PHC California

Rachel Sakai
AHF Provider

Provider Alternative Access Standards

In some areas of Los Angeles County, PHC California does not have required network provider types that are within time and distance standards set by the State of California.  This is the time it takes to get from your home and the distance you must travel to get to the provider types listed in the table below.  If PHC California cannot ensure these provider types are within the standards listed in the table below, we must tell you what the Medi-Cal-approved alternative access standard is.

Provider Type Time and Distance Standard from Any Member’s Residence*
Primary Care 30 minutes and 10 miles
Specialty Care 30 minutes and 15 miles
OB/Gyn Specialty Care 30 minutes and 15 miles
Hospitals 30 minutes and 15 miles
Pharmacy 30 minutes and 10 miles
Mental Health
Outpatient Services
30 minutes and 15 miles

* Time and distance standards for Los Angeles County.

If your zip code and provider type are listed below, PHC California must help you find an appointment.  You have a right to call Member Services at 1-800-263-0067 to get help with finding an appointment to a closer specialist.  Member Services is open from 8:00 am to 8:00 pm, Monday through Friday.  If PHC California cannot find you an appointment with a closer specialist, PHC California will arrange transportation to see the specialist.

Zip Code Approved Provider Type Approved Max Time Approved Max Distance Required Time and Distance*
93534 Cardiology/interventional cardiology 1 hr 25 min 75 miles 30 min and 15 miles
93535 Cardiology/interventional cardiology 1 hr 45 min 86 miles 30 min and 15 miles
93550 Cardiology/interventional cardiology 1 hr 35 min 86 miles 30 min and 15 miles
93534 Dermatology 1 hr 5 min 66 miles 30 min and 15 miles
93535 Dermatology 1 hr 23 min 76 miles 30 min and 15 miles
93550 Dermatology 1 hr 32 min 66 miles 30 min and 15 miles
93534 Endocrinology 1 hr 25 min 73 miles 30 min and 15 miles
93535 Endocrinology 1 hr 41 min 85 miles 30 min and 15 miles
93550 Endocrinology 1 hr 30 min 44 miles 30 min and 15 miles
93534 Gastroenterology 1 hr 5 min 62 miles 30 min and 15 miles
93535 Gastroenterology 1 hr 23 min 75 miles 30 min and 15 miles
93550 Gastroenterology 1 hr 30 min 64 miles 30 min and 15 miles
93535 Nephrology 1 hr 17 min 70 miles 30 min and 15 miles
93534 Neurology 1 hr 10 min 67 miles 30 min and 15 miles
93535 Neurology 1 hr 27 min 78 miles 30 min and 15 miles
93534 Orthopedic Surgery 1 hr 25 min 74 miles 30 min and 15 miles
93535 Orthopedic Surgery 1 hr 44 min 86 miles 30 min and 15 miles
93550 Orthopedic Surgery 1 hr 32 min 45 miles 30 min and 15 miles
90731 Physiatrist (Rehab Medicine) 43 min 26 miles 30 min and 15 miles
90732 Physiatrist (Rehab Medicine) 39 min 24 miles 30 min and 15 miles
90802 Physiatrist (Rehab Medicine) 44 min 26 miles 30 min and 15 miles
90803 Physiatrist (Rehab Medicine) 46 min 28 miles 30 min and 15 miles
90804 Physiatrist (Rehab Medicine) 39 min 25 miles 30 min and 15 miles
90806 Physiatrist (Rehab Medicine) 33 min 21 miles 30 min and 15 miles
90813 Physiatrist (Rehab Medicine) 36 min 23 miles 30 min and 15 miles
90814 Physiatrist (Rehab Medicine) 43 min 26 miles 30 min and 15 miles
93535 Physiatrist (Rehab Medicine) 35 min 27 miles 30 min and 15 miles
93535 Oncology 1 hr 6 min 63 miles 30 min and 15 miles
93535 General Surgery 1 hr 11 min 68 miles 30 min and 15 miles
93534 Pulmonology 1 hr 22 min 72 miles 30 min and 15 miles
93535 Pulmonology 1 hr 39 min 85 miles 30 min and 15 miles
93550 Pulmonology 1 hr 28 min 43 miles 30 min and 15 miles

 

* Time and distance standards for Los Angeles County.

If you have any questions about alternative access standards, please contact Member Services.

 

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