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Your network, your plan medical group (PMG) and your primary care physician (PCP) make up your care team. Knowing who’s part of your team is an important first step to understanding how your health plan works.
Your PCP is who you will see if you need a checkup or routine care, want advice about a health problem, or get sick or hurt. They provide care as soon as you need it, listen carefully, and explain things in a way that is easy to understand. Call your PCP first for all of your health care needs.
If you have a medical concern or need a follow-up appointment — and you’d like to save a trip to the doctor’s office — a video or phone visit1 might be the ideal option. Plus, you’ll be able to have your appointment from wherever is most convenient for you.
In most cases, when you need specialty care, your PCP will refer you to a specialist in your PMG. You can access OBGYN care within your PMG without a referral from your PCP.
If you need medical attention right away and your life is not in danger, you can most likely be treated at an urgent care center within your PMG.2
If your life is in danger or you are at risk of being permanently disabled, it is an emergency. Call 911 or go to the nearest emergency room right away.
If your plan medical group is Sharp Rees-Stealy, you can check wait times before you hit the road. Sharp Rees-Stealy urgent care centers are open daily from 8 am to 8 pm.
MinuteClinic® is the walk-in medical clinic located inside select CVS Pharmacy® stores. MinuteClinic provides convenient access to basic care without an appointment.3
Registered nurses are available through Sharp Nurse Connection® after hours and on weekends. Call 1-855-562-8853 from 5 pm – 8 am, Monday to Friday, and 24 hours a day on weekends.
When faced with a medical emergency while traveling 100 miles or more away from home or in another country, we connect you to doctors, hospitals, pharmacies and other services.
1 Select doctors offer this service.
2 You may need prior authorization from your primary care physician. You must use an urgent care facility within your plan medical group unless you are traveling outside San Diego or southern Riverside counties.
3 Your share of the cost for a MinuteClinic visit is equal to what you pay for a PCP office visit (deductible may apply). There is no copayment for flu vaccinations.
Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Health Plan is an HMO with a Medicare contract. Enrollment with Sharp Health Plan depends on contract renewal. Read the full disclaimer.