Disclaimer

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. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change each year. The formulary, pharmacy network and/or provider network may change at any time. You will receive notice when necessary. You must continue to pay your Medicare Part B premium.

ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-833-346-4322 (TTY/TDD 711). For your convenience, our office hours are 8 am to 8 pm, 7 days per week from Oct. 1 to Mar. 31; from Apr. 1 to Sept. 30: Monday through Friday, 8 am to 8 pm. On weekends and holidays, your call will be handled by our voicemail system. A Customer Care representative will return your phone call the next business day.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame 1-833-346-4322 (número gratuito) para obtener información adicional. (Los usuarios de TTY/TDD deben llamar al 711.) Para su conveniencia, nuestras horas de oficina son: 1 de octubre al 31 de marzo, los 7 días de la semana de 8 de la mañana a 8 de la tarde. El 1 de abril al 30 de septiembre, lunes a viernes de 8 de la mañana a 8 de la tarde, y los fines de semana y festivos, su llamada será atendida por nuestro sistema de correo de voz. Un Representante de Servicios de Miembros le devolverá su llamada el día hábil siguiente. Por favor, póngase en contacto con Sharp Health Plan si usted necesita información en otro forma.

Non-discrimination notice

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

Sharp Health Plan

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
  • Qualified sign language interpreters
  • Written information in other formats (such as large print, audio, accessible electronic formats, or other formats)

• 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 1-833-346-4322.

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, age, disability, or sex, you can file a grievance with our Civil Rights Coordinator at:

• Address:
  
  Sharp Health Plan Appeal/Grievance Department
  8520 Tech Way, Suite 201
  San Diego, CA 92123-1450

• Telephone: 1-833-346-4322 (TTY/TDD: 711)
  Fax: 1-858-636-2256

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, calpers.sharphealthplan.com. Please call our Customer Care team at 1-855-562-8853 if you need help filing a grievance. You can also file a civil rights complaint 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 ocrportal.hhs.gov/ocr/smartscreen/main.jsf, or by mail or phone at U.S. Department 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

We must provide information in a way that works for you (in Spanish and in large print). To get information from us in a way that works for you, please call Customer Care at 1-833-346-4322.

Our plan has people and free interpreter services available to answer questions from disabled and non-English speaking members. Our plan can also provide written material in Spanish. We can also give you information in Braille, in large print, or other alternate formats at no cost if you need it. We are required to give you information about the plan’s benefits in a format that is accessible and appropriate for you. To get information from us in a way that works for you, please call Customer Care at 1-833-346-4322 or contact the Department of Health and Human Services’ Office for Civil Rights at 1-800-368-1019 (TTY/TDD: 1-800-537-7697) or your local Office for Civil Rights.

If you have any trouble getting information from our plan in a format that is accessible and appropriate for you, please call to file a grievance with our Customer Care. You may also file a complaint with Medicare by calling 1-800-MEDICARE (1-800-633-4227) or directly with the Office for Civil Rights. You may contact our Customer Care at 1-833-346-4322 for contact information.