Our point-of-service plan (POS) gives you the best of an HMO plan combined with the flexibility of a preferred provider organization (PPO) plan. Members must choose an in-network primary care physician (PCP) in our Choice network (Tier 1) under our POS plan. But like a PPO, members may go outside of the network for preventive care and other covered health care services; however, their costs will be higher.
Participating physicians and hospitals
Tier 2: Out-of-network includes the Aetna Open Choice PPO Network or any licensed health care professional or facility that is not contracted with the Sharp Health Plan Choice network. Find an Aetna provider now.
Most benefits are covered when accessing care in both tiers.
Tier 1: PCP's coordinate referrals to specialists or other care providers.
Tier 2: It is the members' responsibility to ensure that their provider(s) obtain required pre-certification prior to receiving services to minimize out-of-pocket costs.