Provider Network

Provider Directory
The Scripps Custom Provider Network offers a selection of providers located throughout the San Diego area. This network is available to members of both the EPO and PPO Medical Plans.

National Provider Network is available only to members of the Scripps PPO Medical Plan who are accessing Tier 2 benefits or enrolled Out-of-Area dependents of the EPO Medical Plan. The National Provider Network offers a wide selection of providers throughout California and the United States.

Primary Care Physician (PCP)
Each Scripps Medical Plan member is encouraged to select a PCP from the Scripps Custom Provider Network. PCPs are identified as Internal Medicine, Family Practice, General Practice, Pediatrics and OB/GYN. You can assist with your health care by establishing a relationship with a primary care physician (PCP). He or she can become familiar with you and better serve you as a knowledgeable advisor for all your health care needs.

Scripps Custom Provider Network
This provider directory includes the provider network comprised of primary care physicians and specialists who have agreed to participate as providers to the Scripps Medical Plans, as well as participating hospitals and other providers. Changes to the provider network occur continuously. To determine coverage for services to be provided to you, we urge you to confirm your provider’s participation in the provider network prior to your visit. You may do so by calling the Scripps Medical Plans Member Solution Center at (888) 897-4988, 24 hours a day, seven days a week.

Employee selects EPO or PPO Option EPO Medical Plan PPO Medical Plan
Tier 1 Tier 2
Network Scripps Custom Network Scripps Custom Network Provider or Facility National Network Provider or Facility
Benefit Level Highest level of benefits High level of benefits Lowest level of benefits

If an employee or employee's dependent(s) resides more than 30 miles from a Scripps Custom Network PCP, the dependent may qualify for the Out-of-Area plan. The enrolled employee must contact the Scripps Medical Plans Member Solution Center to enroll eligible dependents in the Out-of-Area plan. Under the Out-of-Area plan, the eligible dependent may receive EPO benefits from the Scripps Custom Provider Network or the National Provider Network. The Scripps EPO Medical Plan pays for covered medical services provided by a physician, hospital or other health care provider that participates in the Scripps Custom Network. Medical services by providers that are outside of the Scripps Custom Provider Network are not covered by the Scripps EPO Medical Plan, except in the case of an emergency.