Summary of Alternative Access Standards for Accessing Doctors

Plan Name	Provider Type	Maximum Approved Distance (Miles)	Median Approved Distance (Miles)	Number of Alternative Access Standards
Aetna Better Health of California	Cardiology/Interventional Cardiology	58	34	36
Aetna Better Health of California	Dermatology	58	33	33
Aetna Better Health of California	Ear, Nose, and Throat (ENT) / Otolaryngology	58	36	40
Aetna Better Health of California	Endocrinology	58	30	58
Aetna Better Health of California	Gastroenterology	58	31	45
Aetna Better Health of California	General Surgery	58	30	44
Aetna Better Health of California	Hematology	55	29	62
Aetna Better Health of California	Hospital	70	37	13
Aetna Better Health of California	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	63	29	75
Aetna Better Health of California	Nephrology	63	29	87
Aetna Better Health of California	Neurology	56	30	38
Aetna Better Health of California	Obstetrics and Gynecology	41	31	12
Aetna Better Health of California	Obstetrics and Gynecology Primary Care Physician	48	28	24
Aetna Better Health of California	Oncology	50	33	32
Aetna Better Health of California	Ophthalmology	58	31	33
Aetna Better Health of California	Orthopedic Surgery	90	30	50
Aetna Better Health of California	Physical Medicine and Rehabilitation	56	29	78
Aetna Better Health of California	Primary Care Physician	40	36	6
Aetna Better Health of California	Psychiatry	54	30	40
Aetna Better Health of California	Pulmonology	62	33	40
Alameda Alliance for Health	Dermatology	30	30	23
Alameda Alliance for Health	Endocrinology	30	30	15
Alameda Alliance for Health	General Surgery	30	30	1
Alameda Alliance for Health	Hematology	30	30	24
Alameda Alliance for Health	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	30	30	2
Alameda Alliance for Health	Nephrology	30	30	1
Alameda Alliance for Health	Neurology	30	30	1
Alameda Alliance for Health	Oncology	30	30	23
Alameda Alliance for Health	Ophthalmology	30	30	1
Alameda Alliance for Health	Orthopedic Surgery	30	30	1
Alameda Alliance for Health	Physical Medicine and Rehabilitation	30	30	52
Alameda Alliance for Health	Primary Care Physician	30	30	2
Alameda Alliance for Health	Psychiatry	30	30	2
Alameda Alliance for Health	Pulmonology	30	30	2
Anthem Blue Cross Partnership Plan	Cardiology/Interventional Cardiology	239	179	6
Anthem Blue Cross Partnership Plan	Dermatology	272	221	6
Anthem Blue Cross Partnership Plan	Ear, Nose, and Throat (ENT) / Otolaryngology	343	284	10
Anthem Blue Cross Partnership Plan	Endocrinology	313	311	6
Anthem Blue Cross Partnership Plan	Gastroenterology	83	82	6
Anthem Blue Cross Partnership Plan	General Surgery	123	86	6
Anthem Blue Cross Partnership Plan	Hematology	99	83	10
Anthem Blue Cross Partnership Plan	Hospital	81	29	25
Anthem Blue Cross Partnership Plan	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	324	94	24
Anthem Blue Cross Partnership Plan	Mental Health (non-psychiatry) Outpatient Services	83	83	3
Anthem Blue Cross Partnership Plan	Nephrology	124	86	6
Anthem Blue Cross Partnership Plan	Neurology	300	297	6
Anthem Blue Cross Partnership Plan	Obstetrics and Gynecology	164	86	3
Anthem Blue Cross Partnership Plan	Obstetrics and Gynecology Primary Care Physician	60	30	66
Anthem Blue Cross Partnership Plan	Oncology	299	297	6
Anthem Blue Cross Partnership Plan	Ophthalmology	81	79	4
Anthem Blue Cross Partnership Plan	Orthopedic Surgery	164	86	6
Anthem Blue Cross Partnership Plan	Pharmacy	45	27	12
Anthem Blue Cross Partnership Plan	Physical Medicine and Rehabilitation	327	69	12
Anthem Blue Cross Partnership Plan	Psychiatry	327	325	6
Anthem Blue Cross Partnership Plan	Pulmonology	327	268	10
Blue Shield of California Promise Health Plan	Cardiology/Interventional Cardiology	60	40	16
Blue Shield of California Promise Health Plan	Dermatology	60	40	17
Blue Shield of California Promise Health Plan	Ear, Nose, and Throat (ENT) / Otolaryngology	60	40	19
Blue Shield of California Promise Health Plan	Endocrinology	60	40	23
Blue Shield of California Promise Health Plan	Gastroenterology	60	45	18
Blue Shield of California Promise Health Plan	General Surgery	60	40	20
Blue Shield of California Promise Health Plan	Hematology	60	50	19
Blue Shield of California Promise Health Plan	Hospital	85	85	1
Blue Shield of California Promise Health Plan	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	60	40	41
Blue Shield of California Promise Health Plan	Nephrology	60	40	41
Blue Shield of California Promise Health Plan	Neurology	60	40	18
Blue Shield of California Promise Health Plan	Obstetrics and Gynecology	50	40	6
Blue Shield of California Promise Health Plan	Oncology	90	50	11
Blue Shield of California Promise Health Plan	Ophthalmology	70	40	32
Blue Shield of California Promise Health Plan	Orthopedic Surgery	60	40	21
Blue Shield of California Promise Health Plan	Physical Medicine and Rehabilitation	60	40	42
Blue Shield of California Promise Health Plan	Psychiatry	60	40	28
Blue Shield of California Promise Health Plan	Pulmonology	60	40	38
CalViva Health	Cardiology/Interventional Cardiology	75	75	3
CalViva Health	Dermatology	80	80	3
CalViva Health	Ear, Nose, and Throat (ENT) / Otolaryngology	80	80	3
CalViva Health	Endocrinology	75	70	4
CalViva Health	Gastroenterology	75	75	3
CalViva Health	General Surgery	75	75	3
CalViva Health	Hematology	75	70	4
CalViva Health	Hospital	60	35	29
CalViva Health	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	75	70	6
CalViva Health	Nephrology	90	78	6
CalViva Health	Neurology	75	70	3
CalViva Health	Obstetrics and Gynecology Primary Care Physician	50	30	7
CalViva Health	Oncology	75	73	4
CalViva Health	Ophthalmology	80	60	13
CalViva Health	Orthopedic Surgery	80	80	3
CalViva Health	Pharmacy	35	35	4
CalViva Health	Physical Medicine and Rehabilitation	80	73	4
CalViva Health	Primary Care Physician	35	35	4
CalViva Health	Psychiatry	75	75	1
CalViva Health	Pulmonology	75	75	3
California Health & Wellness	Cardiology/Interventional Cardiology	115	95	12
California Health & Wellness	Dermatology	365	130	28
California Health & Wellness	Ear, Nose, and Throat (ENT) / Otolaryngology	200	155	34
California Health & Wellness	Endocrinology	225	100	99
California Health & Wellness	Gastroenterology	150	100	30
California Health & Wellness	General Surgery	115	98	12
California Health & Wellness	Hematology	200	150	27
California Health & Wellness	Hospital	120	35	39
California Health & Wellness	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	140	80	112
California Health & Wellness	Nephrology	230	80	127
California Health & Wellness	Neurology	215	110	25
California Health & Wellness	Obstetrics and Gynecology Primary Care Physician	230	45	150
California Health & Wellness	Oncology	170	125	23
California Health & Wellness	Orthopedic Surgery	150	110	14
California Health & Wellness	Pharmacy	90	30	28
California Health & Wellness	Physical Medicine and Rehabilitation	220	90	68
California Health & Wellness	Primary Care Physician	85	35	77
California Health & Wellness	Psychiatry	170	105	12
California Health & Wellness	Pulmonology	180	130	36
CenCal Health	Cardiology/Interventional Cardiology	155	105	32
CenCal Health	Endocrinology	155	110	32
CenCal Health	Hospital	75	63	2
CenCal Health	Pharmacy	80	80	1
Central California Alliance for Health	Cardiology/Interventional Cardiology	102	82	5
Central California Alliance for Health	Dermatology	121	83	34
Central California Alliance for Health	Ear, Nose, and Throat (ENT) / Otolaryngology	161	127	67
Central California Alliance for Health	Endocrinology	113	90	23
Central California Alliance for Health	Gastroenterology	99	81	13
Central California Alliance for Health	General Surgery	114	93	18
Central California Alliance for Health	Hematology	119	82	34
Central California Alliance for Health	Hospital	70	40	17
Central California Alliance for Health	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	116	79	32
Central California Alliance for Health	Nephrology	116	79	32
Central California Alliance for Health	Neurology	102	84	10
Central California Alliance for Health	Oncology	111	86	27
Central California Alliance for Health	Ophthalmology	157	91	68
Central California Alliance for Health	Orthopedic Surgery	138	120	38
Central California Alliance for Health	Pharmacy	40	39	2
Central California Alliance for Health	Physical Medicine and Rehabilitation	184	100	66
Central California Alliance for Health	Primary Care Physician	75	63	10
Central California Alliance for Health	Pulmonology	116	79	40
Community Health Group	Cardiology/Interventional Cardiology	89	77	8
Community Health Group	Dermatology	73	59	10
Community Health Group	Ear, Nose, and Throat (ENT) / Otolaryngology	83	58	16
Community Health Group	Endocrinology	79	68	21
Community Health Group	Gastroenterology	72	58	16
Community Health Group	General Surgery	77	66	16
Community Health Group	Hematology	98	58	17
Community Health Group	Hospital	64	50	8
Community Health Group	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	84	56	22
Community Health Group	Nephrology	91	63	17
Community Health Group	Neurology	72	60	17
Community Health Group	Obstetrics and Gynecology	53	48	2
Community Health Group	Oncology	72	59	17
Community Health Group	Ophthalmology	68	46	11
Community Health Group	Orthopedic Surgery	73	58	17
Community Health Group	Physical Medicine and Rehabilitation	75	60	15
Community Health Group	Psychiatry	74	58	15
Community Health Group	Pulmonology	95	68	17
Health Net Community Solutions, Inc.	Cardiology/Interventional Cardiology	75	30	79
Health Net Community Solutions, Inc.	Dermatology	135	30	445
Health Net Community Solutions, Inc.	Ear, Nose, and Throat (ENT) / Otolaryngology	75	25	337
Health Net Community Solutions, Inc.	Endocrinology	80	30	305
Health Net Community Solutions, Inc.	Gastroenterology	90	35	112
Health Net Community Solutions, Inc.	General Surgery	140	35	216
Health Net Community Solutions, Inc.	Hematology	160	35	423
Health Net Community Solutions, Inc.	Hospital	80	35	49
Health Net Community Solutions, Inc.	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	165	40	552
Health Net Community Solutions, Inc.	Mental Health (non-psychiatry) Outpatient Services	64	29	3
Health Net Community Solutions, Inc.	Nephrology	160	55	429
Health Net Community Solutions, Inc.	Neurology	115	35	139
Health Net Community Solutions, Inc.	Obstetrics and Gynecology	65	33	4
Health Net Community Solutions, Inc.	Obstetrics and Gynecology Primary Care Physician	45	33	10
Health Net Community Solutions, Inc.	Oncology	160	30	410
Health Net Community Solutions, Inc.	Ophthalmology	245	120	129
Health Net Community Solutions, Inc.	Orthopedic Surgery	115	35	237
Health Net Community Solutions, Inc.	Pharmacy	40	38	4
Health Net Community Solutions, Inc.	Physical Medicine and Rehabilitation	105	30	554
Health Net Community Solutions, Inc.	Primary Care Physician	70	38	26
Health Net Community Solutions, Inc.	Psychiatry	71	36	34
Health Net Community Solutions, Inc.	Pulmonology	150	35	172
Health Plan of San Joaquin	Hospital	30	20	3
Health Plan of San Mateo	Endocrinology	32	32	1
Inland Empire Health Plan	Cardiology/Interventional Cardiology	70	65	6
Inland Empire Health Plan	Dermatology	115	88	12
Inland Empire Health Plan	Ear, Nose, and Throat (ENT) / Otolaryngology	115	75	14
Inland Empire Health Plan	Endocrinology	120	70	40
Inland Empire Health Plan	Gastroenterology	115	88	12
Inland Empire Health Plan	General Surgery	70	70	4
Inland Empire Health Plan	Hematology	140	85	23
Inland Empire Health Plan	Hospital	70	30	21
Inland Empire Health Plan	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	120	65	25
Inland Empire Health Plan	Nephrology	115	70	10
Inland Empire Health Plan	Neurology	85	70	10
Inland Empire Health Plan	Obstetrics and Gynecology	135	70	3
Inland Empire Health Plan	Obstetrics and Gynecology Primary Care Physician	140	45	116
Inland Empire Health Plan	Oncology	140	85	23
Inland Empire Health Plan	Ophthalmology	100	88	12
Inland Empire Health Plan	Orthopedic Surgery	75	70	6
Inland Empire Health Plan	Pharmacy	70	25	18
Inland Empire Health Plan	Physical Medicine and Rehabilitation	115	75	14
Inland Empire Health Plan	Primary Care Physician	70	25	48
Inland Empire Health Plan	Psychiatry	105	70	10
Inland Empire Health Plan	Pulmonology	85	65	11
Kern Family Health Care	Dermatology	95	95	2
Kern Family Health Care	Ear, Nose, and Throat (ENT) / Otolaryngology	90	90	12
Kern Family Health Care	Endocrinology	85	85	2
Kern Family Health Care	Hematology	95	90	4
Kern Family Health Care	Hospital	65	45	11
Kern Family Health Care	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	90	90	10
Kern Family Health Care	Nephrology	85	85	4
Kern Family Health Care	Neurology	85	85	4
Kern Family Health Care	Obstetrics and Gynecology Primary Care Physician	65	55	19
Kern Family Health Care	Ophthalmology	95	90	10
Kern Family Health Care	Pharmacy	65	65	1
Kern Family Health Care	Physical Medicine and Rehabilitation	95	90	14
Kern Family Health Care	Pulmonology	85	85	2
L.A. Care Health Plan	Cardiology/Interventional Cardiology	23	21	8
L.A. Care Health Plan	Dermatology	23	21	8
L.A. Care Health Plan	Ear, Nose, and Throat (ENT) / Otolaryngology	24	18	6
L.A. Care Health Plan	Endocrinology	30	21	13
L.A. Care Health Plan	Gastroenterology	30	26	10
L.A. Care Health Plan	General Surgery	33	31	4
L.A. Care Health Plan	Hematology	33	28	13
L.A. Care Health Plan	Hospital	23	19	7
L.A. Care Health Plan	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	37	21	9
L.A. Care Health Plan	Nephrology	30	28	4
L.A. Care Health Plan	Neurology	21	20	3
L.A. Care Health Plan	Obstetrics and Gynecology	42	42	1
L.A. Care Health Plan	Obstetrics and Gynecology Primary Care Physician	42	37	9
L.A. Care Health Plan	Oncology	37	29	8
L.A. Care Health Plan	Ophthalmology	21	20	5
L.A. Care Health Plan	Orthopedic Surgery	22	22	4
L.A. Care Health Plan	Pharmacy	20	20	1
L.A. Care Health Plan	Physical Medicine and Rehabilitation	22	20	9
L.A. Care Health Plan	Primary Care Physician	17	17	1
L.A. Care Health Plan	Psychiatry	25	24	4
L.A. Care Health Plan	Pulmonology	42	33	13
Molina Healthcare of California Partner Plan, Inc.	Cardiology/Interventional Cardiology	48	41	8
Molina Healthcare of California Partner Plan, Inc.	Dermatology	49	42	8
Molina Healthcare of California Partner Plan, Inc.	Ear, Nose, and Throat (ENT) / Otolaryngology	49	43	12
Molina Healthcare of California Partner Plan, Inc.	Endocrinology	62	46	20
Molina Healthcare of California Partner Plan, Inc.	Gastroenterology	62	43	16
Molina Healthcare of California Partner Plan, Inc.	General Surgery	71	41	14
Molina Healthcare of California Partner Plan, Inc.	Hematology	56	41	20
Molina Healthcare of California Partner Plan, Inc.	Hospital	72	47	16
Molina Healthcare of California Partner Plan, Inc.	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	62	45	20
Molina Healthcare of California Partner Plan, Inc.	Nephrology	62	46	16
Molina Healthcare of California Partner Plan, Inc.	Neurology	62	45	18
Molina Healthcare of California Partner Plan, Inc.	Obstetrics and Gynecology	62	43	9
Molina Healthcare of California Partner Plan, Inc.	Obstetrics and Gynecology Primary Care Physician	72	44	43
Molina Healthcare of California Partner Plan, Inc.	Oncology	62	46	20
Molina Healthcare of California Partner Plan, Inc.	Ophthalmology	53	45	8
Molina Healthcare of California Partner Plan, Inc.	Orthopedic Surgery	62	44	16
Molina Healthcare of California Partner Plan, Inc.	Pharmacy	71	55	3
Molina Healthcare of California Partner Plan, Inc.	Physical Medicine and Rehabilitation	56	43	14
Molina Healthcare of California Partner Plan, Inc.	Primary Care Physician	70	56	6
Molina Healthcare of California Partner Plan, Inc.	Psychiatry	62	45	18
Molina Healthcare of California Partner Plan, Inc.	Pulmonology	64	45	22
Partnership HealthPlan of California	Hematology	165	165	50
Partnership HealthPlan of California	Hospital	45	30	67
Partnership HealthPlan of California	Oncology	120	90	50
Partnership HealthPlan of California	Ophthalmology	120	90	44
Partnership HealthPlan of California	Physical Medicine and Rehabilitation	120	90	100
Partnership HealthPlan of California	Primary Care Physician	45	30	26
Santa Clara Family Health Plan	Gastroenterology	45	45	6
Santa Clara Family Health Plan	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	50	50	7
Santa Clara Family Health Plan	Neurology	45	45	6
Santa Clara Family Health Plan	Physical Medicine and Rehabilitation	50	45	6
United Healthcare	Cardiology/Interventional Cardiology	63	44	18
United Healthcare	Dermatology	62	45	10
United Healthcare	Ear, Nose, and Throat (ENT) / Otolaryngology	66	49	19
United Healthcare	Endocrinology	53	44	18
United Healthcare	Gastroenterology	70	49	16
United Healthcare	General Surgery	84	47	17
United Healthcare	Hematology	55	46	18
United Healthcare	Hospital	61	42	9
United Healthcare	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	60	45	18
United Healthcare	Mental Health (non-psychiatry) Outpatient Services	40	40	5
United Healthcare	Nephrology	52	44	16
United Healthcare	Neurology	61	47	19
United Healthcare	Obstetrics and Gynecology	48	45	7
United Healthcare	Obstetrics and Gynecology Primary Care Physician	63	45	10
United Healthcare	Oncology	55	46	18
United Healthcare	Ophthalmology	62	41	13
United Healthcare	Orthopedic Surgery	53	42	18
United Healthcare	Physical Medicine and Rehabilitation	70	44	17
United Healthcare	Primary Care Physician	47	42	6
United Healthcare	Psychiatry	50	44	4
United Healthcare	Pulmonology	60	43	20