Accessing out-of-area care

See what services are covered when you're out of Sharp Health Plan's service area.

Suitcase, luggage tags, and tennis shoes
divider line

Emergency services


emergency icon

Emergency room

In a life or limb threatening emergency, go to the nearest hospital. Emergency room visits that are not medical emergencies will not be covered. Sharp Health Plan must approve any recommended follow-up care.


travel services icon

Emergency travel services

When you’re faced with a medical emergency while traveling 100 miles or more away from home, we connect you to doctors, hospitals, pharmacies and other emergency travel assistance services.



Non-emergency services


urgent care icon

Urgent care

If you’re out of the service area, urgent care services do not require an authorization from your PCP. Ask the urgent care center to bill Sharp Health Plan; the claims address is on the back of your member ID card. Some non-contracted facilities may not be willing to bill Sharp Health Plan. In those cases, you can pay for the service, then fill out our reimbursement form. Note: When you’re home, contact your PCP before accessing urgent care services.


CVS MinuteClinic icon

MinuteClinic®

When you need treatment for a minor illness or injury, visit a MinuteClinic. Clinics are in select CVS Pharmacy® store locations and are staffed by certified family nurse practitioners. They are open every day, including evenings and weekends.


After Hours Nurse line icon

After-hours nurse advice

When you have a health question or concern after regular business hours, a single phone call to our After-Hours Nurse Advice line puts you in touch with a registered nurse.

Call 1-800-359-2002 — 5 pm to 8 am, Monday to Friday and 24 hours on weekends.


prescription bottle icon

Prescription drugs

Prescription medications are covered the same as when you’re home, so you’ll never have to worry about filling your prescriptions while traveling.