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2026 Medicare Enrollment Kit
Drug list (formulary) Jan. 1, 2026
English | Spanish
Provider & Pharmacy Directory
Low-Income Subsidy (LIS) premium summary chart
Dental insert for Sharp Direct Advantage with Dental
Sharp Direct Advantage CalPERS with Dental
English | Spanish (coming soon)
Sharp Direct Advantage CalPERS without Dental
Sharp Direct Advantage with Dental
Sharp Direct Advantage without Dental
Important contacts
2025 Medicare Enrollment Kit
Drug list (formulary) Oct. 1, 2025
Medicare Star Ratings flyer for 2025
Behavioral health provider directory
Coverage determination form
View PDF | Fill out online
Request for redetermination form
Prior authorization request
Other health insurance coverage questionnaire
Part C member reimbursement request
Part D prescription reimbursement claim
Part D late enrollment penalty reconsideration request
Appointment of representative
Authorization for use or disclosure of protected health information
Medicare Member Resource Guide
Prior authorization requirements Jan. 1, 2026
Step therapy requirements Jan. 1, 2026
Future formulary change file Oct. 1, 2025
Prior authorization requirements Oct. 1, 2025
Step therapy requirements Oct. 1, 2025
Spring/Summer issue
Fall/Winter issue
Last updated: Oct. 14, 2025
Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Health Plan is an HMO with a Medicare contract. Enrollment with Sharp Health Plan depends on contract renewal. Read the full disclaimer.
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