The care you need when you need it

We want to make it easy and simple for you to get the care you need. Here's some helpful information to guide you to the right care at the right time.

2020 Evidence of coverage

The Sharp Performance Plus HMO evidence of coverage (EOC) is your member handbook and covers your plan in detail. EOC content is subject to change pending DMHC review.

DOWNLOAD (PDF, 1.23MB) ➜

Find a doctor

Need to find a new doctor? Use our helpful doctor search tool or download a provider directory for your network.

FIND A DOCTOR ➜

Your primary care physician

Your primary care physician or PCP is your main point-of-contact for all of your healthcare needs. He or she will handle your care, coordinate any treatments, refer you to a specialist, if you need one, and more. You can contact your PCP’s office 24 hours a day. If your PCP is not available, you will receive a return call within 30 minutes. You can find your doctor listed on your member ID card or by logging in to Sharp Connect.

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House calls for Sharp Community Medical Group members

Instead of going to the doctor, what if the doctor came to you? In early 2020, comprehensive care will be available in the comfort of your own home.

House calls will be available for Sharp Community Medical Group (SCMG) members for the same copay as a primary care office visit — 365 days a year, including weekends and holidays, from 8 am to 8 pm.



 

Hospitals

With nine hospitals throughout the San Diego and Southern Riverside counties, we’ve made it convenient for you to get quality care without having to go too far from home. Find the hospital nearest to your location.

FIND A HOSPITAL ➜

Urgent care

It's best to contact your PCP first to determine if a visit to urgent care is necessary. Urgent conditions are not emergencies, but may need prompt medical attention. Urgent care centers do not require an appointment and can handle a variety of conditions. Be sure to check whether you'll need prior authorization before you visit. Find one near you.

FIND URGENT CARE ➜

Emergency care

A hospital emergency room provides fast, life-saving care, 24/7. If you are in life-threatening danger or at risk of being permanently disabled, then it's an emergency and you should call 911 or go to the nearest emergency room immediately. Find a hospital near you.

FIND AN ER ➜

After-hours pediatric care for Sharp Rees-Stealy patients

When your child is sick or injured, you need to know someone will be there to help. If your plan medical group is Sharp Rees-Stealy, you can receive medical advice, after-hours pediatric care and urgent care services day and night.

Our pediatricians, nurse practitioners, physician assistants and staff are ready to care for your family 24 hours a day, seven days a week.


MinuteClinic

When you're looking for convenient treatment for a minor illness or injury, you can visit MinuteClinic®. These are walk-in medical clinics located inside select CVS Pharmacy® stores nationwide. Services will have a cost equal to your PCP copayment (deductible may apply) while there is no copayment for flu vaccinations.

FIND A LOCATION ➜

Travel and out-of-area coverage

Medical issues can happen at any time. No matter where you are, your plan will cover urgent and ER care. But there are facts you need to know when you're seeking non-emergency care. Find out how to get care when you're outside of the Sharp Health Plan coverage area.

WHAT YOU NEED TO KNOW ➜

Chiropractic and acupuncture benefits

You have access to acupuncture and chiropractic benefits at a $15 copay for 20 combined visits per calendar year.

HOW TO ACCESS BENEFITS ➜

Provider & pharmacy directory

Download the Provider & Pharmacy Directory which lists all primary care physicians, hospitals, urgent care centers, and pharmacies in your network.

Some hospitals and other providers do not provide one or more of the following services that may be covered under your plan contract and that you or your family member might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion.. You should obtain more information before you choose a plan. Call your prospective doctor, medical group, independent practice association, or clinic, or call Customer Care at 1-855-995-5004 to ensure that you can obtain the healthcare services that you need.

Download directory