Mariann O. was so incredibly sweet and helpful. She was patience and helped me find what a needed, you can tell she really cares about the person on the other line. She always has a very kind and calming voice which was nice cause I was stressed about having to find a new doctor. She took the time to help me go over the options and my next steps. I enjoyed her positive vibes and genuine interest in me finding a good doctor. She clearly has a lot of empathy and wants to help people. We definitely need more people like her on this earth. 5 stars. read more

Mariann O. is great! I was so frustrated in regards to my son's insurance. I was transferred to different #'s and no one can actually help me. Thank God, Mariann was able to help me. It was kind of a complicated issue but she was so patient to assist me. Thank you so much again! read more

I am not sure why Sharp keeps getting all these awards when they do the minimal amount of work. Unfortunately the mental health is one of the worst plans, If your mental health is not good your physical health will surely deteriorate. Psyche Services of San Diego, I spoke to a few people from Sharp and they advised me they would get back to me in reference to my complaint on mental health and of course no one ever did. Its a shame because they could have the complete package. read more

The Sharp Health POS plan is very poorly administered. Despite having met my out-of-pocket maximum for the year, they continue to process all new claims incorrectly. My account has been audited multiple times and their only solution to this problem is to audit the account again (three times so far, and a fourth audit will now be required because of additional incorrectly processed EOBs). There does not seem to be any level of communication between the department that is producing the audits showing that my OOPM has been met and the department that is processing new claims. Based on my frustrating experience, I would not recommend this plan to anyone. read more

I Want to say the lady who helped me this as afternoon, did seem very pleasant and was trying to help. I was dismayed and unhappy with the numbers she was quoting me, but that's not her fault. So I'm giving 4 stars now, because of her, otherwise would be three for the abysmal costs... I'll return after I've had my doctors visits. read more

Sylvia L. assisted with a nearly 3 week long issue between specialty clinics and my primary care clinic, regarding referrals and my insurance coverage. I am grateful for the excellent customer service I received from her. read more

I had Aetna Healthcare and was on the phone almost every month to discuss billing errors. Every year I had Aetna coverage, I was required to complete documents that were very time consuming and oftentimes I was informed by Aetna that more information is required, and/or that they didn't receive the documents. My insurance broker recommended I use Sharp Health Plan and I am very happy. I contacted Natasha in billing today and she was fabulous as she reviewed my account and resolved my issue. Aetna needs a Natasha in their company. Thanks, Natasha! read more

I called in and spoke to Elizabeth and she was really helpful in getting me the information I needed quickly & easily. Thank you! I'll definitely be calling back if I need more help in the future. read more

Sylvia L in customer service is absolutely wonderful she couldn't of been more helpful in assisting me with an urgent matter for one of my clients now if I could just get this type of customer service from other insurance carriers my life would be much easier thanks again Silva you're great! read more

I had questions about my Insurance coverage and called to see if things my doctor recommended were covered or not. I spoke with Mariann O and not only was she congenial, caring, and helpful but she was able to answer all my questions in a way that was easy to understand. Thank you Mariann! if everybody was as friendly as you, this world would be a better place. read more

Made a Sharp Medicare Advantage Plan phone payment for my husband today, and the rep I spoke with - Mariann - was extremely helpful and made some great suggestions for us in obtaining PHI forms to have on each other so should there ever be an emergency or one of us incapacitated, the other can easily be signed up to give and get info on our accounts. Thank you, Mariann! It's always nice to speak to someone who goes above and beyond. read more

honestly if you constantly used the services every month or often, I'd understand the high price for insurance every month but if your healthy and barely use it then what's the point and even then thats the for the least expensive option they give you. Couldn't afford this and now I have to leave. Definetly not going to come back. if you can afford it and like it, good for you. I'm not going to lie and do wish there wasn't a fine to be uninsured. Not everyone can afford that without risking losing a home because your trying to make payments. sorry NOT sorry. I do give credit to the very friendly atmosphere given by employees. always felt welcome and had my feelings considered by the doctor. read more

Had questions about my new plan today and Marianne O couldn't have been more helpful!

Friendly and caring. Verified my coverage and put my mind at ease. I appreciate her quickly finding the answers I needed. Thank you Mariann O. read more

I have been a Sharp member for the past 3 years and haven't used it too much until getting pregnant in January. I have been so impressed with the care that I have received from all the staff, nurses, and doctors. I would highly recommend working with them. They are quick to update Follow My Health with my health information. I haven't had a negative experience. read more

I'm sorry I did not retire earlier if i had known my coverage was so good I would have retired four years ago!!! Sharp Direct advantage VIP. Get this plan zero premium. I love Mariann O What a great customer Rep. read more

LONG waits to see drs and when you finally do, they are so over worked and preoccupied that your health suffers. I pay extra for the plan and am treated like an HMO. You MUST get approval and referrals for everything and WAIT. They claim to be better but they are no different then all other gatekeepers. Switching back to UCSD, never should have left. 3 weeks to get a cardiac monitor for my young son and am still waiting for results 9 days later? read more

I'm have not received the medical attention I need. I have not been contacted about the results of testing or follow up. I have not received the immediate medical attention. I feel ignored and helpless. So far my experience has not been particularly good. Why is it so difficult to get help? read more

I must say that Mariann O. was most helpful. We moved back to California and my wife's Medicare plan needed to be changed. Plus my plan needed to be changed. We look forward to services of Sharp Reyes ! read more

I couldn't even get a flu shot at RiteAid or Costco. They only cover it if you go to one of their flu shot clinics or doctors office. I am out of state and told them I needed it today, I have a newborn baby nephew on the way, and they told me I'd have to go to the EMERGENCY ROOM or an urgent care. Not only is that a disgusting misuse of emergency services, it doesn't make any sense because the copay for one of those visits would be just as much as paying out of pocket for the flu shot. The most basic insurance plans cover the flu shot at your local pharmacy. Pathetic. read more

Called today to get some information on my health plan as I just got insurance through my company and had no info on it whatsoever. Mariann O was not only very helpful in finding my policy but she was patient, kind and courteous as well. Talking to people like her ease my mind and offer such a great experience. I have gone over a year without insurance and she made my task to schedule an appt with a primary care physician quick and easy! Thank you Mariann for your excellent customer service! I have gotten my appt and will be FINALLY seeing a Dr very soon thanks to you and your help in locating my policy information! read more

Never again. To sum it up Sharp doctors suck! Sharp Hospital emergency room out sources their quack emergency room doctors which are horrible. I can't wait to change this insurance and go back to my Scripps Doctors. Never again! Hey Sharp, remove my 100.00 co payment from my emergency room visit where your doctor was a big joke! read more

I had a somewhat unusual switch from one CoveredCA case # to another, but while trying to retain the same coverage with Sharp. I was going back and forth with CoveredCA and Sharp and it was getting frustrating to say the least. But when I finally got a hold of Lorenza in the back she helped out a lot. She was able to contact Covered CA and solve the problem. She returned my calls in a timely manner and always had a pleasant attitude. Thank you! read more

After spending over 30 hours on the phone with other companies trying to sort out my insurance from their issues, I was able to talk to Sharp and FINALLY get some help! Thank you so much Yvonne!! She helped me more in ten minutes than other companies did in the last month. I am so grateful for the advice and walking me through steps to set me up for success. She explained everything very simply and we went through the process together. AMAZING! A serious relief from so much other nonsense. I can't say THANK YOU enough to her!! read more

I spoke with Mariann O today and she was extremely helpful assisting me with some questions I had regarding an account with Sharp. She took the time to call an outside agency for me regarding clarification on a statement my son received. The information she gave me helped answer all the questions I had and I truly appreciated her assistance. She took the time to listen to my concerns and was very pleasant. Mariann definitely provided me with the Sharp Experience! read more

My husband and I are approaching 65. We're both still working but exploring our Medicare options. We've been with Sharp many years and are very happy with our doctors. With all the different companies providing Medicare and all the different options, we had a lot of questions and were particularly concerned about the "penalties" you hear about. I called Sharp had the good fortune of speaking with Aubrey. He was very personable and extremely knowledgeable. He answered all my questions and provided me with his contact number in case I had more questions. I felt much more informed after speaking with Aubrey. He made a convoluted subject like Medicare about as straightforward is it could possible be. We'll most likely stay with Sharp when we sign up for Medicare due in large part to the great customer service provided by Aubrey. read more

I had the pleasure to chat with Mariann O today due to a couple health insurance questions. Not only was she so informative and helpful but she also brightened my day. I love sharp health plan! read more

Sharp Health has been a significant help in my physical and insurance life. They are always helpful, have great suggestions and ver friendly. Their doctors are quality and deserve our respect and support for working through this difficult time.I especially want to thank Maryann O. Who helped me get exactly the right contacts for my specific situation and she is a lovely person to share with. Godspeed all of you at Sharp. read more

Worst insurance I have ever had. First off you will never be able to contact your doctor directly. You have to go through a automated phone system and then get transferred to a operator that makes appointments for you. So when you have questions they can not answer them, they have to email the provider and call you back. Whenever I needed an appointment my primary care did not have any availability for 2 weeks. Let me tell you I pay 400+$ a month and i still have to pay 75$ co-pay as well as 100$ for a specialist. When I finally got referred to a specialist it took 8 months to get an appointment! Now I can't get treatment done with him because I will change insurance since 2019 their premium is going up by 30% !!! Ridiculous! read more

Marianne O. was a very friendly and helpful associate. Honestly, everyone from SHP has been helpful, despite the continuous issues that seem to arise with my coverage. If they feel they cannot help me, they lead me toward someone who can and effectively help solve the issues at that time. read more

Sharp Health Plan is trying to reduce costs. I get it. But some of the cost cutting measures are questionable. Asthma medications are expensive, so they no longer cover the priciest ones, which requires patients on those medications to change to lower-priced asthma medications. It also takes 2-4 weeks for the old medications to wear off and the new medications to take effect. There was also no advance notification of patients that this was going to happen. I guess they didn't want us to stock up on our old medications. After 3 weeks on an alternate medication, my lungs started bothering me, so I switched back to my previous more expensive medication which I know works. I also asked for a refill of my old medication. It was denied and I got another cheaper asthma medication to try. So now, I have uncontrolled asthma on a new medication, my lungs are bothering me again and it will take weeks before I know if the new medication is working or not. A better strategy would have been to go back to the medication I know works until my asthma is stable again and then try the new one. A second problem I had with Sharp Health Plan this year was I renewed my coverage in October 2019 and I didn't get my card and coverage documents until well into January. Good thing I didn't need to use my coverage at the beginning of January. read more

Review for mental health services only. 1. TMS magnet therapy for treatment resistant depression denied, twice, despite the fact that they offer it and it has some reasonable evidence behind it. They insist on ECT shock treatment first, which causes anterograde amnesia among other awful side effects. First, do no harm. 2. Could not get PCSD-contracted psychiatrist or psychologist to sign FMLA leave form. A very simple thing that would have meant a lot to me to keep my job but they wouldn't do it and wouldn't return my phone calls. read more

There's nothing scarier than that moment that you figure out that your child is sick or injured. Having faced death a couple of times I can promise you that I would take that any day of the week over seeing my child suffering. And so it was with us just a short while ago when our son's school called; his neck was in tremendous pain and we needed to come pick him up immediately. So we picked him up and called and set up an appointment with the doctor, ready to take him in to be seen, when we received a call back; there was a problem with his insurance. As it turned out, the automatic payment I had thought I had set up never went through, or I had simply forgotten to hit send (quite possible with my memory problems, but my health concerns are a topic for another thread.) As the conversation continued, things continued to look bleaker for us when we discovered that the termination letter for the account had been sent the day prior. Our son was uncovered by insurance, and there was nothing that we could do until open enrollment. The grace period had been there, but the stacks of mail that had accumulated during my illness had included those bills. My heart sank and I fell silent on the phone, when Sylvia Leitzll said some words that restored a glimmer of hope; "hold on, let me have another word with billing." It must be said that throughout the entirety of the conversation Sylvia had been working to figure out how to help me and my children, had been so incredibly courteous and kind that it felt as though her heart broke with mine at the news. I cannot remember how much time she spent talking with the billing department, but after one other attempt to get everything reinstated didn't work (as my other son's policy had found the same situation and fate) she refused to give up. With another quick call to the billing department (while I got to listen to the actually incredibly soothing classical guitar music) she was able to achieve what I had thought to be impossible: we were going to be able to get the plan reinstated! Sylvia continued to work through everything with me, kindly reassuring me through my tears, and working to get everything taken care of quickly so that I could help to tend to my sick child. It is incredibly rare to find someone so dedicated to helping others in customer service (and I have encountered some truly incredible customer service in my time) but Sylvia today went truly above and beyond to help in ways that I hadn't thought possible. Through my heartbreak and panic, she remained calm and determined to help, and even helped me to laugh to break the ever-mounting mountains of anxiety surrounding the health of my children. The world could learn a lot from Sylvia Leitzll, and even with my memory problems, Sylvia's name is one that I will not soon forget. From my wife, children and I all, thank you from the bottom of all of our collective hearts, and thank you Sharp for having the flexibility and kindness built into your organization to help people like us. read more

Mariann O was incredibly helpful when I called in with a few questions re: plan coverage. She also alerted me to opportunities presented by the plan of which I was unaware. Significant savings because of her help! Great work, Mariann! read more

Mariann O. was an absolute pleasure to work with. I called regarding a bill that keeps getting sent back to me by LabCorp (ugh) and she walked me through the process on her end - what she was looking up, what she was seeing, possible reasons for the bill being sent back to me, etc. I've never had a "bad" experience with customer service at Sharp, but this was by far the best experience I've had. If I could request someone to speak with whenever I need to call in I would request her. **To add, the bill being sent back to me is an issue with LabCorp, not Sharp. read more

Mariann O. is super helpful! She walked me through the steps to make a payment and sign up for auto pay. She is very pleasant!

I changed plans and have had to do a lot to get everything in order, I called sharp and got Sandy O. She has been amazing in helping me cancel and sign up with my new plan. We have been dealing with this for a few days and she has been patient, caring, concerned, and extremely courteous. I want to thank her and her patience. Customer service like this makes it easy to deal with any company and a pleasure to deal with. Everything is good to go and I want to acknowledge Sandy for going above and beyond to make sure all was taken care of. read more

This is not about my personal experience at a Sharp Hospital facility but with Sharp Health Care as a Company. Unlike almost Every large hospital system in the Country, Sharp in San Diego tells some of its doctors they are NOT to take Medicare patients, even if they pay Cash, -- even pre-pay with it. This includes, get this, not even seeing them in their private practices outside of the hospital itself! (And no, Not misinformed- as I have this verbatim, in writing!) That would be major Discrimination against a majority of senior citizens! This is almost certainly because Sharp has its own Medicare Advantage program, (blasted on several freeway billboards in town), and there will always be major competition between Medicare Advantage and Medicare. If Sharp can get you in their Medicare Advantage program, (and out of Medicare) ---- they have you and your money locked into their system. (And FYI folks, unlike Medicare - Medicare Advantage can deny coverage when you really need it - at their discretion!) I welcome Sharp to deny any of this because it is something that needs to be addressed openly and/or reported to the Insurance Commissioner as possibly illegal, and definitely an Unethical business practice that should make anyone think twice about Sharp! And it is more than likely that this ugly policy goes beyond Sharp San Diego. read more

Mariann O. was wonderful! She was friendly and patient with my numerous questions. She corrected the Primary Physician assigned, she directed me to the PHI form. She wasa great and helped me understand the different "medical groups". Love Sharp Doctors and Love the Customer Service too!!! read more

Today I needed to call to check what our benefits were so I called the number provided in the card. The system was easy and direct to what I needed. It connected me to Heather Edwards who was very professional and fast assisting me with the information. Thank you for make it easy and fast to find the help we need! read more