Accessing out-of-area care

Learn about what services are covered when you're traveling outside of Sharp Health Plan's service area.

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Emergency services

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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.

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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 provide other emergency travel assistance services.

Non-emergency services

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Urgent care

Services are covered the same as when you're home. 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 and submit our reimbursement form.

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Located in select CVS Pharmacy® stores, MinuteClinics are available for walk-in appointments. Most services will require you to pay the same amount as your PCP copay, while flu shots will have a $0 copay.

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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 offer advice on any of your health concerns.

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

During the COVID-19 outbreak, there may be times when our after-hours nurse advice line directs you to your primary care physician's office for any medical questions or concerns. This is to ensure the quickest and best care possible when they’re experiencing high call volumes.

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Prescription drugs

You'll have access to many pharmacies even when you're traveling outside of Sharp Health Plan's service area. Your prescription medications are covered the same as when you're home so you'll never have to worry about filling your prescriptions while traveling.