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Sharp Connect

Apr 28, 2020, 11:29 AM
Unique Identifier : Sharp Connect
Medical
Our medical prior authorization guidelines are specific to members who are under HMO plans and assigned to an independent network provider.
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Pharmacy
Find out what supporting documentation you’ll need to request prior authorization for medications.
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Behavioral health
See what behavioral health and chemical dependency services require prior authorization for our commercial plan members.
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Pre-certification for POS plans
Request precertification for members on POS plans to receive health services from an out-of-network provider.
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Individuals & families
We offer nine different plans for individuals and families. Each one’s designed to give you the flexibility you need, at a price you like.
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Employer groups
Healthy employees are happy, productive employees. Explore our plan options designed to meet the needs of your employees and their families.
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Medicare-eligible
If you’re eligible for Medicare or would like to learn more about our Medicare Advantage plans, visit our dedicated website.      
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Gaps in coverage
Everyone’s situation is different. We’re here to help you find your best option.
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Helpful links for managing your healthcare costs

Sharp Health Plan’s payment FAQs ➜

Sharp Health Plan’s healthcare reform information sheet ➜

Sharp Health Plan’s health and wellness discounts ➜

Our Plans

Not sure where to start? We can recommend a plan that provides the right coverage and the most value based on your needs and preferences.
Get a quote and plan recommendation

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Add or remove someone on your plan

When a life event occurs that requires you to update the dependents on your plan, there’s a few things you should know. Find out when changes can be made and which forms are required.

WHAT YOU NEED TO KNOW ➜

Get a new member ID or temporary card

Getting a new member ID card is simple. Sign in to your Sharp Connect account, request a replacement, and a new card will be mailed within seven to ten days. In the meantime, you can view and print a temporary ID card.

LOG IN TO MY ACCOUNT
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Health Care Reform and your health

By law, your coverage can’t be dropped or denied if you have a pre-existing medical condition or if you get sick. Because of the Health Care Reform, you can get health insurance regardless of the current state of your health, and you can’t be charged more because of your existing health or medical condition. When you get care for your pre-existing condition or a new health condition, you’ll still need to pay any deductibles, copayments, and coinsurance your plan requires.

LEARN MORE

Quick and easy out-of-state care with CVS MinuteClinic

If you’re traveling and run into a minor illness or injury stop by a CVS/pharmacy® store. Their MinuteClinics are equipped to care for you, and you’ll only need to provide a $40 copayment anywhere in the the United States.

Looking for a dentist nearby? You have options

Premier Access Dental plan members have access to a broad network of care providers. Visit their site to find a dentist, just select “Dental HMO (Health Maintenance Organization)” under “State Exchange Plans” to begin your search, no login needed. If you are still having trouble, call Premier Access member services at 877.702.8800.

Find a Dentist

The best of San Diego is in your network.

Find a doctor
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Featured article

Get the most health from your health plan

Sharp Health Plan’s Chief Medical Officer Dr. Cary Shames is quoted in this article on how to get the most out of your health plan. For the new year, members should take advantage of all the preventive health benefits available to them without a copay.

Find out how
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Featured article

Staying healthy when others are sick

First one person in your home gets sick with a cold or flu — perhaps your school-aged child, partner or roommate. Then you start feeling that slight tickle at the back of your throat or mild ache near your temples, and you sense that you’re next in line for the illness.

Read Article

Better health with better benefits

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Get your wellness score
Free health coaching
Free classes and events
Discover discounts

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