What should I do if I do not receive my member ID card?
If you are a new member, it can take up to 3 business days after Sharp Health Plan gets your information from your human resources department to receive your new member ID card.
If you are currently enrolled in benefits with Sharp Health Plan, and recently made a benefit change, made a demographic change (i.e., changed your name or gender), or selected a new primary care physician (PCP), you will automatically be sent a new member ID card. It can take up to 7 business days after making one of these changes to receive your new member ID card in the mail. If you plan includes three or more covered family members, those cards will be mailed separately.
If you lost your member ID card and have requested a replacement, please allow up to 7 business days to receive your new one in the mail. In the meantime, you can print a temporary member ID card through the Sharp Connect
I received my member ID card in the mail, but other covered family members’ cards were missing. What should I do?
If your plan includes three or more covered family members, those cards will be mailed separately.
What should I do if the name on my member ID card is incorrect?
If you or one of your dependents received a member ID card with the incorrect personal information on it (like your name), you can request a replacement online by logging into your Sharp Connect member portal. From within the portal, you will be able to review your personal information, update your information if necessary, and request a new member ID card.
What should I do if the primary care physician listed on my member ID card is incorrect?
If you receive a member ID card with the wrong primary care physician (PCP) listed on the front, please log into your Sharp Connect member portal to verify the PCP that we have on record for you. Please note that if you are a Sharp Rees-Stealy member, your ID card will not list your PCP’s name, only the location of the Sharp Rees-Stealy Medical Center where they see patients. We know choosing the right PCP is a personal decision, which is why we make it easy for you to change your selection at any time. Please visit calpers.sharphealthplan.com/findadoctor to find a list of doctors. Once you’ve made your selection, you can update your PCP through the member portal. Please note that PCP changes will be effective the first of the following month. Upon making your selection, we will mail you a new member ID card.
What should I do if my primary care physician isn’t listed on member ID card at all?
If you are a Sharp Rees-Stealy member, by default the name of your primary care physician (PCP) will not display on the front of your new member ID card, only Sharp Rees-Stealy and the phone number for your designated location.
What should I do if my new member ID card shows the wrong effective date?
The effective date on your ID card does not affect your ability to access care or fill prescriptions. The effective date listed on the ID card is based on contract updates in the Sharp Health Plan system. If you enrolled in Sharp Health Plan before 1/1/16, your ID card will list that effective date. If you enrolled after 1/1/16, you will have a later effective date.
What should I do if I'm not being prompted to re-register for my Sharp Connect account?
If you are accessing Sharp Connect through a bookmark you created to the portal, you will not be prompted to re-register. To re-register for the new, upgraded Sharp Connect portal, you will have to visit sharphealthplan.com/calpers/login. Please note that you may need to refresh your web browser, or clear your web cache and/or history to display the most up-to-date log-in screen.
When do I need to start using my member ID card?
Your member ID card is your key to accessing care and filling prescriptions. Please carry it with you at all times and present it whenever getting care.
What will my member ID card look like?
The front of your member ID card will include your name, date of birth, account information, primary care physician’s name or affiliated medical group location, medical deductible (if applicable) and certain cost share information. The back of your new card will include important contact information. To see samples of what the new ID cards look like, view or print this CalPERS member ID PDF.
Do I need to register for the Sharp Connect member portal again?
Starting January 1, 2018, existing users will have to re-register on the portal for a brand new experience. You can do that by visiting Sharp Connect. Please have your new member ID number available. This number is in the upper right-hand corner of your ID card. If you’re not a current user, we encourage you to create an account. Sharp Connect is our free online member portal that connects you with important plan information 24-hours a day. It’s mobile-friendly, and allows you to view your benefits, update plan information, change your primary care physician, request a new member ID card, print a temporary card, check the covered drug list and much more.
Who do I contact with questions?
If you have additional questions, please contact Customer Care at firstname.lastname@example.org. Basic HMO plan members can call us at 1-855-995-5004. Medicare members can call us at 1-833-346-4322. We are available to assist you
7 am – 8 pm, seven days a week.
What is a Plan Medical Group (PMG)
Sharp Health Plan has several medical groups (called Plan Medical Groups or PMGs) from which you choose your primary care physician (PCP) and through which you receive specialty physician care or access to hospitals and other facilities. You receive covered benefits from doctors who are affiliated with your PMG and who are part of the Performance Plan Network. To find out which plan doctors are affiliated with your PMG, refer to the Performance provider directory for your Plan Network or call Customer Care.
What is a Plan Network?
A Plan Network is the group of doctors, medical groups and hospitals that are available to you as a Sharp Health Plan member. CalPERS members have access to the Performance Network. You can select your PCP and Plan Medical Group from that network. You will find the name of your Plan Network on your member ID card.
What is Performance?
Performance is one of Sharp Health Plan’s Plan Networks. The Performance network includes Sharp Community Medical Group, Sharp Rees-Stealy Medical Group, Arch Health Partners, and Children’s Physicians Medical Group. You will find the name of your Plan Network on your member ID card.
How does Sharp Health Plan protect my privacy?
We understand the importance of keeping your personal information confidential and work to ensure that all privacy regulations are followed. The Health Insurance Portability and Accountability Act’s (HIPAA) privacy regulations govern the use and release of a member's personal health information, also known as protected health information (PHI). Under the HIPAA privacy regulations, members must be informed about how their PHI will be used and given the opportunity to object to or restrict the use or release of their information. You can find a copy of Sharp Health Plan’s Notice of Privacy Practices (PDF, 77KB) here and in the Evidence of Coverage.