Member Services for Medical Benefits

Medical Plan Member Services

Scripps Health Plan Customer Services Representatives can help with processing PCP change requests and answer questions about eligibility, claims, benefits, referrals, prior authorizations, provider participation, and other information about the Scripps Health Plan HMO. To contact a Customer Service Representative you have the following options:

(844) 337-3700
(888) 515-4065

Mailing Address
Scripps Health Plan Services 4S-300
Mail Drop: 4S-300
10790 Rancho Bernardo Road
San Diego, CA 92127

Hours of Operation
Monday – Friday, 8:00 am to 5:00 pm (PST)

For more information on the following topics, please go to www.scrippshealthplan.com and select the ‘I’m a Member’ option:

  • Continuity of Care Assistance Request
  • Medical Reimbursement Request
  • Interpretive, Language and Hearing Services
  • Member Rights and Responsibilities - including the process to file a grievance
  • Access and Availability
  • Advance Directives