Accessing out-of-area care

See what services are covered when you're out 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 other emergency travel assistance services.

Non-emergency services

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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.

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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.

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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.

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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.