY ACKNOWLEDGE THAT SHARP HEALTH PLAN SHALL NOT BE LIABLE FOR THE DEFAMATORY, OFFENSIVE OR ILLEGAL CONDUCT OF OTHER USERS OF THIS SITE OR THIRD PARTIES AND THAT THE RISK OF INJURY FROM THE FOREGOING RESTS ENTIRELY WITH YOU. THE FOREGOING LIMITATIONS OF LIABILITY SHALL APPLY NOTWITHSTANDING ANY FAILURE OF ESSENTIAL PURPOSE OF ANY LIMITED REMEDY.

CERTAIN STATE LAWS DO NOT ALLOW LIMITATIONS ON IMPLIED WARRANTIES OR THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES. IF THESE LAWS APPLY TO YOU, SOME OR ALL OF THE ABOVE DISCLAIMERS, EXCLUSIONS, OR LIMITATIONS MAY NOT APPLY TO YOU, AND YOU MIGHT HAVE ADDITIONAL RIGHTS.

Indemnification

Upon our request, you agree to defend, indemnify, and hold us (and our affiliates, employees, contractors, officers, directors, co-branders, vendors, and content providers) harmless from any dispute, loss, claim, damages, or expense (including reasonable attorneys' fees and court costs) which may arise from or relate to your breach of any of the terms and conditions of this Agreement or which may arise from or relate to any information, software, files, messages or other content placed on our website by you. We reserve the right, at our own expense, to assume the exclusive defense and control of any matter otherwise subject to indemnification by you. In the event that we assume the exclusive defense and control of such a matter, you shall have no further obligation to provide indemnification to us in that matter.

Governing law

This Agreement and any disputes arising out of or related to the website shall be governed by, and construed and enforced in accordance with, the laws of the State of California and the regulations of the Centers for Medicare and Medicaid Services (CMS), HHS, without regard to its choice of law rules.

Third-party websites

Links to other websites that are not owned by Sharp Health Plan are provided as a service to you. However, you must understand that other sites are neither managed nor controlled by Sharp Health Plan. While Sharp Health Plan makes reasonable efforts to include other sites that provide relevant information, neither Sharp Health Plan nor its employees, agents or contractors, review, control or take responsibility for the content of these sites.

Online conduct

You agree not to use this service for any purpose that is unlawful or prohibited by this agreement. We reserve the right to deny access to any part of this service at our sole discretion. You are personally responsible for the material that you send.

We rely on the information provided by you in order to supply you with the most appropriate information and services. Therefore, the information you provide to us should be accurate, current and complete. You should promptly provide any updates or corrections necessary to keep such information accurate, current and complete at all times. If you do not provide accurate, current and complete information, the services we provide to you may not be effective.

You may not impersonate another person or entity, and you may not use this website to harass or stalk another user. You agree that you will not use this website to disperse chain letters, junk mail, "spamming" solicitations (commercial or otherwise) or bulk communications of any kind. Also, you agree that you will not use this website in any way that is inconsistent with any applicable law or regulation. If we become aware of any violation of these conditions, we reserve the right to terminate your access to this site without further notice or warning.

You agree not to misuse, abuse, or overuse beyond reasonable amounts, this website. You agree not to attempt to view, disclose, copy, reverse engineer, disassemble, decompile or otherwise examine the source program code behind this website. You may be held legally responsible for any copyright infringement or other unlawful act that is caused or incurred by your failure to abide by the terms of this Agreement.

Consents and copyrights

All trademark, logo or copyrighted material contained within these pages is the sole property of Sharp Health Plan. Any reproduction or redistribution of this material beyond personal use is prohibited without the express written consent of Sharp Health Plan. Any reproduction of illustrations or photographs appearing on these pages beyond personal use is strictly prohibited, unless prior written authorization is obtained from Sharp Health Plan.

Collection of information

Sharp Health Plan collects information about you only with your consent. By using this website, you consent to the collection and use of information as discussed below. Changes in this policy will be posted on this page so you will always know what information is being collected, how it is being used, and under what circumstances it is being disclosed.

Use of collected information

Sharp Health Plan does not send unsolicited email messages to users. You may receive plan information, news alerts, newsletters or surveys from Sharp Health Plan. You may unsubscribe from these communications at any time. You may be asked for your email address and name as part of a newsletter subscription, survey, feedback form or other communication with or within Sharp Health Plan. You may choose to provide more information.

Sharp Health Plan does not sell, trade, or rent information about its users. Sharp Health Plan does not share personal information about its users unless the member provides specific consent, such as the consent you might provide via Personal Data Release. The information collected about the domain name of the server from which you are visiting is aggregated and used to determine the number of visitors to our site each day and sources of traffic.

Benefits

The information provided within Sharp Health Plan's website does not represent a guarantee of coverage or specific payment. All health plan benefits are subject to the terms, conditions and limitations of the specific policy issued, including, but not limited to, eligibility, prior approval, exclusions and limitations, and medical necessity requirements. For further information on a policy and its limitations, please contact our Customer Care Department at 1-800-359-2002.

The services, products or providers on this website, linked websites, or in listings of network doctors and hospitals may not be covered in your particular benefit package or included in your provider network. You must consult your specific benefits plan or contact Customer Care if you have any questions.

Electronic communications

You expressly consent and agree that Sharp HealthCare, its business associates, and other third parties, including debt collectors, may send you periodic electronic communications for any lawful purpose, including routine business and/or marketing purposes, at any email address or phone number you provide. Messages may be sent by text (SMS), email, automatic telephone dialing systems (auto-dialer), prerecorded messages or live operator calls, and message and data rates may apply. You may opt out of receiving further automated, electronic communications at any time, and whether you agree to receive these messages will not affect your care in any way.

Mobile text (SMS) alerts

You can receive text messages from SHARP HEALTH PLAN through your mobile device. Text JOIN to 82151 to receive these announcements. 4 messages per month. Message and data rates may apply. By opting in to this service, you consent to receive mobile text alerts using an automatic telephone dialing system. Consent to receive marketing text messages is not required as a condition of purchasing any goods or services. By signing up, you are confirming you are over the age of 13.

STOP Information

Text STOP to 82151 to stop receiving SMS messages from SHARP HEALTH PLAN (you will receive a confirmation text).

HELP Information

For additional information, text HELP to 82151 or contact Customer Care at 1-800-359-2002.
Supported carriers include AT&T, T-Mobile®, Verizon Wireless, Sprint, Boost, Cricket, MetroPCS, Virgin Mobile, among others. T-Mobile is not liable for delayed or undelivered messages. We take your privacy seriously. Please view privacy policy below for additional information.

Telephone communication using automatic telephone dialing system (ATDS)

You agree to allow Sharp Health Plan to send you periodic telephone communications for marketing purposes. These messages may be automated or pre-recorded. Message and data rates may apply. You may opt out of receiving further marketing communications at any time, and whether you agree to receive these messages will not affect your care in any way. Sharp will continue to contact you for purposes related to your care or health, using the contact information you provide.

Privacy policy

Sharp Health Plan is committed to maintaining the privacy of those who use our website. This website Privacy Policy is designed to assist you in understanding how we collect and use the personal information you provide to us and to assist you in making informed decisions when using our website.

We want you to feel safe and comfortable when you use our website are dedicated to developing and upholding high standards for protecting your privacy and securing your personal information. You should read and familiarize yourself with this Policy and with our “Terms of Use Agreement.” When you use our website, you agree to abide by this agreement.

Information we collect

When you visit our website, you may provide us with two types of information:

1. Personal information you knowingly choose to disclose
2. Website use information

Personal information is any information you've provided us through our website that uniquely identifies you, such as name, social security number, health plan ID number, medical record number, date of birth, telephone number, address or email address.

Website use information is information that is gathered automatically by Sharp Health Plan to track website activity, including the number of users and pages visited. Website use information includes internet protocol (IP) addresses, browser type, internet service provider (ISP), referring/exit pages, operating system, and date/time stamp. Website use information does not identify individual users.

Use of cookies

To access the secure services on our website, "cookies" must be enabled. Cookies are pieces of information stored on a user's computer which allow us to recognize repeat users, track usage patterns and better serve you when you return to our site. Cookies are not used on non-secure portions of Sharp Health Plan’s website. Your browser is probably set to accept cookies. However, if you would prefer not to accept cookies, you can change your browser settings to refuse them. If you choose to have your browser refuse cookies, it is possible that some areas of our website will not function properly when you view them, and you may have to re-enter personal information every time you use the site in order to participate in certain services or promotions.

How we use information

Sharp Health Plan uses the personal information that you submit to us via our website to administer our business activities and to respond to your inquiries. We will not sell, lease, rent or license your personal information to a third party, unless you authorize us to do so. We may provide your personal information to health care entities involved in providing health care to you, such as your health plan or physician. In such case, Sharp Health Plan will disclose personal information in compliance with all applicable laws and regulations as described in Sharp Health Plan’s Notice of Privacy Practices.

In addition, Sharp Health Plan reserves the right to de-identify and aggregate data, and to use such aggregated data in accordance with all applicable laws. If your membership is sponsored by your employer or another third party, we may share information with that party in de-identified, aggregate form only. For example, we may report to your employer the number of its employees using the website or the frequency of their collective use. This information will not identify you personally.

Questions about your personal information

If you have questions about your personal information maintained by Sharp Health Plan, please contact us at the telephone number listed below.

Our commitment to security

The security of your personal information is important to Sharp Health Plan. To prevent unauthorized access, maintain data security and ensure the correct use of information, Sharp Health Plan has adopted stringent security standards. These standards include physical, electronic and procedural safeguards to protect and secure the information that we collect from you. While we follow generally accepted industry standards to protect the personal information submitted to us, no method of transmission over the Internet is 100% secure. We, therefore, cannot guarantee absolute security. If you wish, you may contact us, instead, at the telephone number listed below.

Links to other websites

This website contains links to other websites that are not owned or controlled by Sharp Health Plan. Please be aware that Sharp Health Plan is not responsible for the privacy practices, content or accuracy of such other websites. Sharp Health Plan encourages you to be aware when you leave our website and to read the privacy policies of every website that collects your personal information.

Email

If you identify yourself to us by sending us an email with questions or comments, we may use your personal information to respond to your questions or comments. We may file your comments for future reference, or we may discard the information after we have reviewed it. Any ideas, comments or materials you submit will be treated as non-confidential and shall become the property of Sharp Health Plan. By submitting such ideas, comments or materials, you automatically and irrevocably assign to Sharp Health Plan any and all rights whether now known or arising in the future to such ideas, comments or materials. Sharp Health Plan shall exclusively own all such rights, with no obligation to you of any sort. This provision is necessary to avoid future misunderstandings in the event that projects developed by our staff might seem to others to be similar to their own creative work.

If you give us your email address via this website or via any other method, we may send you unsolicited email with information about Sharp Health Plan, health or wellness or other topics of interest to our members. If you provide us your work email account or any account provided by your employer, your employer may have access to any emails sent to or from that address in accordance with your employer’s right to monitor employee email. If you request to be removed from our email list, we will honor your request. We will never sell your email address or provide it to anyone else except as described in this Internet Privacy Practices or as set forth in our Notice of Privacy Practices.

Changing your email preferences

Sharp Health Plan may send you communications, including email communications, regarding products, services, promotions, changes to the site or other information. You always have the opportunity to choose not to receive such communications:

• By following unsubscribe directions stated in the footer of email communications
• By contacting Customer Care at 1-858-499-8300 or toll-free at 1-800-359-2002

Your responsibility

Although we will protect your privacy on the Web site as described in this Policy, you should keep in mind that if you give others access to your computer, your password, or disclose personal information online, it is possible that despite our efforts information may be accessible by others. You can help guard against this by never disclosing your password, giving anyone else access to your personal computer, and by ensuring that information you disclose online is transmitted securely.

Changes to our website privacy policy

Sharp Health Plan reserves the right to change this website Privacy Policy at any time without advance notice to our users. Modifications to the Policy shall be effective when they are posted on this website, in which case posting shall constitute notice to you. Your continued use of the website following the posting of any such modifications on the website constitutes your acceptance and agreement to be bound by such modifications. We encourage you to check the website regularly to see if we have made any modifications to this Policy.
If you have questions regarding our website Privacy Policy or other general questions, please contact us at 1-858-499-8300 or toll-free at 1-800-359-2002, or email us at customer.service@sharp.com.

Your rights and responsibilities

As a Sharp Health Plan member, you have certain rights and responsibilities to ensure that you have appropriate access to all covered benefits.

Notice of privacy practices

We have internal processes to protect your oral, written and electronic Protected Health Information (PHI). And we must give you this Notice that tells how we may use and share your information and what your rights are. We have the right to change the privacy practices described in this Notice. If we do make changes, the new Notice will be available upon request, in our office, and on our website.

Your information is personal and private. We receive information about you when you become eligible and enroll in our health plan. We also receive medical information from your doctors, clinics, labs, and hospitals in order to approve and pay for your health care.
Learn more about how we protect your information.

Sharp Code of Conduct

As San Diego's healthcare leader, Sharp HealthCare believes in leading by example and in safeguarding our reputation of integrity, honesty and doing the right thing — values upon which Sharp was built.

The Code of Conduct integrates our mission, vision and values with our policies and procedures, and the professional standards that are in place throughout the Sharp system.

The Code of Conduct provides clear directives for all employees, physicians and volunteers to follow and applies to the entire Sharp team. It is a reference guide for understanding the standards and ethical framework in making good choices.

The Code of Conduct is about each individual stepping up as a leader and a role model to help foster an ethical culture and maintain the high standards that underpin our reputation.

Public Policy Committee

Be a part of Sharp Health Plan's Public Policy Committee.

Sharp Health Plan has a Public Policy Advisory Committee, also known as Member Advisory Committee, that includes members who provide input into a variety of matters, such as member satisfaction, plan benefits, and member concerns. The committee meets quarterly. Participation in this committee is one way for you to tell us how you feel about Sharp Health Plan and how we can better serve you.

If you would like more information about the Public Policy Committee or would like to participate, please call Customer Care at 1-858-499-8300 or toll-free at 1-800-359-2002.

Notice of nondiscrimination

All organizations that provide Medicare Advantage plans, like our plan, must obey Federal laws against discrimination, including Title VI of the Civil Rights Act of 1964, the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, the Americans with Disabilities Act, Section 1557 of the Affordable Care Act, and all other laws that apply to organizations that get Federal funding, and any other laws and rules that apply for any other reason.

Sharp Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability. Sharp Health Plan does not exclude people or treat them differently because of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.

Sharp Health Plan:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
  • Qualified sign language interpreters
  • Information in other formats (such as large print, audio, accessible electronic formats, or other formats) free of charge
• Provides free language services to people whose primary language is not English, such as:
  • Qualified interpreters
  • Information written in other languages
    

If you need these services, contact Customer Care at 1-800-359-2002.

If you believe that Sharp Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability, you can file a grievance with our Civil Rights Coordinator at:

• Address:
  Sharp Health Plan Appeal/Grievance Dept
  8520 Tech Way Suite 200
  San Diego CA 92123-1450
• Telephone: 1-800-359-2002 (TTY: 711)
  
• Fax: 1-619-740-8572

You can file a grievance in person or by mail, fax, or you can also complete the online Grievance/Appeal form on the Plan’s website or portal. Please call our Customer Care team at 1-800-359-2002 if you need help filing a grievance. You can also file a discrimination complaint if there is a concern of discrimination based on race, color, national origin, age, disability, or sex with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf or by mail or phone at: US Dept of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington DC 20201, 1-800-368-1019 (TDD: 1-800-537-7697).

Complaint forms are available at www.hhs.gov/ocr/complaints

Access for the vision-impaired

The Evidence of Coverage (EOC) and other important plan materials will be made available in alternate formats for the vision impaired, such as on a computer disk where text can be enlarged or in Braille. For more information about alternative formats or for direct help in reading the EOC or other materials, please call Customer Care at 1-858-499-8300 or toll-free at 1-800-359-2002.