Anastasia Savvina Carrier News, News, San Diego

Sharp Health Plan is currently implementing a new core administrative system. This system upgrade will help them meet the needs of the evolving healthcare industry. With this upgrade, they will update the names of all small group HMO medical plans as outlined below.

It is important to note this change will have no impact on the previously released rates for Q4 or plan benefits — this is strictly a name change to help them align their portfolio. View the Q4 rate update article to learn more about the rate impact.

Name Map for Non-Mirror Plans:

Current Plan Name  New Name effective 10.1.17
Sharp Platinum 90 Sharp 0/10/300 Platinum HMO NG 1
Sharp Platinum 90 Sharp 0/10/350 Platinum HMO NG 9
Sharp Platinum 90 HMO 0/15/250 A Platinum HMO NG 2
Sharp Platinum 90 HMO 0/20/250 Platinum HMO NG 8
Sharp Platinum 90 HMO 0/20/300 Platinum HMO NG 5
Sharp Platinum 90 HMO A 0/20/500 Platinum HMO NG 3
Sharp Platinum 90 HMO B 0/20/500 Platinum HMO NG 7
Sharp Platinum 90 HMO A 0/20/1000 Platinum HMO NG 4
Sharp Platinum 90 HMO B 0/20/1000 Platinum HMO NG 6
Sharp Gold 80 HMO 0/30/30% Gold HMO NG 5
Sharp Gold 80 HMO 0/40/40% Gold HMO NG 4
Sharp Gold 80 HMO 0/35/1500 Gold HMO NG 1
Sharp Gold 80 HMO 0/30/1000 Gold HMO NG 2
Sharp Gold 80 HMO 0/40/1000 Gold HMO NG 3
Sharp Gold 80 HMO 500/10/50% Gold HMO NG 7
Sharp Gold 80 HMO 1000/30/30% Gold HMO NG 6
Sharp Silver 70 HMO 1750/40/40% Silver HMO NG 1
Sharp Silver 70 HMO 2000/40/50% Silver HMO NG 2
Sharp Bronze 60 HDHP 6500/60/50% Bronze HDHP NG 1

Name Map for Mirror Plans:

Current Plan Name New Name effective 10.1.17

Mirrored plans (These are the plans  and networks available through Covered CA and direct)

New Name effective 10.1.17

Pseudo-Mirrored Plans (These are the same benefit plans as through Covered CA but available on other networks: offered direct only)

Network Descriptions Network 1 = Premier Network

Network 2 = Performance Network

Pr/V/C = Premier, Value, Choice

Pe/V/C = Performance, Value, Choice

Sharp Platinum 90 HMO 0/15 + Child Dental 1 Sharp Platinum 90 HMO 0/15 + Child Dental Network 2 Sharp Platinum 90 HMO 0/15/10% + Child Dental (Pr/V/C)
Sharp Platinum 90 HMO 0/15 + Child Dental 2 Sharp Platinum 90 HMO 0/15 + Child Dental Network 1 Sharp Platinum 90 HMO 0/15/250 + Child Dental (Pe/V/C)
Sharp Gold 80 HMO 0/30 + Child Dental 1 Sharp Gold 80 HMO 0/30+ Child Dental Network 2 Sharp Gold 80 HMO 0/30/20% + Child Dental (Pr/V/C)
Sharp Gold 80 HMO 0/30 + Child Dental 2 Sharp Gold 80 HMO 0/30 + Child Dental Network 1 Sharp Gold 80 HMO 0/30/600 + Child Dental (Pe/V/C)
Sharp Silver 70 HMO 2000/45 + Child Dental 1 Sharp Silver 70 HMO 2000/45  + Child Dental Network 2 Sharp Silver 70 HMO 2000/45/20%- 20%  + Child Dental   (Pr/V/C)
Sharp Silver 70 HMO 2000/45 + Child Dental 2 Sharp Silver 70 HMO 2000/45 + Child Dental Network 1 Sharp Silver 70 HMO 2000/45/20% – 300 + Child Dental (Pe/V/C)
Sharp Silver 70 HDHP HMO 2000/20% + Child Dental Sharp Silver 70 HDHP HMO 2000/20% + Child Dental Network 1 Sharp Silver 70 HDHP HMO 2000/20%/20% + Child Dental (Pe/V/C)
Sharp Bronze 60 HMO 6300/75 + Child Dental Sharp Bronze 60 HMO 6300/75/100% + Child Dental Network 2 Sharp Bronze 60 HMO 6300/75/100% + Child Dental (Pr/V/C)
Sharp Bronze 60 HDHP HMO 4800/40% + Child Dental Sharp Bronze 60 HDHP HMO 4800/40% + Child Dental Network 1 Sharp Bronze 60 HDHP HMO 4800/40%/40% + Child Dental (Pe/V/C)
Existing Groups

Please advise your existing small group clients that this update has also resulted in new Employer Account numbers (group numbers) for all active employers. As such, all active members will receive revised ID cards to reflect this change.

Additional details will be released as they are available from Sharp Health Plan.