You may qualify for a reimbursement if you’ve received care or filled a prescription while out of state in the past 180 days.
If you receive emergency or urgent care services outside of San Diego or southern Riverside counties, you may be asked to pay for those services. If that occurs, you can request reimbursement from us. We will need a copy of the medical records for that visit, an itemized bill and proof of payment in order to determine if the services are covered. Applicable co-payments will apply.
In some cases, you may be asked to pay for prescription drugs that are normally covered by Sharp Health Plan. An example is when you are traveling outside of California and urgently need to fill a prescription. You can request reimbursement for covered prescription drugs from us. In order to determine if the medication is covered, we will need a copy of the print-out from the pharmacy showing the medication you received and a receipt showing proof of payment. Applicable co-payments will apply.