To enroll in the Sharp Direct Advantage Medicare plan you must complete the Sharp Direct Advantage enrollment form and then submit this form to Sharp Health Plan via US mail.
NOTE: if you are enrolling your Medicare eligible spouse, they must complete a separate application. We suggest noting on top that this is an application for a spouse and note the retiree's name on the top. If you are enrolling a non-Medicare eligible spouse, they must complete a separate non-Medicare application. Please contact SDPEBA at firstname.lastname@example.org. or call 888-315-8027 for further assistance.
You may also drop the application off at Sharp Health Plan which is located at 8520 Tech Way, Suite 201, San Diego, CA 92123. This office is open Monday through Friday from 8 AM to 6 PM excluding holidays.
You may also drop the application off at the SDPEBA office which is located at 9620 Chesapeake Dr. #203-B, San Diego, CA 92123 or fax to 619.431.3078 or email email@example.com This office is open Monday through Friday 9 AM to 5 PM excluding holidays.