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At Sharp Health Plan, we believe in making life better. We’re honored that you’ve made us one of the best health plans in California. Your praises acknowledge our commitment to improving your health care experience. Thank you for inspiring our continual pursuit of excellence in everything we do. See how Sharp HealthCare as a whole has been recognized for its commitment to excellence.
The 2021 Union-Tribune Readers Poll named Sharp Health Plan the Best Insurance Provider.1
We were named in the 2021 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage in California.2
Sharp Direct Advantage members gave us the highest ratings for a Medicare Advantage plan in San Diego.3
Every year, Medicare evaluates plans based on a 5-star rating system. Sharp Health Plan earned an overall rating of 4.5 out of 5 stars from Medicare for 2020 and 2021.
In 2019, we also had the highest ratings for health care, personal doctor and specialist among reporting California health plans.4
Covered California™ makes it simple and more affordable for Californians to get quality health insurance like Sharp Health Plan. We received a 4-star overall quality rating from Covered California.5, 6
Sharp Health Plan received a 4.5 out of 5 in the National Committee for Quality Assurance’s Private Health Insurance Plan Ratings 2019–20.4
We earned the highest patient ratings for overall experience in the State of California’s Office of the Patient Advocate’s health plan report card for 2019–20.7
In 2020, Sharp Health Plan was the only organization to earn a 3-year accreditation for its excellent wellness and health promotion programs. NCQA’s standard accreditation period is one year.
1 Voted Best Insurance Provider in the 2021 San Diego Union Tribune SD Best Readers Poll.
2 Based on a October 15, 2020 U.S. News & World Report’s “2021 Best Insurance Companies for Medicare Advantage” along with three other insurers in California.
3 Based on a 92% base group in the area of members’ overall rating of their health plan from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) score survey conducted in 2019.
4 Due to COVID-19, NCQA will not release 2020-21 Health Plan Ratings for any product line. This rating is based upon 2019-20 Health Plan Ratings. The source for this data is Quality Compass® 2019 and is used with the permission of NCQA. Quality Compass 2019 includes certain CAHPS® data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass is a registered trademark of NCQA. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Sharp Health Plan achieved the following summary ratings (9+10): 57.30 for Rating of the Health Plan compared to the California all LOBs average (excluding PPOs & EPOs) of 47.23; 65.25 for Rating of Health Care compared to the California all LOBs average (excluding PPOs & EPOs) of 51.87; 74.47 for Rating of Personal Doctor compared to the California all LOBs average (excluding PPOs & EPOs) of 65.60 and 75.68 for Rating of Specialist compared to the California all LOBs average (excluding PPOs & EPOs) of 63.50.
5 Plan quality ratings and enrollee survey results are calculated by CMS using data provided by health plans. Due to the COVID-19 virus, CMS did not collect data from health plans during the 2020 calendar year. Therefore, the ratings reflect data previously provided by health plans in 2019. The ratings are being displayed for health plans for the 2021 plan year. Learn more about these ratings.
6 CMS scores qualified health plans (QHPs) offered through the Exchanges using the Quality Rating System (QRS) based on third-party validated clinical measure data and QHP Enrollee Survey responses. CMS calculates ratings yearly on a 5-star scale. QHP issuers work with HHS-approved survey vendors that independently conduct the survey each year. QRS ratings and QHP Enrollee Survey results may change from year to year. Due to the COVID-19 virus, CMS did not collect data from health plans during the 2020 calendar year. Therefore, the ratings and results reflect data previously provided by health plans in 2019.
7 The source for data contained in this publication is Quality Compass 2019 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass 2019 includes certain Consumer Assessment of Healthcare Providers and Systems (CAHPS) data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass is a registered trademark of NCQA. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
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