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Coordinated member care

Here’s how your network, plan medical group and primary care physician work together.

Your care team includes your network, your plan medical group (PMG) and your primary care physician (PCP). They are listed on the front of your member ID card.

Your care is coordinated through a physician group called a plan medical group, or PMG.

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You receive primary care, specialty physician care and access to hospitals and other facilities through a physician groups called a plan medical group (PMG). PMGs are comprised of doctors, specialists and other providers who are located throughout San Diego and southern Riverside counties. We have ten plan medical groups:

  • Sharp Community Medical Group
  • Sharp Rees-Stealy Medical Group
  • SCMG Palomar Health Medical Group
  • SCMG Graybill North Coastal
  • SCMG Palomar Health Medical Group Temecula
  • SCMG Inland North Medical Group
  • Rady Children’s Health Network/CPMG
  • Greater Tri-Cities IPA
  • Optum Care-North County SD (formerly Primary Care Associates Medical Group)
  • Independent Providers Network

Where to find your PMG on your member ID card

Sharp Health Plan ID Card - Plan medical group

Plan medical groups are affiliated with plan networks.

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These networks cover specific geographic areas across San Diego and southern Riverside Counties. Members receive covered benefits and services from physicians who are affiliated with their plan medical group (PMG) and who are part of their plan network.

You choose a plan network when you sign up for benefits each year. Once you’ve made your selection, you cannot make changes until the next open enrollment, unless you qualify for a special enrollment mid-year.

Where to find your plan network on your member ID card

Sharp Health Plan ID Card - Plan network

Primary care physicians are affiliated with both a plan medical group and a plan network.

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You can find out which doctors are affiliated with a certain plan medical group (PMG) and network by using our online provider network directory.

You can change your primary care physician at any time by logging in to your Sharp Health Plan online account. If you choose a primary care physician in a different plan medical group — for example, if you are switching from a doctor in Sharp Rees-Stealy to a doctor in the Sharp Community Medical Group — your current referrals or prior authorizations for specialists, special supplies or equipment will be voided. You must ask your new primary care physician for new referrals or prior authorizations.

Where to find your PCP on your member ID card

Sharp Health Plan ID Card - PCP

Questions?

We’re here to help. Send our Customer Care team a convenient, secure message by logging in to your Sharp Health Plan online account.

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