Your primary care physician (PCP) is who you will see for a checkup or routine care, advice about a health problem, or if you're sick or hurt. Call your PCP first for all of your health care needs.
Our members receive primary care, specialty physician care and access to hospitals and other facilities through plan medical groups. These groups include your PCP, specialists and other providers.
If you have a medical concern or need a follow-up appointment, a video or phone visit1 might be the ideal option.
Visit an urgent care center in your plan medical group2 for medical attention when your life is not in danger. If your life is in danger or you're at risk of permanent disability, call 911 or go to the emergency room right away.
MinuteClinic is the walk-in medical clinic located inside select CVS Pharmacy® stores. MinuteClinic provides convenient access to basic care without an appointment.3
With hospitals throughout San Diego and southern Riverside counties, we’ve made it convenient for you to get quality care. Find the one associated with your specific doctor or plan medical group.
Every time you talk to a health care provider — PCP, specialist, a nurse or another person on your care team — we recommend asking these three basic questions:
Anytime! For example, you can ask your PCP questions during your visit, before or after your physical exam or medical test. You can ask your nurse when you are having your vital signs taken. You can also call the Sharp Health Plan Customer Care at 1-800-359-2002.
Let your PCP, nurse or provider know if you still don’t understand. You could say, “This is new to me. Will you please explain that to me one more time?”
Know that you aren’t alone, and it’s OK to feel nervous — everyone wants help when it comes to understanding health information. When you see your doctor, specialist or nurse, take your time in asking questions. You should never feel rushed or embarrassed if you don’t understand something. It’s OK to ask your provider as many times as you need to.
Registered nurses are available through Sharp Nurse Connection® after hours and on weekends. They can talk with you about an illness or injury, help you decide where to seek care and provide advice on any of your health concerns.
Call 1-800-359-2002 from 5 pm – 8 am, Monday to Friday, and 24 hours on weekends.
When faced with a medical emergency while traveling 100 miles or more away from home or in another country, we connect you to doctors, hospitals, pharmacies and other service providers.
Some medical services or treatments will require our approval before the service or treatment can be performed. Your primary care doctor can assist you with the process, but get the facts for yourself on how to obtain prior authorization and precertification.
We provide free interpreter and translation assistance for all members. For assistance, call Customer Care at 1-800-359-2002 and let us know your preferred language. We're glad to help.
Download the provider and pharmacy directory that lists all primary care physicians, hospitals, urgent care centers and pharmacies in your network. If you are unsure about which provider network you belong to, you can find the name on the front of your member ID card.
Some hospitals and other providers do not provide one or more of the following services that may be covered under your plan contract and that you or your family member might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion. You should obtain more information before you choose a plan. Call your prospective doctor, medical group, independent practice association, or clinic, or call Customer Care at 1-800-359-2002 to ensure that you can obtain the health care services that you need.
1. Select doctors offer this service.
2. You may need prior authorization from your primary care physician. You must use an urgent care facility within your plan medical group unless you are traveling outside San Diego or southern Riverside counties.
3. Your share of the cost for a MinuteClinic visit is equal to what you pay for a PCP office visit (deductible may apply). There is no copayment for flu vaccinations.
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