Get the care you need, as soon as you need it

Whether you’re looking for care after hours, with a specialist or outside of San Diego, we offer several options for you.

Your primary care physician

Your PCP is who you will see if you need a checkup or routine care, want advice about a health problem, or get sick or hurt. They provide care as soon as you need it, listen carefully, and explain things in a way that is easy to understand. Call your PCP first for all of your health care needs.


Your plan medical group

Our members receive primary care, specialty physician care and access to hospitals and other facilities through several physician groups called plan medical groups (or PMGs). These physician groups or PMGs are comprised of doctors, specialists and other providers. Your PCP is affiliated with a plan medical group.


Video and phone visits

If you have a medical concern or need a follow-up appointment — and you’d like to save a trip to the doctor’s office — a video or phone visit1 might be the ideal option. Plus, you’ll be able to have your appointment from wherever is most convenient for you.


House calls for Sharp Community Medical Group members

Instead of going to the doctor, what if the doctor came to you? In early 2020, comprehensive care will be available in the comfort of your own home.

House calls will be available for Sharp Community Medical Group (SCMG) members for the same copay as a primary care office visit — 365 days a year, including weekends and holidays, from 8 am to 8 pm.


Urgent care vs. the ER

You can most likely be treated at an urgent care center within your plan medical group2 if you need medical attention right away and your life is not in danger.

However, if your life is in danger or you are at risk of being permanently disabled, it is an emergency. Call 911 or go to the nearest emergency room right away.


Behavioral health support

We cover treatment of severe mental illness for all members, including serious emotional disturbances in children. Coverage of non-severe behavioral health issues may vary based on your benefit plan.


Specialist care

In most cases, when you need specialty care, your PCP will refer you to a specialist in your PMG. You can access OBGYN care within your PMG without a referral from your PCP.



MinuteClinic is the walk-in medical clinic located inside select CVS Pharmacy® stores. MinuteClinic provides convenient access to basic care without an appointment.3


After-hours nurse advice

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.

Emergency travel services

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.


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.


Provider & pharmacy directories

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.