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Sharp Premier Provider Network Overview

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Sharp Premier Provider Network Overview Sharp Premier Provider Network Overview Physicians • Hospitals • Urgent Care Centers • Pharmacies • Other Facilities Effective January 1, 2018 Sharp Premier Provider Network Medical Groups At Sharp Health Plan, we understand the importance of selecting a network that fits your lifestyle and budget. As a member, you’ll join a family of award-winning medical groups, physicians and hospitals dedicated to meeting your health care needs. The Sharp Premier Provider Network offers access to Sharp HealthCare physicians and medical groups conveniently located in central San Diego County.1 Sharp HealthCare is San Diego’s most comprehensive health care delivery system, recognized for clinical excellence. With Sharp Premier, you will receive the most cost-effective premium rates within the Sharp Health Plan portfolio and have access to more than 1,100 physicians, including Primary Care Physicians and specialists. Sharp Rees-Stealy (SRS) This medical group offers a network of more than 385 physicians, including Primary Care Physicians and specialists. Admitting hospitals include Sharp HealthCare facilities and Rady Children’s Hospital. SRS physicians are located throughout San Diego County, including: • Carmel Valley • La Mesa • Rancho Bernardo • Chula Vista • La Mesa West • San Carlos • Del Mar • Mira Mesa • San Diego • Downtown San Diego • Mt. Helix • Scripps Ranch • El Cajon • Murphy Canyon • Sorrento Mesa • Frost Street • Otay Ranch • Genesee • Point Loma Sharp Community Medical Group (SCMG)2 This medical group offers a network of more than 720 physicians, including Primary Care Physicians and specialists. Admitting hospitals include Sharp HealthCare facilities and Rady Children’s Hospital. SCMG physicians are located throughout San Diego County, including: • Alpine • El Cajon • National City • Chula Vista • Imperial Beach • Point Loma • Clairemont • Kearny Mesa • Santee • Coronado • La Mesa • Tierrasanta • Downtown San Diego • Lakeside • University City • East San Diego • Mira Mesa 1 Service area does not include all San Diego County ZIP codes. Employer group headquarters location must be within the Premier service area. To see if your business qualifies for this product at the preferred premium rates, please ensure that your company is headquartered within the Premier service area. 2 Excludes SCMG Graybill, SCMG Graybill Temecula, SCMG Inland North and SCMG Arch Health Medical Group. Hospitals Sharp Premier provides significant coverage with access to Sharp hospitals across San Diego County, including: • Sharp Chula Vista Medical Center • Sharp Memorial Hospital • Sharp Coronado Hospital • Sharp Mesa Vista Hospital (no emergency services) • Sharp Grossmont Hospital • Rady Children’s Hospital • Sharp Mary Birch Hospital for Women & Newborns Urgent Care Centers Sharp Health Plan members have access to Urgent Care Centers across San Diego County. Please visit sharphealthplan.com/urgentcare to learn more about the Urgent Care Centers affiliated with Sharp Premier. Pharmacies Sharp Health Plan members have access to hundreds of pharmacy locations and almost all major national pharmacies, including: • Albertsons Sav-on Pharmacy™ • Rite Aid® Pharmacy • All CVS Pharmacy® locations, including those at Target® • Sharp Rees-Stealy Pharmacy • Contracted independent neighborhood pharmacies • Vons® Pharmacy • Costco® Pharmacy • Walgreens® Pharmacy • Ralphs® Pharmacy • Walmart® Pharmacy Find a doctor Visit sharphealthplan.com and click “Find a doctor” to see if your current doctor is in one of our Plan Medical Groups, or to find one that fits your needs. Additional benefits included with every plan We know that excellent health care is not enough; it must also be easy to access. The convenience of Sharp Health Plan extends beyond San Diego and standard business hours. All Sharp Health Plan members receive the following value-added benefits: Best Health® Best Health is one of only 10 healthnationally plan accredited wellness programshealth plan to wellness be nationally programs. accredited. The Theprogram program provides provides Sharp Sharp Health Health Plan Plan members members with with a variety a variety of resources of resources from from meal mealplans plansto exercise to exercise routines routines to one-on-one to one-on-one personalized personalized health health coaching. coaching. Sharp Nurse Connection® We offer an after-hours nurse advice telephone service for Sharp Health Plan members. When you have a health question or concern after regular business hours, a single phone call puts you in touch with a registered nurse. MinuteClinic® As the walk-in medical clinic located inside select CVS/pharmacy® stores, MinuteClinic provides convenient access to basic care, without an appointment.1* Consider us your personal health care assistant (858) 499-8300 or 1-800-359-2002 Assist America8 a.m.– 6 p.m.,® Monday through Friday [email protected] Assist America connects Sharp Health Plan members to doctors, hospitals, pharmacies and other services when faced with a medical emergency while traveling 100 miles or sharphealthplan.com more away from home, or out of the country. Consider us your personal health care assistant (858) 499-8300 or 1-800-359-2002 | 8 a.m. – 6 p.m., Monday through Friday [email protected] | sharphealthplan.com * A $40 copay will apply to most MinuteClinic services except flu shots, which have a copay of $10..
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