The UHC Sharp plans are Medicare Advantage Health Maintenance Organization (HMO) and HMO Point of Service (HMO-POS) plans available in San Diego County, California through a defined network of care providers. Specialist referrals are required with these plans.
The UHC Sharp Medicare Advantage plans include benefits in addition to those covered under Original Medicare, including an integrated Medicare Part D prescription drug benefit:
- UHC Sharp Medicare Advantage ValueRx CA-12P (HMO-POS)
- UHC Sharp Medicare Advantage CA-026P (HMO-POS)
- UHC Sharp Medicare Advantage CA-001P (HMO-POS)
The UHC Sharp Chronic Condition SNP plans combine the hospital and doctor coverage of Medicare Parts A and B with Part D prescription drug coverage. These plans provide specialized benefits and services for Medicare beneficiaries with chronic conditions such as diabetes, heart failure and/or cardiovascular disorders:
- UHC Sharp Complete Care CA-15P (HMO-POS C-SNP)
- UHC Sharp Complete Care Support CA-6AP (HMO C-SNP)
Health Maintenance Organization (HMO) plans have a defined network of contracted local physicians and hospitals to provide member care. Generally, members must use these care providers to receive benefits for covered services, except in emergencies.
Point of Service (HMO-POS) plans include all the features of HMO plans plus the ability to go outside the contracted network for certain health care services - typically at a higher cost. Some POS plans only cover out-of-network dental care.