ComplaintsforSharp Health Plan

• Initial Complaint

  05/14/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  On March 1st, I began coverage under Sharp and was signed a ******* Care Physician. After over 2 months of trying to call or schedule an appointment with my PCP, I was informed by Sharp that they are 'per diem' and I cannot make appointments with them. Following this revelation, Sharp updated my PCP, but it will not go into affect for another 3 weeks. The result of Sharp's negligence in assigning me a PCP, I have had to go without proper medical care for 10 weeks, and I now have to tolerate 3 more weeks without a doctor. I've spent hours on the phone trying to resolve this and now I am desperately low on my medication that cannot get refilled. Every time I make a new appointment, I quickly get a call from Sharp and my provider telling me that my medical care will not be covered. It appears that I will finally have a PCP at the start of June and hopefully that it a full resolution to this issue. I am writing a review to highlight the immense emotional and physical harm that I have gone through as a result of Sharp's irresponsibility as a health insurance provider.

  

  Business response

  05/14/2024

  Confirming receipt.  We will review the concerns raised and provide a response.

• Initial Complaint

  02/12/2024

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  When I turned 26 years old, I applied to Sharp Healthcare through COBRA CalPers on mid-November 2023 to continue my coverage. I wasn't notified that I was covered until December 14, 2023 (the date I received my health plan card and ID), but the notification didn't include any prices; therefore, I called the next day to figure out how much I had to pay, but Sharp couldn't tell me since they still didn't have that information, so I called every day until December 21, 2023, when I was told I had to pay $780.46. That's an amount I am not able to pay since I am only a part-time worker, so I immediately cancelled my plan.On January ****, I received a bill stating that I had to pay that previously stated amount if I wanted to keep my coverage, but I'm no longer covered by Sharp, so I called on January 11, **** to figure the issue; after explaining my situation, the person who took my call stated that it was an error, and that I shouldn't have received that letter, so I didn't have to do anything. However, this month I received another letter stating the same thing as the previous letter, so I called again, but this time I was told that I had to pay because I was "covered" for the full month of December 2023, when in reality I wasn't notified of that until December 14, and wasn't notified of the price until December 21.In summary, Sharp Health Plan wants me to pay for a full month after they had already told me I didn't have to pay anything, and I wasn't notified that I was covered by them until midway through the month, meaning that I couldn't access their services had I tried before December 14. I also never used their services during the month.

  

  Business response

  02/14/2024

  Thank you for your inquiry.  We are sorry to hear that you were not able to easily find out what your premium amount would be for COBRA continuation coverage.  Your enrollment in COBRA coverage is managed by CalPERS.  We have notified CalPERS that you would like to cancel your COBRA coverage effective December 1. You have no premium amount due to Sharp Health Plan.  Please disregard any premium bills sent to you previously.

  If you are still interested in health coverage, we encourage you to contact Covered ********** at www.coveredca.com.  You may be eligible for a premium subsidy to reduce the amount of your monthly payment.

  Customer response

  02/17/2024

  
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution would be satisfactory to me.  I will wait for the business to perform this action and, if it does, will consider this complaint resolved.
  
  Regards,
  
  Csar *********************
  
   
  

• Initial Complaint

  01/11/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  This is the shittiest health plan in all of California. All I have done is file a complaint in almost every interaction. Right now, the CSR refuses to acknowledge the price for care as quoted by Covered CA, nor tell me any relevant information, nor acknowledge that $500 a month is a ridiculous price.

  

  Business response

  01/11/2024

  Hello, 

  Simply confirming receipt of this complaint.

   

  Thank you,

  Gigi 

  Customer response

  01/11/2024

  there is no response. All anyone has ever done is confirm receipt of complaint. No one js ever effing cared that my knees and back bother me, that I pay out of pocket for care elsewhere, that the csr’s just legitimately do not deserve employment, that the doctors DO NOT CARE. This is the worst plan in the whole ass state. And they think it’s acceptable to charge 500+ a month for it. For what?! For nothing!? Am I feeding an entire village in Africa for this money, that they don’t speak English and never went to school and that why I get no care?! WTF! 
  The last csr at sharp refused to help and told me to call covered ca. that car was better by a million times! And she said I did the right thing by calling sharp and that I should call them back and put them on 3way with covered ca. the sharp car should have done that in the first place! I am so tired of the shittiness of this plan. Who can I freaking escalate this too?! 

  

  Business response

  01/23/2024

  We apologize for the difficulties you have experienced as a Sharp Health Plan member.  Our records indicate that your concerns are being addressed through Sharp Health Plan's grievance process.  We take each member concern seriously and a thorough review is conducted of the issues raised. Because of the sensitive nature of health care services, we have not provided a detailed response here. Responses will be provided to you in writing after the grievance review is completed.

  Customer response

  01/24/2024

  no no no

  you are not responding because you are lazy. 
  

  you are lazy in your medical care when you say “you can’t help me” you’re a freaking hospital for Christ’s sake. You are lazy in your medical care when you say “it’s a medical mystery”. You are lazy when you say “well that’s normal” when something is bothering a patient. 
  

  you are lazy in your administrative tasks when my billing is not correct. You are lazier when your only response to it is “it had to be manually done”. I’ve never heard people complain so much about having to do their job before. No one is even asking you to do it quickly or well, just at all. 
  

  you are lazy. Lazy. Lazy. 

• Initial Complaint

  10/23/2023

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  Sharp Health Plan continues to mail multiple "Important Plan Information" 'offers' each year regarding their ******** program, soliciting their ******** health care program(s).I have called their office in the past to be taken off their mailing lists.I have registered in writing with the Opt-Out Program for permanent removal from the Consumer ************************* lists to businesses that send credit and insurance offers through the mail.Sharp Health Plan not only ignores my requests via phone to be removed from their mailing lists but also is in direct violation of the Opt-Out, Do Not Mail list.To have this matter resolved, Sharp Health Plan needs to remove my name - and any other name associated with my address - permanently. I would appreciate verification of this in writing.Thank You.

  

  Business response

  10/26/2023

  We apologize for the frustration related to receiving mailings that you are not interested in.  We were not able to find any record of ******** mailings sent to you on behalf of Sharp Health Plan, but we have added your information to our do not contact list.  We also checked with Sharp HealthCare, who also sometimes sends out mailings regarding ********.  They have added you to their do not contact list as well.

  Customer response

  10/26/2023

  
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution would be satisfactory to me.  I will wait for the business to perform this action and, if it does, will consider this complaint resolved.
  
  Regards,
  
  *****************************
  
   
  

*Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business. ↩