Haris Ashley
One Medical is a primary care provider that works with most major insurance carriers and accepts most PPO and HMO insurance plans. It also accepts Original Medicare and select Medicare Advantage plans. One Medical offers simple out-of-pocket fees for those without insurance and provides financial assistance to eligible patients. Amazon Prime members get special pricing on One Medical membership.
| Characteristics | Values |
|---|---|
| Insurance accepted | One Medical accepts most major insurance plans, including PPO and HMO insurance plans |
| Insurance providers | In-network with most health insurance carriers |
| Self-pay | Yes, self-pay is accepted |
| Medicaid | Not accepted |
| Medicare | Yes, including Original Medicare and select Medicare Advantage plans |
| Annual membership fee | Yes, but it is not a prerequisite for receiving medical care |
| Financial assistance | Yes, financial assistance is available for eligible patients |
| Virtual care | Yes, virtual care is available in all 50 states and Washington, DC |
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What You'll Learn
- One Medical accepts most major insurance plans and offers out-of-pocket fees for the uninsured
- Amazon Prime members get special pricing
- One Medical Seniors is a Medicare-participating provider
- One Medical does not accept Medicaid
- One Medical offers financial assistance for eligible patients who are uninsured or underinsured
One Medical accepts most major insurance plans and offers out-of-pocket fees for the uninsured
One Medical works with most major insurance carriers and offers out-of-pocket fees for the uninsured. It is a primary care provider that accepts insurance like any other doctor's office. It accepts most PPO and HMO insurance plans, as well as Original Medicare (with or without most Medicare supplement plans) and select Medicare Advantage plans. One Medical also works with nearly all of the hospitals in the area, allowing patients to go to the hospital of their choice.
If you are uninsured, you can still get care with "self-pay". You can pay for your in-office appointment or scheduled remote visits directly, with costs varying based on your visit. One Medical also offers affordable options based on financial criteria. It provides comprehensive primary care for seniors on Medicare, who can receive care in-person. One Medical is not covered by Kaiser Health Plans. HMO plans restrict members to a narrow network of healthcare providers, but One Medical's structure allows patients with HMO plans the flexibility to see multiple providers in various locations while remaining in-network.
If you are enrolled in a California HMO, you must first select an Independent Practice Association (IPA) and then designate an in-network One Medical provider as your Primary Care Physician (PCP) to use in-office services at One Medical. The IPA selected determines the service area deemed in-network, and certain One Medical offices and providers may be out-of-network. Members enrolled in HMO plans must select a One Medical provider as their PCP in the same state where their HMO is based. Once selected, members can be seen by any One Medical provider within that state.
One Medical also offers an annual membership fee that covers the costs associated with access to the 1Life Healthcare proprietary technology platform, including online appointment booking and prescription renewal requests. The annual membership fee is not a prerequisite for receiving medical care at One Medical offices.
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Amazon Prime members get special pricing
Amazon Prime members can purchase a One Medical membership at a discounted rate of $9 per month or $99 per year for the first member. This exclusive discount pricing for Prime members represents a saving of $100 on the annual membership fee.
Additional memberships can be purchased for up to five family members at a cost of $6 per month or $66 per year each. This works out at a discount of up to 50% on the first membership and up to 67% for each additional membership.
One Medical accepts most major insurance plans, and scheduled visits can be billed to insurance or paid out of pocket. The membership fee covers access to the One Medical app, as well as on-demand and asynchronous virtual care services, and high-touch personal services such as insurance navigation and referral management.
Amazon Prime members can also use the Pay-per-visit option, which is available to both Prime and non-Prime members for a flat, out-of-pocket fee. This does not require a One Medical membership and does not accept health insurance for visits.
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One Medical Seniors is a Medicare-participating provider
One Medical is a primary care provider that accepts most major insurance plans, including Medicare. One Medical Seniors is a Medicare-participating provider, offering comprehensive primary care for seniors on Medicare who can receive in-person care. This service is available for adults aged 65 and over and is currently only available in select locations.
One Medical Seniors accepts Original Medicare, with or without most Medicare supplement plans, and select Medicare Advantage plans. However, it is important to note that not all procedures are covered, and the specific plans accepted may vary by location. To confirm whether your specific insurance plan is accepted, you can use the Medicare insurance finder on the One Medical website or contact your insurance carrier directly.
One Medical is committed to making quality healthcare accessible to everyone, and they offer financial assistance for those facing financial hardships. They also provide simple out-of-pocket fees for those without insurance, with options for self-pay. Additionally, Amazon Prime members can benefit from special membership pricing.
It is worth noting that One Medical does not accept Medicaid, except for residents of Washington, DC. They also do not accept Medicaid contracts, as these are very specific about where care can be received, which limits their ability to provide long-term care.
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$45.5
One Medical does not accept Medicaid
One Medical is a primary care provider that accepts insurance like any other doctor's office. They are in-network with most health insurance carriers and offer simple out-of-pocket fees for those without insurance. They accept most PPO and HMO insurance plans, as well as Original Medicare and select Medicare Advantage plans.
However, One Medical does not accept Medicaid. They are unable to accept Medicaid even if the membership fee is paid out-of-pocket. This is because Medicaid contracts are very specific about where individuals can receive care. One Medical cannot provide long-term care to Medicaid patients because they cannot authorize referrals and procedures, lab testing, or prescriptions. As a result, they recommend that Medicaid patients establish care with another provider who is in-network and can meet their healthcare needs.
One Medical offers virtual care through their app in all 50 states, plus Washington, DC, without billing insurance for these services. They also provide comprehensive primary care for seniors on Medicare, including in-person care. One Medical is committed to making quality healthcare accessible to everyone, so they offer affordable options for those with high-deductible health plans or without insurance. They also provide financial assistance for eligible patients who are unable to pay for their care or the annual membership fee.
It is important to note that the list of accepted insurance plans by One Medical is not exhaustive and may change periodically. Therefore, it is recommended to verify with One Medical directly to ensure that your specific insurance plan is accepted.
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One Medical offers financial assistance for eligible patients who are uninsured or underinsured
One Medical is a primary care provider that accepts insurance like any other doctor's office. It works with most health insurance carriers and offers simple out-of-pocket fees for those without insurance. It accepts most PPO and HMO insurance plans, as well as Original Medicare (with or without most Medicare supplement plans) and select Medicare Advantage plans.
However, One Medical does not accept Medicaid. It is also only in-network with specific ACA-related plans sold via the Health Insurance Marketplace.
If you do not have insurance, you can still receive care with "self-pay". You can pay for your in-office appointment or scheduled remote visits directly. The cost will vary based on your visit. One Medical also offers affordable options for those without insurance, based on financial criteria.
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Frequently asked questions
One Medical accepts most major insurance plans, including most PPO and HMO insurance plans, and is in-network with most health insurance carriers. It also accepts Original Medicare (with or without most Medicare supplement plans) and select Medicare Advantage plans.
One Medical offers financial assistance for those who are unable to pay for their care. You may be eligible for financial assistance on medical care and/or the annual membership fee if you meet certain financial criteria.
If you do not have insurance, you can still receive care by paying for it yourself. One Medical offers self-pay options for those without insurance, with costs varying based on the type of visit.
You can check if your insurance plan is accepted by One Medical by visiting their website or contacting them directly. It is recommended that you verify your insurance coverage before scheduling an appointment.
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