Karla in customer service is great. I have had issues with other reps in the past but she went above and beyond, she was super kind and even made me laugh. I would give 5 stars to Karla alone but since this review is for the health plan in general.. I can only give 4 because of the confusing help (with bills and amounts owed) I've had in the past. The plan itself and the providers are very good if you live in the San Diego area. I would not recommend it if you travel a lot because you will have to use out of network providers and it will cost an arm and a leg. read more

Worst health plan ever. Can't see a doctor if your life depended on it. 3 month wait time to get physical therapy appointment. Prior approval required for recurring medication prescriptions, wait time ridiculous. read more

Because of a mistake made by Covered California, I was billed $187 for health insurance by Sharp that I never used and immediately cancelled. I spent (not exaggerating) ~5 hours total across multiple phone calls trying to get this resolved, and was assured multiple times that I would not have to pay this charge, yet kept receiving calls from their clueless billing department, requesting the payment. Eventually I just ended up paying it to be able to keep my insurance from being suspended, as I was dealing with health issues and had a doctor's appointment the next day. I couldn't help but feel like I was being scammed. Clearly this is just another health insurance company run by heartless, soulless ghouls. read more

This place is the worst I've ever experienced! The staff is not only stressed out beyond belief, but, they don't even seem to be working in unison. I had to give them my ID and insurance information three different times because they kept getting it wrong and I was almost forced to have to pay this on my own instead of my insurance. Beware of this place, they don't seem as though they care much about their patience financial situations. read more

My rating for Sharp went from four stars to two stars in the last 5 years. This is because they have several phone numbers to call, and one will transfer you to another, after you wait on the phone to annoying music. Overall it is time consuming. Their patient portal has changed during the last 5 years and their Over the Counter (OTC) card system is problematic. Aside from these time consuming annoyances, I would give the actual medical care a four star rating. read more

Sharp is an amazing HMO. They have very qualified, knowledgeable, and, for the most part, caring doctors. My family's PCP is Dr. Howard Wynne. We've been with him for years. He and his nurse are very caring and helpful. They listen, they care, they advise, they treat! We couldn't ask for more. The fantastic experiences over the many years doesn't just end with our PCP and his nurse. I've had foot surgery with my podiatrist, Dr. Haji. He and his staff are incredible. Dr. Haji is truly one of a kind. He is the sweetest, most patient doctor I've ever seen. read more

Well, I've been to Sharp hospital several times in the last year or two for surgeries and follow up. Most of my experiences with sharp have been very favorable. In fact that I am at the hospital now. I am a 75 year old disabled senior citizen...and I am diabetic. My hunger last night was quite intense...and each time I asked for food, they denied me and continued to deny me. I couldn't believe. Each staff person kept assuring me that food would be in a few minutes! Not so. Finally, I was over taken with hunger. At 7,:00.p.m I suppose she had to make some kind of story. For treating me that way. Can you believe they took me upstairs and HANDCUFFED ME,!!! I am an attorney at law! So at this point I am reviewing my options. read more

Sharp HealthCare is one of the worst in San Diego. While they have a handful of competent doctors, their radiology and billing departments are abysmal. Not only has radiology misread results and caused unnecessary invasive procedures that led to long lasting complications, the billing department will then submit all of these procedures under the wrong code and leave you to pay for them out of pocket. I once fought an ultrasound bill for two years because Sharp continually submitted under the wrong name. Not to mention the fact that this ultrasound took place before an invasive procedure that was not only unnecessary, but unsuccessful. This all took place in the gynecology and obstetrics department. Do yourself a favor and seek care anywhere else. I recently switched all my care to UCSD and am very happy so far. read more

I have been messaging my PCP's team since Monday for a needed Rx refill. Simple. Every day I send a screenshot and every day there is no reply. My PCP is out until the end of next month. My old PCP has been out for months. I was on the phone for 40 minutes trying to speak with a supervisor. Nothing. I called the "ombudsman" who is out of the office and will take 2-3 business days to respond. I emailed them. They are the absolute worst!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! read more

Absolutely terrible customer service from Sharp Healthcare Billing. I called to pay my hospital bill -- not to argue, not to complain, just to pay. The first person I spoke to, a woman named Maria, hung up on me as soon as I gave her my information. No explanation, nothing. I called back, and the second rep, a male, immediately told me they couldn't verify my info without even letting me finish speaking. Every time I tried to ask a question, he talked over me and just kept repeating, "I can't help you." I'm trying to do the right thing and take care of a bill that's already overdue by three months, and this is how I get treated? It's frustrating and completely unprofessional. Sharp needs to seriously reconsider who they have handling their billing department -- basic courtesy and customer service shouldn't be too much to ask. read more

Bunch of frigging idiots they can't possible make stuff more difficult to communicate, if I'm the dad and my wife is right there why can't I just talk when she doesn't want to talk, worst customer service worst, apps just plain stupid why are kids not set up to be under both parents accounts read more

I am stunned at the negative comments here. I've been with Sharp for decades. The relatively new Sharp online portal works just fine, in my view. From the great care by Dr. Laliotis and Dr. Darlin to my hip replacement surgical experience (and a couple of ER visits), I have experienced nothing but top care...and am now changing my insurance policy to one offered by Sharp. read more

They could update their app and the customer service people who answer the phone. They are no help! Tried to log in with facial that previous set up. It accepts my facial but doesn't let me log in. I have tried several times and called customer service and she was no help and couldn't be bothered. read more

Billing Errors, Incompetent Customer Service, and Overall Lack of Accountability I am deeply disappointed with the customer service, lack of accountability, and borderline fraudulent behavior I've experienced from SHARP. After attempting to charge me for a full office visit for my yearly physical earlier this year, they are now claiming I have unpaid balances related to physical therapy visits this year, despite the fact that all payments were made through an HSA partner. For over a month, I have been in constant communication with SHARP via their app, explaining that the payments were already made. However, SHARP's customer service has shown no interest in contacting their billing partner to resolve this issue. I even took the initiative to contact the partner directly, who sent proof of my payments being cashed out by SHARP. Despite this, SHARP has flagged the payment as past due and is threatening to involve Collections. Most recently, I was told that they can't discuss my issue on the app, even though we have been doing so for a month. They told me to call them directly, but did not give me a phone number. This situation has caused me immense stress, continues to waste my time, and highlights what I originally suspected was an egregious lack of patient advocacy and basic customer care on SHARP's part. I say originally, because now I can only believe that this is all by design: to make money however possible. This is easier to believe than such a large, reputable organization failing so miserably to handle a simple issue that could have easily been resolved with a few minutes of attention from a competent employee. I am left with no choice but to share my negative experience on review sites, hoping it will bring attention to this issue. All I was asking for was for someone at SHARP to take responsibility, contact the billing partner, and remove these erroneous charges. I now believe that I may never see SHARP correct this error, but I will make it a point to dissuade as many people as I can from trusting this healthcare monopoly whose prime directive is clearly to steal money from people in need of care. read more

Dr. Erik Perkins at Sharp Rees-Stealy, Scripps Ranch, is an highly condescending, arrogant, and incompetent neurologist who probably hasn't studied current medical advancement publications since his original medical studies. He's the type of doctor that once they graduate med school (probably with a "C" average) they never expose themselves to new medical breakthroughs and are stuck in their little boxes. His training and knowledge-base can become obsolete, but he doesn't care because that's what he knows. The world can pass him by with remarkable breakthroughs and advancements in his field, but he's still sitting in his little box doing everything the way he's always done them. Never spending any extra time perfecting his experience-base so that he can be at the top of his game. Too many doctors nowadays are content being at the bottom of their game. And patients suffer for it. Based on my appointment with him yesterday, he's just one of those complacent, unmotivated doctors. I have done hundreds of hours of research on MS exposing myself to gov't sponsored/written articles and MDs around the globe specializing in MS, and when I brought up to him new theories that were being discussed in more holistic circles his attitude became condescending and insulting, as though he's the only one that knows anything about MS. Whether or not a doctor agrees with a theory, they should at least be aware of new discussions/theories that are being explored by countless other doctors worldwide, who are either equally qualified or more qualified than he is. And he is supposed to be an authority on MS according to the Google search I performed. His name popped up first for the San Diego area as one of the foremost experts on MS. That's a sad commentary for Sharp Medical Group, if he's considered one of the best on their staff. Dr. Erik Perkins also changed his tune twice with me during this conversation. First when I told him all my MS symptoms began after I got the flu shot in 2014, he said there's no way that it's related. And then within the same conversation, he admitted that the flu shot can trigger demyelination damage in some people. Well, am I a person? Then when I told him I wanted to look for parasites in my spinal tap, because there are some theories out there that say MS may be caused by parasites, he first said he couldn't do that with spinal taps. And when I insisted that, yes he can, based on my research, he spent five minutes on the computer and sure enough I was correct. He did not apologize for his condescending tone towards me. It was clear to me when he resisted taking notes of my long list of physical symptoms that he wasn't here to help me. I actually had to insist that he input my symptoms into the computer so that they would be on my record. When I went back to read his doctors notes, he only listed about 60% of the symptoms I mentioned. I'm not even sure what the last straw was, but I just told him to forget about it and I will go somewhere else to get medical help and a possible diagnosis. Even with two brain MRIs that showed excessive white lesions and cytology blood work that pointed in the direction of MS, and my over 30 different physical symptoms over the past 10 years, with most of them being present yesterday (including a tremor in my right arm and hand and tingling & numbness), he still seemed to skirt the idea that I might actually have MS or some other demyelination disorder. I couldn't help wonder if he got paid for NOT diagnosing people. I ended up walking away angry and made it clear to him that I felt he was incompetent and should not be practicing at all. During this appointment, I was suffering with a multitude of MS symptoms. I went to him to try to get help and all he did was make me feel worse. Why are doctors so darn arrogant? I used to have so much respect for doctors, but now because of doctors like him, I no longer trust them. Any doctor that thinks they know everything, well that's a big red flag that they really are at the bottom of their game, and they're hiding behind their arrogance hoping no one will ever challenge them. And when they are challenged, they respond with disrespect and condescension. That is not someone who is a healer, that's someone there to collect a paycheck. What about the oath of doing no harm? I felt harmed by Dr.Erik Perkins. Medicine should be a collaboration of many disciplines, not a one-size-fits-all "I got the market cornered" approach. Everyone needs to be treated respectfully as an individual with unique issues. Now I am forced to leave the Sharp system to pay out of pocket and pursue on my own through the National MS Society. Finally, I will get my long-awaited diagnosis for what's been ailing me for the past 10 years. If I find I actually do have MS or a demyelination disorder, Dr. Perkins and Sharp will be hearing back from me. read more

I had a surgery by Sharp's provider, but the intended tissue was not removed---This is clearly a provider error, but the insurance only protected its provider, not listening to the customer claim. Totally disappointed. read more

The website is not functional. They operate within a very narrow network so you cannot leave the area of San Diego and maintain coverage but they also make it extremely difficult to cancel coverage. Also the cost is very expensive for having such limited coverage. read more

I had an amazingly positive customer service experience with Brittany P. I was trying to navigate things related to Sharp insurance and Covered California. I was so impressed with how patient, thorough and caring that she was. Insurance can be a very confusing thing, so having someone that really cares that I get the answers that I need makes all of the difference read more

Just got off the phone w -------- and she was very short and obviously not happy w todays callers. Her tone and level of condescension when explaining the difference between a health plan and the app was not pleasing and made me feel less than human, I normally get good service when I call but today was horrible this was a terrible interaction. I was being talked down to and don't appreciate that. She did not even say goodbye she just hung up. Sharp you need to work on your staff and either pay them more so they feel appreciated or do some team training to get this under control. read more

Sharp Health Plan - Insurance Near Me - San Diego, California

I will start AGAIN... I have been Sharp Rees Stealy patient since 2002!! I have never had any surgery since in Sharp health. I went for a minor procedure D&C to Marry Birch facility. The procedure was deleted for approx. 1,5 hours. Finaly, I went to the procedure room at 15;29, procedure started at 15;47 and ended at 15;56. I was out of procedure room at 16;03. Because I am very healthy, active person 5'3", 122lbs my anesthesiologist grade me as ASA 1. After approx. one hour I went home. Sharp health price tag for this 9 min procedure is as price tag for a new car...$47,000.00!!! I would like to know what Sharp health price tag for a total join replacement is ....as a new airplane?!! Happy New Year my follows patients read more

I have been trying to resolve an issue with sharp for almost a year now. I have been charged over $300 for a visit that was covered by my insurance, I have the sharp health plan ID card that shows proof the effective date was 11/8/23. I made the appointment in good faith that I would be covered and it's unbelievable they are still trying to charge me. They are also not covering a session conducted with Mind Path Health, which they are trying to charge me $100 for a session I also had covered by insurance. I've called many times and have not received a call back with a resolution. I need a resolution to this matter. read more

Sharp Health Plan - Effective Date clearly states 11-8-2023 - Insurance Near Me - San Diego, California

Good luck seeing a doctor or getting scanned. CT scans are booked for months. The ER people are incompetent. I wish I never had this insurance. They used to be decent not sure what is going on but if you need immediate help good luck getting any relief or care at all. No north county hospitals other than the worst hospital possible (Palomar) read more

Sharp used to be a halfway decent health organization. In recent years, it just gets worse and worse. The lack of available appointments is terrible. It shouldn't take 2-3 months to see a primary care physician. The new app is absolutely abysmal. If you try to get a cancellation, the app gives you a timeframe but the appointments are gone even before you open the app. If you want a specialist, it's at least six months or more. If you can't pay at your appointment because it was online or their machine isn't working, it harasses almost daily for the $10 copay even though they've already collected hundreds from the insurance. The Wexler office has no humans at any of the reception areas. Today, the app pinged me and said "time to check in". I freaked out and raced out of work thinking I had mixed up my dates, but no, the app has you check in and pay A WEEK AHEAD OF TIME! I sat in the unstaffed waiting area for an hour, before finding someone to ask. My doctor wasn't even in the office. The person I talked to said it happens often and she wasn't surprised. Clearly I'm not the only one who thinks sending a note telling someone to check in and pay a WEEK AHEAD of an appointment is a bad idea. read more

SHP VIP plan is far from a VIP plan. They have contracted with the poorest plan that VIP has to offer. VIP has the worst reviews. they offer an allowance of $350 for frames every 2 years. My experience with Grossmont Vision is terrible. i have had to go back consistently because of faulty frames. They tighten one time and broke and replaced with the same type of frame. when I asked to replace the frame, I was told by Sarah new manager that there would be additional cost $192. This experience has been within the year of purchase. I have submitted a grievance to SHP and been denied and referred to Medicare who has nothing to do with contracting with VSP Vision plan. read more

I love my Sharp doctors, but the VIP Medicare Advantage plan is horrendous. I have been doing battle with their drug provider CVS Caremark and CVS Specialty for an overcharge of $573. I just go in circles from one telephone representative to another. They promise return phone calls, follow ups and escalations to supervisors. I even wrote to the Grievance and Appeals department and 10 days later, no response. If you're considering this Advantage Plan, stop and reconsider. read more

On April 24th, I was very grateful to have spoken with Tina F. at Sharp Health Plan. She was extremely patient and kind, answered all of my questions, & helped me resolve a billing issue with another health care company that I was stressed out about. Thank you so much for the GREAT customer service, Tina! read more

Sharp has been consistently unreliable, disorganized, and unhelpful for me and my family. The care I've received has been similar to not going for care at all. The Drs never have available appointments. My dr suddenly moved out of state and there was no communication from Sharp. And when I called to get an appointment I was told there were no drs taking new patients at the practice and that the only drs in the city who are taking new patients have no openings until December. Specialists I've seen while with Sharp were dismissive and unhelpful. I am very disheartened by my experience. read more

Sharp Medicare Direct Advantage VIP Plan Customer Service has been very helpful. This time, Mariann O. listened to the details of my situation with great empathy and helped me find a new primary doctor who betters suits my needs. I was very relieved at the end of a call I had been dreading. I didn't even have to wait on hold to talk to her! Thank you, Mariann. EDIT: I called back less than an hour later to make a change and Andrea B. took care of it within minutes. I expected the process to be more complicated so it was a pleasure when it went so smoothly. Thanks, AGAIN. read more

I've been having so many issues with this insurance so I finally called Sharp healthcare insurance plan. I spoke to a most helpful representative by the name of Frank. Frank was patient smart and so so helpful! He really went out of his way and helped me so much. I can't even tell you. read more

BE CAREFUL!! SHARP Health Plan is terrible. They scheme against you to steal your money. Then, when you try and cancel. They Won't let you and they won't call you back at all. SERIOUSLY STAY AWAY FROM SHARP HEALTH PLAN. Terrible horrible awful service. read more

My family and I have had Sharp Health Plan for many years now. I've never had any issues with the plan or with customer service. If I have questions or need certain information, I just call and my questions get answered. The wait is usually not very long. I usually get through right away or after a few minutes. Recently, Mariann O. assisted me in locating a Sharp Rees Stealy where I could get the service I needed. She was knowledgeable, friendly, and a pleasure to talk to. I wasn't on the phone very long, but Mariann O. left a wonderful impression and gave such good customer service that I decided to write a review. I don't think there is a perfect health plan out there, but I'm pretty happy with Sharp. The coverage my family has is not bad, and they have many medical offices and hospitals throughout San Diego. read more

My interaction with Sylvia L. is the primary reason I'm providing this 5-star rating. She is a rockstar who helped me work out all the headaches associated with the SHARP billing department. I was overcharged and paid $3k over my out-of-pocket limit to SHARP. After discovering this, I contacted SHARP for a refund I knew I was owed. I've been told over the phone by SHARP representatives that I was due for a refund since November 2022. Various times I've called to check the status of my refund - and received contradicting replies from different SHARP representatives. Some saying it's in the process, and others saying that it hasn't even been initiated and there's no evidence that I'm owed a refund. Mistakes and complications happen, and I'm understanding of that. However, it was frustrating to spend months chasing this large refund I knew I was owed. I was finally lucky enough to get connected to Sylvia L., who went above and beyond to resolve this. She did an amazing job of understanding my situation while also being objective about it. Sylvia was motivated to get to the bottom of where my money went, and resolved this refund issue within a few hours. SHARP is very lucky to have her representing the company. read more

Made a payment plan then was overcharged, called to correct the over charge was told supervisor would call back emailed them many times about the error and requesting call back about erroneous error on their billing department and never heard back. Now forced to file a dispute with my bank. Unacceptable customer service, poor service, and lack of accountability. I have an email of my payment amount, and to charge me 5x that amount and then just not respond is theft. read more

Today, my wife and I had the opportunity to speak with Malique R regarding my health plan. We found that Ms. R was very personable and easy to talk with. She took the time to answer questions and did not rush us, although Sharp had a high call volume. My wife loves saying that Ms. R treated us like a human and not a number. I hope Sharp sees this review and gives her the recognition that we believe she deserves. read more

Massively impacted system. You aren't going to be able to see a doctor for 1-3 months or a specialist for 2-4 months. Then they're likely to rush you through the appointment because they have to see so many people a day. It took me several attempts to find a primary care doctor who focuses on helping me with my health issue rather than getting through the appointment as quickly as possible. Also since they started using the Follow My Heath app I rarely get a call after tests, or even a message in the app, with the results. I instead have to poke through the results myself and try to interpret them. On top of that the app is absolute garbage. It's very hard to make appointments using it, it takes forever to open, and it's poorly organized. read more

I left Sharp for 2 years for another plan when my excellent Sharp doctor retired. Sharp doctors, as well as other medical personnel, are excellent. However, the current impersonal communication system is quite disappointing. I returned to Sharp last year to find a completely different system of patient-provider communication. No longer could I contact my doctor's office directly. When you phone the number on your doctor's business card, it goes to a central office of what appear to be telephone operators that seem to function as gate keepers to your doctor's office. The system appears to be a way to discourage patient - doctor contact. The "telephone operator " interrogates you to decide if you are allowed to be transferred to your doctor's office. They seem reluctant to allow you to even talk to your doctor's receptionist. It seems like it may be a cost cutting measure. You're asked to discuss the medical purpose/details of your call with what appears to be a telephone operator, who presumably does not have the medical expertise to address your medical needs, but interogates you for medical details. It's very frustrating when you join a medical organization to have the expertise of qualified doctors/nurses and then find your issues being addressed by a "telephone operator" or whatever work title they are given. I don't know exactly when or for what reason, in addition to cost cutting, this impersonal communication system was instituted, but I hope that Sharp has an ongoing evaluation of its overall effectiveness. If they are unwilling to return to the traditional patient/doctor system, then at least give patients the option of being transferred directly to the doctor's receptionist. The patient-doctor relationship is critical to a patients confidence that they are well cared for and for engendering a feeling of well-being. That relationship should not be compromised by an impersonal communication system. I hope Sharp will review and evaluate the impact of its current impersonal communication system and consider returning to a system that supports patient-doctor communication. read more

What a Headache to open an account. The old follow my health was easier. This is ridiculous! I had been doing this for more than an hour. read more

Having patients pay for parking to get lab work done is pretty lame. First 10 minutes are free! Bummer getting blood drawn takes 30 minutes. Additionally the phlebotomist on the first attempt went straight through my vein. anything worth doing right is worth doing twice! read more

Excellent above and beyond service from Mariann O. She went so far as to call me back the next day to go over the problem again and get it solved. read more

I have interacted with the customer service at Sharp Health plan many times and they have always been helpful. but this last time Mariann O. went above and beyond to assist me. Not only did she collect all pertinent information and attempt to call the provider, who wouldn't answer the phone, she called me back the next day to follow up and contact them again until the situation was resolved. this above and beyond customer service makes me proud to be a Sharp member! Thank You Mariann O! read more