The young adult’s guide to accessing care

Care for when you’re away from home.

We’ve got you covered, no matter where life takes you. Whether you’re at home or away, use this quick guide with important information about your health coverage to get the care you need.

How to get care

When you’re home

Use the facilities and locations in your plan medical group (PMG). This is listed on your Sharp Health Plan member ID card.

⚠️ If you get care at a location that isn't in your PMG, you may have higher deductibles and copays, or you may not be able to access care.

When you’re away from home

Tell your doctor about any care you receive when you're away.
Out-of-area services are covered only for emergency or urgent medical conditions from unexpected illness or injury, and when treatment cannot wait until you return to the service area.
Telehealth services, such as video and phone visits, may be available if your doctor determines that they are medically appropriate. Contact your primary care physician (PCP) with any questions. You can find their information on your Sharp Health Plan member ID card.

Tip: Video visits are also covered with most in-network behavioral health providers. Visit our behavioral health resource center to learn more.
Going to school outside of San Diego? Routine health services are not covered out of the service area. Check with your school to see what they offer. We recommend purchasing supplemental health insurance for non-urgent care at school.

When you turn 26

You can stay on your parent or guardian's health coverage policy until the end of the month of your 26th birthday.
Your primary residence is the home or address where you actually live most of the time. A residence is not considered “primary” if you move without the intent to return, or if you are absent for more than 90 days in any 12-month period and are not a full-time student.

How to enroll

Through an employer (101+ employees)

Until the end of the month of your 26th birthday.

You can enroll in your own plan by applying through Covered California^™.

You can also visit Covered California's website to find a certified enrollment counselor or agent in their area. They are also welcome to contact one of our certified enrollment specialists at ifpsales@sharp.com or 1‑858‑499‑8211.

When your doctor is a pediatrician

Pediatricians are experts at treating children and adolescents. If your PCP is a pediatrician, check with their office and your PMG to find out when you should see a doctor who treats adults.