Feel your best, inside and out

We’re here to help you live your best life.

We believe your mental health is just as important as your physical health. That’s why we make it easy for you to access behavioral health care. With no referral necessary, over 90 behavioral health providers in your network for you to choose from, and video visits, you’ll receive the support you need when you need it.


Find out more about the resources available to you.

Video visits are available at most in-network providers. Click below to find out more.

Mindpath Health

Mindpath Health, formerly Psychiatric Centers at San Diego (PCSD), provides a wide range of services in child and adolescent, adult, and geriatric psychiatry and psychotherapy. Mindpath Health offers a large variety of areas of expertise and treatment modalities which allows them to provide comprehensive care to their patients. Mindpath Health offers transcranial magnetic stimulation (TMS therapy) services in three of their nine conveniently located offices throughout the county. 
 
Mindpath Health offers after-hours and urgent care call services to their patients and has on-call coverage 24/7. Call Mindpath Health toll-free at 1-877-257-7273.



No need for a referral

You don’t need a referral from your primary care doctor to get access to behavioral health services. However, only services offered through plan providers will be covered (unless approved by Sharp Health Plan).


Coming soon: A New Mental Health & Substance Use Disorder Partner

We’re excited to announce a partnership with Magellan Healthcare, Inc. in 2024 that will expand our mental health and substance use disorder provider network, connect you with a suite of virtual specialty care, give you 24/7 access to personalized evidence-based digital tools and wellness resources and much more. Learn more in the FAQ below.

More information on Magellan

Who is Magellan?

Magellan1 is a trusted leader in the mental health and substance use disorder industry with over 50 years of experience providing innovative, impactful services to people around the country.

Why is Sharp Health Plan partnering with Magellan?

Sharp Health Plan is partnering with Magellan to ensure our members have access to best-in-class mental health and substance use disorder services that are rooted in high-quality and compassionate care. This exciting new partnership will increase the mental health and substance use disorder provider network for our members, connect them with 24/7 access to personalized, evidence-based digital tools, wellness resources, and much more.

When will this partnership be effective?

The scheduled effective date for this new partnership is Jan. 1, 20242.

Will this change be applicable to my benefit plan?

Magellan will be providing mental health and substance use disorder services for all Sharp Health Plan members, across all benefit plans including our employer group plans, individual and family plans, and Medicare Advantage plans.

Will my mental health and substance use disorder benefits change? What about my copays?

No. Your plan benefits for mental health and substance use disorder services will not change, and your costs for accessing these services will remain the same.

Will this change impact my pharmacy benefits for mental health and substance use disorder medications?

No. If you are enrolled in a plan with pharmacy benefits through Sharp Health Plan, there will be no impact to your pharmacy benefits for mental health and substance use disorder medications.

Will I need a new member ID card?

No. You will not need a new member ID card.

Can I keep my current mental health and substance use disorder provider?

To receive your plan benefits, you must see a in-network mental health and substance use disorder provider. If your current provider is part of the Magellan network, you will be able to continue seeing them. If your provider is not part of the Magellan network, Magellan will give them a chance to join. If your provider chooses to join the Magellan network, you will be able to continue seeing them. If your provider chooses not to join the Magellan network, you can select a new provider that is in network or request continuity of care with your current provider. Please note, if you are enrolled in a POS plan, you will be able to keep your provider on the Tier 2 or Tier 3 level.

How will I know if my provider is in the Magellan network?

If you have accessed mental health and substance use disorder services in 2023, we will send you a letter letting you know if your current provider is in the Magellan network or not. If they aren’t in the network, we’ll share additional information with you to ensure you are able to continue accessing care.

What is continuity of care?

To receive your plan benefits, you must see an in-network mental health and substance use disorder provider. Please note, if you are enrolled in a POS plan, you will be able to keep your provider on the Tier 2 or Tier 3 level.


If your provider chooses not to join the Magellan network, you can contact Magellan at 1-866-512-6190 beginning Dec. 15, 20232, to request continuity of care. Magellan must approve continuity of care prior to receiving such services. If your request is approved, you will be able to continue seeing your provider until your care is completed or can be safely transferred to an in network mental health or substance use disorder provider. Continuity of care may be provided for the completion of care when you are in an active course of treatment for one of the following conditions:


Condition Length of Time for Continuity of Care
Acute condition Duration of acute condition
Serious chronic condition No more than 12 months from the date of their provider’s contract termination with Sharp Health Plan
Maternal mental health condition 12 months from the maternal mental health condition diagnosis or from the end of pregnancy, whichever occurs later

 

Your requested mental health and substance use disorder provider must agree to provide continued services to you, subject to the same contractual terms and conditions that the provider had in their contract with Sharp Health Plan. If your provider does not agree, Sharp Health Plan is not required to provide continuity of care.

How do I find a new mental health and substance use disorder provider?

Beginning in January2, you can search Magellan’s online provider directory. You can filter by specialty, location and more to find the best fit for you.

Do I need a referral to switch mental health and substance use disorder providers?

No. You don’t need a referral or prior authorization to access outpatient therapy from a provider in the Magellan network. After you choose a provider, contact their office to schedule an appointment as a new patient. Some services, such as electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), psychological testing, partial hospitalization and intensive outpatient programs, will require a referral and prior authorization. Please note that if you have already received a referral and prior authorization by Sharp Health Plan for mental health and substance use disorder services, a new referral and request for prior authorization for the approved services and timeframe is not needed to access these services through a provider in the Magellan network.

Who should I contact with questions?

If you have questions, please contact Customer Care at 1-844-483-9013.


1. In California, Magellan is doing business as Human Affairs International of California.

2. Pending regulatory review with the DMHC, the effective date may be later than Jan. 1, 2024.



What does your plan cover?

As a Sharp Health Plan Member, you’ll have access to:

  • Behavioral health care services for all ages
  • Inpatient hospital services
  • Outpatient hospital services
  • Outpatient therapy
  • Autism services
  • Video visits

You can log in to Sharp Connect to download your member handbook and find more information about your benefits.

What you should know

  • Coverage is obtained through plan providers. Out-of-network service is not covered unless approved by Sharp Health Plan because needed services are not available in-network.
  • Behavioral health services will not be approved, denied or modified based solely on the type of admission (voluntary or involuntary) or method of transportation to a health facility.

Emergency care

If you or someone you care about is experiencing a suicidal or mental health crisis, please call or text the National Suicide Prevention Lifeline at 988 or dial 1-800-273-TALK (8255).

If emergency medical care is needed, call 911 or go to the emergency room of the nearest hospital.

How to spot the signs

Behavioral health problems appear in a variety of ways. For some people, you might see big changes in their behavior and mood. For others, you might not notice any difference, even though they’re struggling inside.

The It’s Up to Us® website offers information about what to look for and how to get help for yourself or those around you who may be going through a difficult time.


Help hotlines

In addition to the resources listed above, the following hotlines are available to talk over a problem, find information, or get advice.

  • San Diego Access and Crisis Line
    1-888-724-7240
    TDD: 1-619-641-6992
     
  • National Suicide Prevention Lifeline
    988 or dial 1-800-273-8255
    TTY: Dial 711, then 1-800-273-8255
  • National Domestic Violence Hotline
    1-800-799-SAFE (7233)
    TTY: 1-800-787-3224
    Video phone: 1-855-812-1001
     
  • National Sexual Assault Hotline
    1-800-656-HOPE (4673)

Need community resources?

2-1-1 San Diego can help. Visit their website or call 2-1-1 to learn more.


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.