Forms, guides & resources

For Sharp Direct Advantage (Medicare) members

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

2027

Plan information

Important contacts (coming soon)

2027 Medicare Enrollment Kit

Drug list (formulary) Jan. 1, 2027

(coming soon)

Provider & Pharmacy Directory (coming soon)

Low-Income Subsidy (LIS) premium summary chart (coming soon)

2027 Medicare Star Ratings flyer (coming soon)

Behavioral health provider directory (coming soon)

Benefit information Jan. 1, 2027

Dental insert for Sharp Direct Advantage with Dental (coming soon)

Summary of Benefits Jan. 1, 2027

Sharp Direct Advantage CalPERS with Dental

English | Spanish

Sharp Direct Advantage CalPERS without Dental

English | Spanish

Evidence of Coverage

Sharp Direct Advantage with Dental

English | Spanish (coming soon)

Sharp Direct Advantage without Dental

English | Spanish (coming soon)

Annual Notice of Changes

Sharp Direct Advantage with Dental

English | Spanish

Sharp Direct Advantage without Dental

English | Spanish

2026

Plan information

Important contacts

2026 Medicare Enrollment Kit

Drug list (formulary) Sept. 1, 2026

English | Spanish

Provider and Pharmacy Directory

English | Spanish

Provider and Pharmacy Directory Addendum

English | Spanish

Low-Income Subsidy (LIS) premium summary chart

2026 Medicare Star Ratings flyer

English | Spanish

Behavioral Health Provider Directory

Behavioral Health Provider Directory Addendum

Benefit information Jan. 1, 2026

Dental insert for Sharp Direct Advantage with Dental

English | Spanish

Summary of Benefits Jan. 1, 2026

Sharp Direct Advantage CalPERS with Dental

English | Spanish

Sharp Direct Advantage CalPERS without Dental

English | Spanish

Evidence of Coverage

Sharp Direct Advantage with Dental

English | Spanish

Sharp Direct Advantage without Dental

English | Spanish

Annual Notice of Changes

Sharp Direct Advantage with Dental

English | Spanish

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.

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 form

View PDF | Fill out online

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, 2026

Prior authorization requirements Sept. 1, 2026

Step therapy requirements Sept. 1, 2026

INSPIRE

The exclusive magazine for Sharp Direct Advantage members

2026

Spring/Summer issue

2025

Fall/Winter issue

Spring/Summer issue