The care you need when you need it

We want to make it easy and simple for you to get the care you need. Here's some helpful information to guide you to the right care at the right time.

View your Member Handbook

Not sure if a particular treatment or service is covered? Your Member Handbook puts this information at your fingertips. Log in to SharpConnect and select "Benefits & Eligibility." If you would like a copy mailed to you, call Customer Care at 1.800.359.2002.

LOG IN TO YOUR ACCOUNT ➜

Your primary care physician

Your primary care physician or PCP is your main point-of-contact for all of your healthcare needs. He or she will handle your care, coordinate any treatments, refer you to a specialist, if you need one, and more. You can contact your PCP’s office 24 hours a day. If your PCP is not available, you will receive a return call within 30 minutes. You can find your doctor listed on your member ID card or by logging in to SharpConnect

LEARN MORE ➜

Find a doctor

Need to find a new doctor? Use our helpful doctor search tool or download a provider directory for your network.

FIND A DOCTOR ➜
 

Provider network directories

Download your provider 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 your member ID card under Plan Network.

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 healthcare services that you need.

 

How to get prior authorization or precertification

Some medical services or treatments will require Sharp Health Plan's approval before the service or treatment can be performed. Your PCP can assist you with the process, but get the facts for yourself on how to obtain prior authorization and precertification.

LEARN MORE ➜

Talk to a nurse

You can talk to a nurse about health concerns anytime you need to. During normal business hours, call your primary care physician's office to talk to a nurse. After hours, you have access to specially-trained nurses via Sharp Nurse Connection®

Call 1.800.767.4277 from 5 p.m. – 8 a.m., Monday to Friday, and 24 hours on weekends.

Hospitals

With 13 hospitals throughout the 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 ➜

CVS/MinuteClinic

When you're looking for convenient treatment for a minor illness or injury, you can visit MinuteClinic®. These are walk-in medical clinics located inside select CVS/pharmacy® stores nationwide. Most services will require a $40 copay (Medicare members will pay their urgent care copay) while flu shots have a $10 copay.

FIND A LOCATION ➜

Language assistance

We provide free interpreter and translation services for all members. For assistance, call Customer Care at 1.800.359.2002 and let us know your preferred language when you call. We’re glad to help.

LEARN MORE

Travel and out-of-area coverage

Medical issues can happen at any time. No matter where you are, your plan will cover urgent and ER care. But there are facts you need to know when you're seeking non-emergency care. Find out how to get care when you're outside of the Sharp Health Plan coverage area.

LEARN MORE ➜

Vision care

All of our Individual and family plans include pediatric vision benefits. If you have a child under the age of 19, they may have access to comprehensive dental benefits. We're proud to partner with Vision Service Plan (VSP) to provide flexible, high-quality eye care services to members. Check your benefits in SharpConnect.

LOG IN ➜

Dental care

We're proud to partner with Access Dental to keep our youngest members smiling. Because our individual and family plans include pediatric dental benefits, children under the age of 19 may have access to comprehensive dental benefits. Check your benefits in SharpConnect.

LOG IN ➜

Learn about the types of care covered

We cover care and services for every stage of life, from women’s health to care for the 55-plus. Explore the types of care and community support we offer our members.

SEE TYPES OF CARE ➜

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