Please give at least 10 glowing, shining, STARS to the amazing SHANIKA at Sharp Medicare customer service! Wow! So incredibly knowledgeable and helpful to me while I was making the important decision of choosing a Sharp Medicare Advantage plan! She was so very sweet, kind, and incredibly patient with my endless (stupid) questions. Amazingly patient with me, as she walked me through the process of choosing and signing up for a Sharp Medicare Advantage plan! Every little thing, she knew it all down to the smallest detail. SHANIKA was immediately able to answer every, who, what, where, when, how, and why detailed question that I asked! WHAT A PRO! From guiding me where to go, what to click, on online, and especially how helpful she was with my unique, and specific questions, such as: How does this part of the plan compare to the other plan options that were available? Why would I choose this option instead of this other option? If I choose this now, can I change it later? Does this plan include my Doctor? My prescription? What option do I enter here? etc., etc., etc., I guess the only question that I forgot to ask, is, can I please talk to Shanika every time I call with a question in the future? THANK YOU AGAIN for all your top-notch, professional, expert assistance! And mostly for your generous patience and kindness! What a pleasure it was to be assisted by YOU! Thank you so much for helping me get signed up today for my SHARP MEDICARE ADVANAGE PLAN! YOU are the BEST! :) I would also love to give a shout-out to SYLVIA at regular Sharp Health Plan, who first helped me get a refund for a credit that I didn't even know I had coming to me, and who was also quite professional, knowledgeable and friendly, and then after our brief conversation, she transferred me to Shanika, without a hitch! And, if you have ever been on a phone call with a business where you are put on hold forever, or transferred to someone else, or to another department and get disconnected, and end up calling multiple times, because you get hung up on, you will totally understand and appreciate how nice it was to NOT have that happen to me today! Everything was smooth as silk! THANKS for all your kindness and expert assistance today too Sylvia! :) Have a beautiful day! read more

This health plan is all about how much money they can make. I will say that all the doctors I have encountered in the sharp system have been 5 star, but everything tanks after the care. I logged into my account and right there on their website it said I overpaid them $499. So I called them and asked for them to send me my money. Simple, right?? Not with this company. Oh, we have to do an audit that could take up to 60 days. So I proceed to tell them that when they sent me a bill for $5000 I paid them. Then I get a bill for $7100, I paid them. But when I ask for my $499 back, from what I am sure is a multi million dollar company they are going to drag it out 60 days, appalling, disrespectful and rude! You call that customer service?? I would rather deal with a shady used car dealer. These people could care less about your health and would rather you be ill so they can extract more money from your bank account. Next is the issue is the pathetic scripts they have the phone operators use. They train horrible phone techniques that are completely condescending. They know they are going to make you angry so on the phone hold pattern, instead of music they have some recording of dude saying, oh the pandemic has been so stressful, please be kind when speaking with us. No joke, call them and you will hear this putrid sermon. I have canceled all my upcoming appointments because I can no longer stomach walking into any building with the sharp name on it. At this point I hope they don't send me my money so I can have the pleasure of setting a court date with them. Minus 15 stars. Top ten executives at this company have a combined salary over 3 million dollars and they are jacking me around over $499. WOW read more

I want to leave an extremely positive customer service review for an employee named Mariann O. She is a customer service phone contact for my Sharp Direct Advantage Medicare plan and I have talked with her a few times and always fabulous help and energy and friendliness. Recently she was a huge help to me as I called first of this week beginning April 12 and had been a week since my PCP had sent in request for MRI and it was still pending. I have been in extreme acute pain in my hips and down left leg and had an X-Ray which said do an MRI next. I called again on Monday April 12 and was still pending, so I called Sharp Direct Advantage Medicare plan customer service number and got her. Explained the situation and she was so on top of it and called Sharp Community Health Plan Utilization Review and talked with someone there who said if it is urgent, the request needs to be sent in as "expedited" for faster approval and it was not sent with that on the request. She gave me the number to call the next day to call and ask for UR and I got a terrific helper on the phone named Shannon Pacheco and she listened to me about my severe pain and need for MRI quickly to help diagnose and she immediately sent in request for an expedited approval, called me back in 10 minutes and said it was done! I called the Sharp Coronado Hospital imaging dept. the next day and they were able to get me in two days later, Thurs April 14, at 6pm for the MRI. I will always be grateful for these two "angels" who helped and cared and were able to get me through the slow system! Teri Louden 619-894-8374 read more

Dear Sharp Healthcare Plan Administrator's, I'm motivated to make known to you that my wife Blanca and I were provided with very competent, informative and professional care from one of your agents named Toni Hardaway. This past Friday, May 20, 2022 I contacted Sharp Healthcare to learn more about your plan, it just so happens that Toni Hardaway was the agent whom I had the initial contact with. I truly feel it was Toni's competence as an agent that convinced me to change from my AARP Medicare Advantage Plan with United Healthcare. Toni was so thorough, but at the same time simplistic in explaining the Sharp Healthcare Plan. My wife Blanca just happened to be sitting beside me when I made the initial call and she too was impressed with the simplistic, clear explanation of what Sharp's Healthcare plan had to offer, so she also made the change from United Healthcare to Sharp Healthcare too. We are both impressed with Toni's knowledge of the Medicare healthcare system. Blanca and I are confident we are in very capable hands with Toni as our agent. Writing this letter is very unusual for me, as a fact I can't remember ever doing something like this in the past, but I felt inspired to inform you of our experience to be enrolled with the Sharp Healthcare Plan and the person who made it all happen is Agent Toni Hardaway. Sincerely yours, Kenneth L. T. read more

It really only takes one person who hears you and listens to make all the difference. After some very frustrating, tears inducing customer service calls, I found a true advocate in Jennifer C. Not only did she listen with an empathetic ear, but she took on my problems helping me untangle the mess of miscommunications from one department to the next amidst all the stressors of 2020. Through her diligence she helped me sort out a pretty complicated max out of pocket (moop) statement assuring that all the right appointments were listed and that I could correctly get reimbursed for the extra thousands of dollars I spend in healthcare in my recovery. Every time I summoned up enough mental energy to do this very annoying customer service call Jennifer's diligence, humor and competence was there to encourage me. Laughter truly is good medicine and an advocate like Jennifer on your side makes all the difference. Sharp is truly lucky to have such a great employee like Jennifer on their team. She is thorough in her job, follows through on her word and does it all with a smile you can feel through the phone. Sharp Health Plan, please recognize this incredible asset you have on your team. She goes above and beyond and deserves to be highlighted, acknowledged and promoted. Jennifer has made all the difference in making me believe in the Sharp Experience. read more

I just want to take a moment to say how appreciative I am of Amanda Abbs, Sharp's Health Coach. My retiring is all new to me as well as the business of signing up for and getting the best insurance that works for me. This is where Amanda came to the rescue. She walked me through everything not rushing me, not sounding frustrated even though she had to repeat things multiple times. Her genuine patience, compassion and professionalism surpasses all. I give Amanda (10 * stars). Now, I didn't think their could be anyone better than Amanda and alone comes Jennifer Catin by way of Amanda. My goodness, my goodness she is absolutely as sweet as Amanda. Jennifer has such an up beat, energetic personality that without even seeing her you know she would light up a room. Just as Amanda she worked hard to make things right for me. I give Jennifer (10 * stars). These two ladies truly made me feel special. To their superior; I never felt a put-on or a front from either of these young ladies. The feeling I got from them felt absolutely genuine. I feel they are true caregivers in every since of the word and is genuinely compassionate about helping others. Sharp Health Plan, they represent you very, very well! Thank you, Amanda and Jennifer. I truly appreciate you both! read more

This review is in regards to JENNIFER. Called to see if hospital bed covered in memory care, it is and the multiple types and how much each cost discussed. Jennifer patiently walked me through that portion of the call and ordered for me. This item was needed immediately. two days later no contact from Super Care who had the prior authorization from the physician. Called back and got Jennifer again she gave me direct number to Super Care but then said let me call and see if I can hurry this up for you, called me back and said should be on its way next morning then called me back next day and said she again contacted Super Care and they confirmed delivery for that day, and it arrived early that morning. Jennifer could have just given me telephone number and let me battle with Super Care on my own but took it upon herself to expedite the order and delivery, ABOVE AND BEYOND on her part, can't say enough about her caring and the extra mile she went. THANK YOU, JENNIFER, for all the hoops you jumped through on my wife's behalf and saving me the aggravation of a phone call that most likely would have frustrated me beyond my patience level. Old fashion customer service like it used to be. read more

Blessed by the Best is how I feel. I've been a member of Sharp Health Plan for many years and they've been beyond amazing! I'm so lucky that over the years... I've been very healthy. I'd just reach out to them annually with any insurance questions, new doctor needs, and/or pharmacy changes, etc. In the early days they helped my husband and I to grow our children up 'healthier' in so many ways because they had such great education and Pediatric providers through SCMG and SRS. And today, we're feeling so extra blessed being able to rely on them for what occurred two years ago. I was at home on a Saturday morning and lost it... literally. Once at the hospital they surprisingly discovered brain cancer. So far that has led to tons of amazing support, from two brain surgeries with Dr. Ostrup, 6 weeks of radiation oncology with Dr. Jabbari and another 10 months of chemo with my medical oncologist Dr. Redfern. My message is this... I am feeling so lucky and grateful to be blessed by the Best. Sharp Health Plan and Sharp Health Care... they have some of the most brilliant, caring and hard working people I've come to know. Thanks to you all! read more

After more than a year with this company, my feeling is this is a typical healthcare organization with the bottom dollar it's most important criteria. Just as a small example, beware the billing. They will have shown bills with an amount due, even when none are due. If you are paid ahead, they send a note saying please pay - $x,xxx.xx by the end of the month. This seems to be an easy, though disingenuous, trick to raise extra funds for a billion dollar company. What they fail to say is you do not have to pay anything. This is in fact a credit. If you call up and question the bill, they admit, the little dash in front of the "Please pay by" number is actually a negative. Apparently they do not wish to change the bills to say, this is a credit, do not pay this bill! There are other even more compelling reasons, including medical issues, I feel they deserve only a two star review but this should give you at least a warning of their bottom line business practices. If a company is willing to cheat a little, they are willing to cheat a lot...if they can get away with it. read more

I just cannot say enough about your staff member and all of her help. Her name is Laquitta G.. Laquitta, spent long minutes over many days with trying to resolve a problem I was having in filling a new prescription. She wrote in an email to my Dr's office, made fallow up phone calls to them and after many fallow up attempts , was finally able to get the office to respond. It took her much time and effort. This wonderful girl stayed on it, calling me and informing me of her attempts and even doing conference calls with me on the line. Laquetta was diligent, highly personable and respectful and most of all sweet and patient with everyone involved, and all we did conference calls with. She even gave a follow up call to me to let me know she had checked it through and finally saw this morning, that the authorization was accepted. All of her time and effort was over and above. Words cannot express my appreciation for this wonderful girl and all her help. She worked effortlessly in many calls to Sharp reprove office as well. Thank you so much for this girl and her help. Dora Magana read more

I would like to acknowledge Zulma for outstanding customer service. I am in customer service myself and I deal with other businesses on a daily basis and for the most part, it's awful. Zulma is the exception! I have been trying to schedule automatic payments for myself and my daughter for almost a year now with no luck. Because we have different plans we can't be on the same account. I have spoken with numerous people over the course of the last year and NOBODY has explained it to me. I just keep setting up what I think are automatic payments, but then get a notice of termination. It's beyond frustrating! I just spent about 20 minutes on the phone with Zulma and she explained everything to me, and walked me through step by step setting up a seperate account for my daughter and then setting up automatic payments for each of us. She really was a breath of fresh air and I hope to have the chance to deal with her every time I call for customer care. Even my assistant said, "finally...someone good in customer service"! Thank you Zulma for all of your help! read more

I called today very upset with what happened to me and issues negatively impacted my supposedly surgery last 23rd of March. In short, my big surgery got cancelled. When a calm voice picked up the phone who listened well despite my bad tone as I spoke on my big complaint/dispute this lady Ms. Mariann O, a great representative of Sharp Health Plan managed to bring down my bad emotion. I also learned that she is a Breast Cancer survivor that's why she fully understand me. She just melt my heart and we work together what needs done. For two hours or more being on the phone with her she managed to take care three different big issues in my behalf and made everything shorten for the review and time limits to 72 working hours. She's just amazing and am sure Sharp Health Plan is so fortunate to have people like Mariann O, representing their Company real well!! Sharp is one of the best health/ medical facility in California, but sometimes things are not perfect. Finding people like Mariann I feel that I am in a good hands with this group. Cora Macahilas read more

I've been a patient of Sharp for a long time through my employer, so when I retired, I was at a loss for what to do once my coverage stopped. Medicare, etc! I called a Sharp representative, and was treated like a queen. It was clear that they had been trained to give the customer as much time as was needed. Later that year, I had questions about something else, so I called again, and once again, was treated like a VIP. Well, today, Mariann topped them all. She is a Customer Care Service rep, and she walked me through all the new perks for Sharp's 2022 Medicare Advantage VIP plan. Now, I really am a VIP! Additionally, she helped me locate a list of dentists, AND out of network agencies for purchasing classes. No time constraints, and such a generous and vibrant personality. Sharp surely has their people trained to provide excellent customer service. Now if only they would provide eyewear allowance for progressives!! I'm a satisfied Sharp customer. Thanks, Mariann, and all the others I haven't named. read more

Sharp Health Plan provides superb customer service, actually premier customer service. I called and spoke with Mariann O. She was truly helpful. She was sincerely friendly, and reached out to her department to find answers to my questions. There was not one question that she did not answer. I was glad that I called. I believe that there is no other Health Plan Company; that would make a caller feel so comfortable and glad that they called. Mariann was very friendly and helpful on the phone. She also gave me information willingly about Delta Dental Services. Mariann O would ask if I had anymore questions. Our call was only 30 minutes, right before her shift ended; I felt that she would of stayed longer to help answer any additional questions, if I would of had any. She emailed a representative to contact me in the morning. And gave me the option of calling Mariann back; if I did not hear back from someone tomorrow. I am very confident and pleased to be joining Sharp Health Plan. read more

I am an agent in San Diego County and one of my clients has had an awful time with billing this year with Sharp. She had a Covered Ca plan last year that her payments for her direct policy kept being applied to, so she was sent multiple double-payment requests, faced plan termination due to non-payment, and even had some one else's payment applied to her account! After multiple calls, promises of getting it rectified, and even being talked down to and her character being questioned by 'Yvonne' on 8/20/18, she gave up and asked me to take it over. I phoned in and spoke with Chris L who was kind, patient, and spent hours reviewing her billing - eventually finding the error and crediting her account. This 5 star review is for you, Chris L. You are an asset to Sharp and an example of a representative that goes above and beyond your job description to ensure issues are handled in an efficient and timely manner. Give this guy a raise! -Jamie V read more

I was so frustrated and was having a 2020 day for sure. I paid my co-pay bill for a doctor appointment I had over the phone and a few weeks later they sent me another bill. i called the number on the bill to inform them that it had already cleared my bank. The person then told me I paid the my dental insurance plan instead. Well, I told her I called the number that said "pay by phone" that was printed on the bill. She kept telling me I called the wrong number, that was for insurance. So I asked her why does it give that number on the bill if that is not the correct one.They transferred me three times until I spoke to Mariann O. regarding the problem and my frustration. She listened to me and realized what I was telling her. She understood my frustration and let me vent. She took care of the problem and will reverse the charge so I can pay it to the correct department. She was very helpful, and I enjoyed talking with her. read more

I called about a month ago to change primary care providers and was told it was done and I should receive a new card within 7-10 days. Imagine my frustration when I called today, as I had not received the card, and found that none of that had been done! I spoke with Gregory T, and he not only help me change my address in your system, but let me know that I need to have my HR department verify that (which I hadn't been told when I updated the address previously), but he sat on the phone with me while I looked over doctors that fit my needs on the website, and provided me with the reference number in case my card does not arrive I can refer back to this - I wrote it down this time! He really turned around a frustrating situation and you guys are lucky to have him on your team! He's giving his all to every situation in an all-around terrible time and he so deserves to be recognized for that! Please consider giving him a raise! read more

I have been with Sharp for most of the last decade for a variety of reasons that all relate to great patient care and service. In fact, Dr. Michael Martin, our family's primary care physician has been terrific. I am writing today to applaud the outstanding service I received when calling the business office this week. There was an accounting concern that caused my Medicare Advantage coverage to laps briefly. Ms. Marianna O. in the business office went above and beyond to do a little investigating and make sure that my coverage was reinstated very quickly. I have been told that sometimes this can takes weeks or even months (because of Social Security, not Sharp). In any event, during these difficult times, it means so much to receive the kind of personal attention and service that resolved my problem very quickly. One more reason while I'll be with Sharp in the future. Amazing resolution. V read more

I started out very frustrated, Sharp Health Plan told me to call my medical provider for my overpayment reimbursement and my provider told me to call my insurance, sigh. After several calls and getting the runaround, I finally asked for a supervisor at Sharp Health Plan. I got Janet D!!! And boy am I glad I got her, she has been amazing. Long story short, months later (because of Covid delays) I should be receiving my reimbursement soon. Janet called me back with updates every time she said she would, she called the providers herself to get my claims reprocessed and she just didn't give up until she got it all fixed for me. She was always very kind and understanding on the phone, I knew I was being heard and I knew she would take care of my reimbursement problems. She said she wanted to treat her customers like her own family. Thank you Janet D. for everything!!! read more