After submitting this form, the change will be effective on the first day of the following month. You should receive a new Sharp Health Plan member ID card with your new doctor’s information 5 to 7 business days before
the effective date.
Switching plan medical groups
If you’re choosing a primary care physician (PCP) in a different plan medical group — for example, if you’re switching from a doctor at Sharp Rees-Stealy to a doctor at 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.
Search for a doctor
Be sure to make note of the doctor’s 10-digit Provider NPI. This ID number is required to complete the form.