Aetna Network Coverage Map

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When talking about one of the well-established and financially strong companies, Aetna is always included in the conversation. This one has high ratings from AM Best and some other financial ratings bureaus. One of the good things about this company is that it offers nationwide coverage in addition to HSAs, and wellness programs with its health plans.

Talking about the Aetna coverage network, these are two maps that you may want to know. The first one is the map of the Preferred Provider Organization or PPO network coverage for California groups and the second one is the map of the Health Maintenance Organization or HMO network coverage for California groups.  Here is the map of the Preferred Provider Organization or PPO network coverage for California groups:

Aetna Network Coverage Map

In order to understand the map, you can check out the followings:

  • The areas with lilac color are the areas of the Aetna Open Access Managed Choice network or OAMC. The Aetna Open Access Managed Choice network, which is also more known as OAMC in short, is the name of Aetna’s national network. This one is available in every county in California with the exception of Mendocino, Sierra, Alpine and Inyo. There are more than 111,000 providers and 407 hospitals in this network.  These areas include Del Norte, Siskiyou, Modoc, Humboldt, Trinity, Shasta, Lassen, Tehama, Glenn, Butte, Plumas, Lake, Colusa, Napa, Nevada, Marin, Santa Cruz, Calaveras, Toulumne, Mariposa, Mono, Merced, Madera, Fresno, San Benito, Monterey, Kings, Tulare, Kern, San Luis Obispo, San Barbara, Ventura, and Imperial.
  • The areas that are highlighted with purple color are the areas of the Aetna Whole Health – Southern California PPO network.  There are more than 1,700 primary care physicians in the Aetna Whole Health – Southern California PPO network. Not only that, there are also a total of 57 hospitals. These areas include Los Angeles, San Bernardino, Riverside, Orange, and San Diego.
  • The triangle icon with black color shows the Savings Plus network. There are more than 39,000 providers and 208 hospitals in the Savings Plus network. These ones include Fresno, Ventura, Los Angeles, Orange, San Bernardino, Riverside, and San Diego.
  • The areas that are highlighted with green color are the areas of the Sutter Health Aetna venture network. There are more than 14,000 primary care physicians and specialists in the Sutter Health Aetna joint venture network. Aside from that, this network also has a total of 33 hospitals. These areas include Sonoma, Yuba, Sutter, Yolo, Solano, Sacramento, Placer, El Dorado, Amador (SI only), Contra Costa, San Joaquin, Alameda, Stanislaus, San Francisco, San Mateo and Santa Clara.
  • The areas that are highlighted with white color are the areas with no network coverage. These areas include Mendocino, Sierra, Alpine, and Inyo.

There are a few things that should be noted, such as:

  • The network counts as of July last year.
  • Subject can be changed without notice.
  • It is possible for a few counties to not have coverage in all ZIP codes.

As for the map of the Health Maintenance Organization or HMO network coverage for California groups, you can check it out below:

Health maintenance organization (HMO) network coverage for California groups

If you have no idea about the map above, check out the explanation below:

  • The areas that are highlighted with the lilac color are the areas of HMO and HMO deductible. These areas include Nevada, Placer, El Dorado, Yolo, Sacramento, Solano. Sonoma, Marin, Contra Costa, San Joaquin, Alameda, Stanislaus, San Francisco, San Mateo, Santa Clara, Santa Cruz, Merced, Madera, Fresno, Kings, Tulare, San Luis Obispo, Kern, Santa Barbara, Ventura, Los Angeles, San Bernardino, Orange, Riverside, and San Diego. There are more than 97,000 providers in the HMO network. Plus, this network also has a total of 379 hospitals. There are more than 83,000 providers in the HMO deductible network. Apart from that, this network also has a total of 338 hospitals.
  • The areas that are highlighted with the white color are the areas with no HMO coverage. These areas include Del Norte, Siskiyou, Trinity, Humboldt, Shasta, Modoc, Tehama, Mendocino, Glenn, Lake, Colusa, Lassen, Plumas, Butte, Sutter, Yuba, Sierra, Napa, Armador, Alpine, Calaveras, Toulumne, Mariposa, Mono, San Benito, Monterey, Inyo and Imperial.
  • The areas with the green star icon are the areas that have Aetna Value Network. These areas include Placer, Sonoma, Yolo, Sacramento, Contra Costa, San Joaquin, Alameda, San Mateo, Santa Cruz, Santa Clara, Stanislaus, San Francisco, Kern, Ventura, Los Angeles, San Bernardino, Orange, Riverside, and San Diego. There are more than 46,000 providers in the Aetna Value network. Not only that, it also has 201 hospitals.
  • The areas with the purple rhombus icon are areas that have HMO Basic. These areas include San Francisco, San Mateo, Santa Clara, Los Angeles, San Bernardino, Riverside, Orange, and San Diego. The HMO Basic network has over 29,000 providers as well as a total of 201 hospitals.
  • The areas with lilac round icon are the areas that have Aetna Whole Health HMO. These areas include Tulare, Kern, Ventura, Los Angeles, San Bernardino, Orange, Riverside, and San Diego. There are more than 3,600 primary care physicians in the Aetna Whole Health – Southern California HMO network. In addition, there are also a total of 149 hospitals.

There are a few things that should be noted, such as:

  • The network counts as of July last year.
  • Subjects can be changed without notice.
  • It is possible for a few counties to not have coverage in all ZIP codes.
  • If the business is new, there is no way for the HMO deductible network to be available for it.

If you want to look for a provider, you are recommended to go to the official website of Aetna at Aetna.com. When you are on the front page, you can click Find a Doctor to find a provider. If you are wondering if you are required to sign in to the site to be able to find a provider, it is not always the case. Aside from signing in, it is also possible to find a provider on the official website of Aetna as a guest.

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