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Atención médica coordinada para afiliados

Learn how your care team works together.

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Su equipo de atención incluye su red, su grupo médico del plan (Plan Medical Group, PMG) y su médico de atención primaria (Primary Care Physician, PCP). They are listed on the front of your member ID card.

Your care is coordinated through a physician group called a plan medical group, or PMG.

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You receive primary care, specialty physician care and access to hospitals and other facilities through a physician groups called a plan medical group (PMG). PMGs are comprised of doctors, specialists and other providers who are located throughout San Diego and southern Riverside counties. Tenemos diez grupos médicos del plan:

  • Sharp Community Medical Group
  • Sharp Rees-Stealy Medical Group
  • SCMG Palomar Health Medical Group
  • SCMG Graybill North Coastal
  • SCMG Palomar Health Medical Group Temecula
  • SCMG Inland North Medical Group
  • Rady Children's Health Network/CPMG
  • Greater Tri-Cities IPA
  • Optum Care-North County SD (anteriormente, Primary Care Associates Medical Group)
  • Red de proveedores independientes

Where to find your PMG on your member ID card

Sharp Health Plan ID Card - Plan medical group

Los grupos médicos del plan están afiliados a las redes de los planes.

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Estas redes cubren áreas geográficas específicas en los condados de San Diego y el sur de Riverside. Los afiliados reciben beneficios y servicios cubiertos de médicos afiliados al grupo médico de su plan (PMG) y que forman parte de la red de su plan.

You choose a plan network when you sign up for benefits each year. Once you’ve made your selection, you cannot make changes until the next open enrollment, unless you qualify for a special enrollment mid-year.

Where to find your plan network on your member ID card

Sharp Health Plan ID Card - Plan network

Los médicos de atención primaria están afiliados tanto al grupo médico de un plan como a una red del plan.

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You can find out which doctors are affiliated with a certain plan medical group (PMG) and network by using our online provider network directory.

You can change your primary care physician at any time by logging in to your Sharp Health Plan online account. If you choose a primary care physician in a different plan medical group — for example, if you are switching from a doctor in Sharp Rees-Stealy to a doctor in the Sharp Community Medical Group — your current referrals or prior authorizations for specialists, special supplies or equipment will be voided. Debe pedirle a su nuevo médico de atención primaria nuevas remisiones o autorizaciones previas.

Where to find your PCP on your member ID card

Sharp Health Plan ID Card - PCP

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