2017 Sharp Choice Provider Network Overview

2017 Sharp Choice
Provider Network Overview
Physicians • Hospitals • Urgent Care Centers • Pharmacies • Other Facilities
Sharp Choice
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 Choice Provider Network offers access to more physicians
and hospitals to provide you with added flexibility. With Sharp Choice,
you’ll have access to more than 2,230 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:
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Carmel Valley
Chula Vista
Del Mar
Downtown San Diego
El Cajon
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Frost Street
Genesee
La Mesa
La Mesa West
Mira Mesa
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Mt. Helix
Murphy Canyon
Otay Ranch
Point Loma
Rancho Bernardo
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San Carlos
San Diego
Scripps Ranch
Sorrento Mesa
Sharp Community Medical Group (SCMG)
This medical group offers a network of more than 1,060 physicians, including Primary Care Physicians and specialists. Admitting
hospitals include Sharp HealthCare facilities, Rady Children’s Hospital and Palomar Health facilities.1 SCMG, SCMG Inland
North, SCMG Graybill and SCMG Arch Health Partners physicians are located throughout San Diego County, including:
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Alpine
Campo
Carlsbad
Chula Vista
Clairemont
Coronado
Del Cerro
Downtown San Diego
East San Diego
El Cajon
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Escondido
Fallbrook
Imperial Beach
Kearny Mesa
La Jolla
La Mesa
Lake Elsinore
Lakeside
Menifee
Mira Mesa
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Murietta
National City
Oceanside
Point Loma
Poway
Ramona
San Diego
San Marcos
Santee
Solana Beach
This network also includes SCMG Graybill in Temecula.
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Not all medical groups and independent physicians have access to all hospitals. Please contact Customer Care at (858) 499-8300 or 1-800-359-2002 for more information.
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Sun City
Temecula
Tierrasanta
University City
Valley Center
Vista
Wildomar
Rady Children’s Health Network / Children’s Physicians Medical Group (CPMG)
This medical group includes more than 400 Primary Care Physicians and specialists. The admitting hospital is Rady Children’s Hospital.
Rady Children’s Health Network/CPMG physicians are located throughout San Diego County and Southern Riverside, including:
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Carlsbad
Chula Vista
Clairemont
Del Mar Heights
Downtown San Diego
Eastlake
East San Diego
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El Cajon
Encinitas
Escondido
Hillcrest
La Jolla
La Mesa
Linda Vista
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Mira Mesa
Murrieta
National City
Oceanside
Point Loma
Poway
Rancho Bernardo
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San Diego
San Marcos
Scripps Ranch
Solana Beach
Temecula
University City
Greater Tri-Cities IPA
This medical group offers more than 425 Primary Care Physicians and specialists. The admitting hospitals are Palomar Medical Center
and Tri-City Medical Center. This network also includes Vista Community Clinic. Greater Tri-Cities IPA physicians are located primarily in
Northern San Diego County, including:
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Carlsbad
Encinitas
Escondido
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Oceanside
Solana Beach
Vista
Primary Care Associates Medical Group
This medical group offers more than 455 Primary Care Physicians and specialists. The admitting hospitals are Palomar Medical Center and
Tri-City Medical Center. This network also includes Center for Family Medicine, formerly Cassidy Medical Group. Primary Care Associates Medical
Group physicians are located primarily in Northern San Diego County and Southern Riverside, including:
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Carlsbad
Encinitas
Escondido
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Fallbrook
Murrieta
Oceanside
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San Marcos
Solana Beach
Vista
Independent Physicians
Sharp Health Plan members have the choice of selecting from more than 1,065 independently contracted Primary Care Physicians and
specialists. Our independent physicians are associated with established San Diego medical groups and have admitting privileges to Sharp Choice
provider network hospitals.1 Members also have access to community health centers such as:
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Borrego Community Health Foundation
Family Health Centers of San Diego
Imperial Beach Health Center
La Maestra Community Health Centers
Mountain Health and Community Services
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Neighborhood Healthcare
North County Health Services
Operation Samahan
San Diego Family Care
Community Health Systems
Hospitals
Sharp Choice provides extensive coverage with access to a broad selection of hospitals across San Diego and Southern Riverside Counties, including:
Sharp Hospitals
Additional Network Hospitals
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Sharp Chula Vista Medical Center
Sharp Coronado Hospital
Sharp Grossmont Hospital
Sharp Mary Birch Hospital for Women & Newborns
Sharp Memorial Hospital
Sharp Mesa Vista Hospital (no emergency services)
Inland Valley Medical Center
Palomar Medical Center
Pomerado Hospital
Rady Children’s Hospital
Rancho Springs Medical Center
Tri-City Medical Center
Urgent Care Centers
Sharp Health Plan members have access to Urgent Care Centers across San Diego and Southern Riverside Counties.
Please visit sharphealthplan.com/urgentcare to learn more about the Urgent Care Centers affiliated with Sharp Choice.
Pharmacies
Sharp Health Plan partners with San Diego-based MedImpact, the nation’s largest independent, privately owned pharmacy benefit manager,
serving more than 37 million members nationwide. When you join Sharp Health Plan, you have access to hundreds of pharmacies, including:
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Albertsons Sav-on Pharmacy™
Costco® Pharmacy
CVS/pharmacy®
Independent neighborhood pharmacies
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Ralphs® Pharmacy
Rite Aid® Pharmacy
Sharp Rees-Stealy Pharmacy
Target® 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.
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Vons® Pharmacy
Walgreens® Pharmacy
Walmart® Pharmacy
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 nationally
health planaccredited
wellness programs
health plan
towellness
be nationally
programs.
accredited.
The
The program
program
provides
provides
Sharp
Sharp
Health
Health
PlanPlan
members
members
withwith
a variety
a variety
of resources
of resources
fromfrom
meal
meal plans
plans
to exercise
to exercise
routines
routines
to one-on-one
to one-on-one
personalized
personalized
healthhealth
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
care,without
withoutan
anappointment.
appointment.*1
Assist America®
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
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.
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
SHPC211.7.16 ©2016 SHC