[PDF] Mercy Physicians Medical Group Member Guide

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Hours of operation:

Mon.-Fri.

8:00 a.m.-5:00 p.m.Important phone numbers:

1-619-543-8800, Option 3

Mercy Physicians Medical Group

Customer Service

Member guide

Selecting a Mercy Physicians Medical Group doctor does make a difference.

Q: When do I go to an urgent care center?

A: Urgent care centers provide care for sudden illnesses or injuries that require prompt medical attention but are not emergencies*. Urgent care centers are a smart alternative to hospital

emergency rooms because they usually offer shorter waiting times. Urgent care centers are also open late and do not require an appointment, making them a good choice for patients who need non-emergent* medical attention after hours or on weekends and holidays. In addition, your co-payment may be lower depending on your insurance benefit plan.

If you choose to visit an urgent care center, your doctor should be contacted prior to your visit so he or she can better coordinate your urgent care medical needs. Your doctor can be contacted 24

hours a day, seven days a week by calling his or her office. If you are instructed by your doctor or his

or her staff to go to an affiliated urgent care center, please see the list in this booklet. *Please note: Urgent care centers are not emergency departments. If you are experiencing

acute symptoms that you believe could result in serious jeopardy to your health or your unborn child's or serious impairment or dysfunction of your body, please seek medical help as quickly as

possible by either calling 911 or going to the nearest emergency hospital.

Q: What do I do if I need to go to a specialist?

A: Please contact your primary care doctor and let them know your concerns. Q: How do I obtain an authorization/referral? How do I get the status of my authorization/referral?

A: To get an authorization/referral, have your primary care doctor submit the request to the medical group. To get status of your authorization/referral, you need to call your primary care doctor.

Q: My authorization was denied. How do I appeal that decision? A: To appeal a denied authorization/referral, please contact your insurance company/health plan to file a grievance. The insurance company/health plan will review your denied request and will either overturn or uphold the decision. Q: How do I get a second opinion out of a network?

A: Please contact your primary care doctor and let them know your request and they will contact your insurance company/health plan for the authorization/referral.

Frequently asked questions

Visit: mpmgdocs.com

Visit: mpmgdocs.com

Name of primary care doctor

Primary care doctor phone #

Health plan

Health plan member service #

Customer service

1-619-543-8800

Option 3

Mon. - Fri.

8:00 a.m.-5:00 p.m.

Table of contents

Customer service

When to call 3

Business hours 3

Who is Mercy Physicians Medical Group? 3

Doctor appointments

How to make visits eff ective 4

Location of services/map 5

Where do I go for urgent care? 6

Which hospitals does my doctor use? 7

Where do I go for laboratory tests? 7

Where do I go for radiology services? 8

Preventive services guidelines 9

Who is Mercy Physicians Medical Group? 10

Frequently asked questions back cover

When do I use the urgent care facility?

Going to a specialist

How do I obtain an authorization or referral?

Checking the status of an authorization

How do I obtain a second opinion?

2 Mercy Physicians Medical Group is a network of independently-contracted doctors.

Welcome to Mercy Physicians Medical Group

3

When to call customer service

Hours of operation:

Mon.-Fri. 8:00 a.m.-5:00 p.m.

Telephone:

1-619-543-8800, Option 3

If you have a speech or hearing impairment and

use TTY, please call 711. Mercy Physicians Medical Group would like to thank you for choosing one of our primary care doctors for your health care needs. This member resource guide contains information about your medical network. Our customer service team is also here to answer your call and help you with your health care service questions. Shortly after enrollment, we reach out to new members with a phone call to introduce ourselves and go over any new information about our medical network and doctors.

Reasons to call customer service

€ You need a doctors phone number

€ You have received a bill and

dont understand it

€ You want to understand the

referral process

€ You have a question or concern

about your health care

Stay healthy. Stay connected.

Our goal at Mercy Physicians Medical Group is to keep our patients as healthy and informed as possible.

You have access to:

• Health and wellness through an assortment of articles and blog posts • Community events and classes to keep you fi t, informed and socially active • Resources and tools available to help you make the right choice when it comes to your health • Updates on important Medicare dates and deadlines

Senior Discount Booklets

Call 1-844-743-6569 to receive your free copy!

Senior Discount Resource Guide

A great doctor appointment starts with you

First visit

• When you see the doctor and offi ce staff , introduce yourself and let them know by which name you like to be called-an example, William may want to go by Bill. • Learn what days are busiest and what times are best to call. • Share your medical history. Tell the doctor about your illnesses, operations, medical conditions and other doctors you see. • Give the new doctor all of your former doctor"s names and addresses, especially if they are in a diff erent city.

• Give information about your medications.

• Tell the doctor about your habits.

• Voice other concerns.

Making good use of your time

• Be honest. For instance, you might say: "I have been trying to quit smoking, as you recommended, but I am not

making much headway."

• Decide what question(s) are most important. Pick three or four questions or concerns that you want to talk

about most.

• Remember the doctor may not be able to answer all of your questions. Even the best doctor may be

unable to answer some questions. If a doctor regularly brushes off your questions or symptoms as simply the

eff ects of aging, you may want to think about looking for another doctor.

• Take notes. Take along a notepad and pencil and write down the questions you have for the doctor. Write

down the main points or ask the doctor to write them down for you. Call or email the doctor. If you are

uncertain about the doctor"s instructions after you get home, call the offi ce. 4

If youll be seeing your primary care

doctor for the “ rst time, youll want to schedule your “ rst visit appointment.

Call your primary care doctor"s

o? ce today!

Mercy Physicians Medical Group map

San Diego County

5

Note: Changes occur on a daily basis and while we try to maintain our records, there may be changes that are not refl ected on this directory.

Urgent care centers Lab services Hospitals Outpatient radiology services 5 15 8 805
15 5 78
56
67
163
52
125
94
54
125
6

Urgent care centers

Important: To seek same-day care during regular

offi ce hours, you should always contact your primary care physician (PCP) ? rst before going to an urgent care facility. Urgent care is not a substitute for the regular care you receive from your PCP.

East County Urgent Care

1625 E. Main St., Ste. 100

El Cajon, CA 92021

1-619-442-9896

Mon.-Fri. 8:00 a.m.-5:30 p.m.

Weekends 9:00 a.m.-3:45 p.m.

Emergency Care Dynamics

3434 Midway Dr., Ste. 1002

San Diego, CA 92110

1-619-225-6200

Open 7 days a week 8:00 a.m.-10:00 p.m.

Open on Holidays

Remittance Address

P. O. Box 28247

Tempe, AZ 85285-8247

1-480-967-6500

Marque Urgent Care

4490 Fanuel St.

San Diego, CA 92110

1-858-274-9116

Mon.-Fri. 8:00 a.m.-8:00 p.m.

Weekends and Holidays 8:00 a.m.-4:00 p.m.

2315 Otay Lakes Road, Ste. 306

Chula Vista, CA 91914

1-619-946-4700

Mon.-Sat. 7:00 a.m.-10:00 p.m.

Sun. 8:00 a.m.-6:00 p.m.

4085 Governer Drive

San Diego, CA 92122

1-877-693-6266

Mon.-Sat. 8:00 a.m.-8:00 p.m.

Sun. 8:00 a.m.-6:00 p.m.

6136 Lake Murray Blvd.

La Mesa, CA 91942

1-877-693-6266

Mon.-Sat. 7:00 a.m.- 10:00 p.m.

Sun. 8:00 a.m.-6:00 p.m.

Note: Changes occur on a daily basis and while we try to maintain our records, there may be changes that are not re" ected on this directory.

Mercy Physicians Medical Group services

MD Today Urgent Care

10605 Scripps Poway Pkwy., Ste. B & C

San Diego, CA 92131

1-858-622-0554

Mon.-Fri. 8:00 a.m.-8:00 p.m.

Weekends 8:00 a.m.-6:00 p.m.

3830 Valley Center Dr., Ste. 702

San Diego, CA 92130

1-858-720-0554

Mon.-Fri. 8:00 a.m.-8:00 p.m.

Weekends 8:00 a.m.-6:00 p.m.

Paci? c Urgent Care and Wellness Center

975 Garnet Ave.

San Diego, CA 92109

1-858-230-7770

Mon.-Fri. 8:00 a.m.-8:00 p.m.

Weekends 8:00 a.m.-4:00 p.m.

Perlman Clinic

3900 Fifth Ave. #110

San Diego, CA 92103

1-858-554-1212

Mon.-Fri. 8:00 a.m.-7:00 p.m.

Weekends 8:00 a.m.-4:30 p.m.

SD Sports Medicine and Family Health Center

1945 Garnet Ave.

San Diego, CA 92109

1-858-224-7977

Mon.-Fri. 8:00 a.m.-8:00 p.m.

Weekends and Holidays 8:00 a.m.-4:00 p.m.

andersonmedicalcenter.com

Concentra - Carlsbad

5810 El Camino Real, Ste. A

Carlsbad, CA 92008

1-760-929-8269

Mon.-Fri. 7:00 a.m.-6:00 p.m.

Concentra - Chula Vista

542 Broadway, Ste. G

Chula Vista, CA 91910

1-619-425-8212

Mon.-Fri. 8:00 a.m.-6:00 p.m.

Sat. 9:00 a.m.-3:00 p.m.

ANNOUNCEMENT: U.S. Healthworks Medical

Group is now Concentra Urgent Care

7Concentra - San Marcos

740 Nordahl Road, Ste. 131

San Marcos, CA 92069

1-760-432-9000

Mon.-Fri. 8:00 a.m.-8:00 p.m.

Sat.-Sun. 8:00 a.m.-5:00 p.m.

Concentra - Santee

9745 Prospect Ave., Ste. 100

Santee, CA 92071

1-619-448-4841

Mon.-Fri. 7:00 a.m.-5:00 p.m.

Concentra - Sorrento Mesa

10350 Barnes Canyon Rd., Ste. 200

San Diego, CA 92121

1-858-455-0200

Mon.-Fri. 8:00 a.m.-5:00 p.m.

Hospitals

Scripps Mercy Hospital

4077 Fifth Ave.

San Diego, CA 92103

1-619-294-8111

Scripps Mercy Hospital Chula Vista

435 H. St.

Chula Vista, CA 91910

1-619-691-7000

Lab services

Please visit labcorp.com

for hours of operation.

LabCorp

3737 Moraga Ave., Ste. A206

San Diego, CA 92117

1-858-274-4804

15721 Bernardo Heights Pkwy., Ste. F

San Diego, CA 92128

1-858-674-0903

4033 Third Ave., Ste. 100

San Diego, CA 92103

1-619-299-2831Concentra - Escondido

860 W. Valley Pkwy., Ste. 150

Escondido, CA 92025

1-760-747-0707

Mon.-Fri. 7:00 a.m.-7:00 p.m.

Concentra - Hillcrest

3930 Fourth Ave., Ste. 200

San Diego, CA 92103

1-619-297-9610

Mon.-Fri. 7:00 a.m.-7:00 p.m.

Concentra - Kearny Mesa

5575 Ruffi n Rd., Ste. 100

San Diego, CA 92123

1-858-277-2744

24 hours a day/7 days a week

Concentra - La Mesa

8090 Parkway Dr.

La Mesa, CA 91942

1-619-697-3093

Mon.-Fri. 8:00 a.m.-5:00 p.m.

Concentra - Miramar

7590 Miramar Rd., Ste. C

San Diego, CA 92126

1-858-549-4255

Mon.-Fri. 8:00 a.m.-5:00 p.m.

Concentra - National City

102 Mile of Cars Way

National City, CA 91950

1-619-474-9211

Mon.-Fri. 7:00 a.m.-7:00 p.m.

Concentra - Oceanside

3910 Vista Way, Ste. 106

Oceanside, CA 92056

1-760-941-2000

Mon.-Fri. 7:00 a.m.-7:00 p.m.

Sat. 8:00 a.m.-2:00 p.m.

Concentra - San Diego

5333 Mission Center Road, Ste. 100

San Diego, CA 92108

1-619-295-3355

Mon.-Fri. 8:00 a.m.-6:00 p.m.

Mercy Physicians Medical Group services (Cont.)

84060 Fourth Ave., Ste. 105

San Diego, CA 92103

1-619-260-8107

5555 Reservoir Dr., Ste. 101

San Diego, CA 92120

1-619-583-1722

450 Fourth Ave., Ste. 405

Chula Vista, CA 91910

1-619-691-0706

1625 E. Main St., Ste. 203

El Cajon, CA 92021

1-619-444-3564

499 N. El Camino Real, Ste. 101

Encinitas, CA 92024

1-760-635-5693

345 Saxony Rd., Ste. 201B

Encinitas, CA 92024

1-760-942-9804

9850 Genesee Ave., Ste. 120

La Jolla, CA 92037

1-858-453-5235

10737 Camino Ruiz, Ste. 140

San Diego, CA 92126

1-858-693-4332

7300 Girard Ave., Ste. 105

La Jolla, CA 92037

1-858-459-4359

1037 Highland Ave.

National City, CA 91950

1-619-477-1216

Scripps Mercy Hospital Laboratory (Inpatient only)

4077 Fifth Ave.

San Diego, CA 92103

1-619-260-7030

Outpatient radiology services

IHS Radiology Medical Group, Inc.

1-866-558-4320

Fax: 1-866-558-4329

Mercy Physicians Medical Group services (Cont.)

150 W. Washington St.

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