Forms, guides & resources

For Sharp Direct Advantage (Medicare) members

CalPERS member plan information
Other forms and resources

Find plan and benefit information, download forms and learn about annual changes for the Sharp Direct Advantage plan for CalPERS.

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2026

Plan information

(coming soon)

Benefit information Jan. 1, 2026

(coming soon)

Summary of Benefits Jan. 1, 2026

Sharp Direct Advantage CalPERS with Dental

English | Spanish (coming soon)

Sharp Direct Advantage CalPERS without Dental

English | Spanish (coming soon)

Evidence of Coverage

EOC: Sharp Direct Advantage with Dental

English | Spanish (coming soon)

EOC: Sharp Direct Advantage without Dental

English | Spanish (coming soon)

Annual Notice of Changes

ANOC: Sharp Direct Advantage with Dental

English | Spanish

ANOC: Sharp Direct Advantage without Dental

English | Spanish

2025

Plan information

Important contacts

2025 Medicare Enrollment Kit

Drug list (formulary) Sept. 1, 2025

English | Spanish

Provider & Pharmacy Directory

English | Spanish

Low-Income Subsidy (LIS) premium summary chart

Medicare Star Ratings flyer for 2025

English | Spanish

Behavioral health provider directory

Benefit information Jan. 1, 2025

Dental insert for Sharp Direct Advantage with Dental

English | Spanish

Summary of Benefits Jan. 1, 2025

Sharp Direct Advantage CalPERS with Dental

English | Spanish

Sharp Direct Advantage CalPERS without Dental

English | Spanish

Evidence of Coverage

EOC: Sharp Direct Advantage with Dental

English | Spanish

EOC: Sharp Direct Advantage without Dental

English | Spanish

Annual Notice of Changes

ANOC: Sharp Direct Advantage with Dental

English | Spanish

ANOC: Sharp Direct Advantage without Dental

English | Spanish

Access helpful forms and resources such as our Medicare member resource guide, prior authorization, coverage determination and reimbursement forms.

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Forms

Ask for a coverage determination

Coverage determination form

View PDF | Fill out online

Request for redetermination form

View PDF | Fill out online

Ask for prior authorization

Prior authorization request

For new members

Other health insurance coverage questionnaire

View PDF | Fill out online

Request a refund

Part C member reimbursement request

Part D prescription reimbursement claim

Part D late enrollment penalty reconsideration request

Share information with loved ones

Appointment of representative

Authorization for use or disclosure of protected health information

Member resource guide

Medicare Member Resource Guide

Drug list information

Future formulary change file Sept. 1, 2025

Prior authorization requirements Sept. 1, 2025

Step therapy requirements Sept. 1, 2025

INSPIRE

The exclusive magazine for Sharp Direct Advantage members

2025

Spring/Summer issue

2024

Spring/Summer issue

Fall/Winter issue

Last updated: Sept. 8, 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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