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 primary care physician (or 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.

GET MORE INFO ➜

Your plan medical group

Our members receive primary care, specialty physician care and access to hospitals and other facilities through physician groups called “plan medical groups.” These groups are comprised of doctors — including your primary care doctor — specialists and other providers.

FIND OUT MORE ➜

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.

SCHEDULE A VISIT ➜
fullinfoblock_nurse_375x375

Talk to a nurse after hours

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.

During the COVID-19 outbreak, you may be directed to your primary care doctor. This is to ensure the quickest and best care possible when they're experiencing high call volumes.

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.

FIND OUT MORE ➜

MinuteClinic®

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

FIND A LOCATION ➜

Hospitals

With hospitals throughout San Diego and southern Riverside counties, we’ve made it convenient for you to get quality care without having to go too far from home. Find the hospital associated with your specific doctor or plan medical group.

FIND A HOSPITAL ➜

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.

Video and phone visits

Talk to your doctor — at home

Check with your primary care doctor to see if you can schedule a telehealth appointment by phone or video.



Learn more ➜

carousel_member_resource_kit_2020_390x275

The 2020 Member Resource Kit is here.

DOWNLOAD ➜

carousel-coronavirus-whitebg

Affected by income changes, reduced hours or layoffs?

SEE IF YOU QUALIFY FOR INDIVIDUAL HEALTH COVERAGE ➜

Travel and out-of-area coverage

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.

LEARN MORE ➜

Prior authorization and precertification

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.

HOW IT WORKS ➜

Language assistance

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.

GET ASSISTANCE ➜

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.


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.