Orlando Harmon
One Medical is a membership-based primary care organization that works with your health insurance plan to provide different healthcare services. It accepts most major insurance plans, including Medicare and select Medicare Advantage plans. However, it is not compatible with individuals without an existing health insurance plan, who will have to pay for their services in full. One Medical offers financial assistance to eligible patients who are unable to pay for their care or the annual membership fee. This assistance is available to those who complete a financial assistance application, supply the necessary documentation, and meet the financial criteria.
| Characteristics | Values |
|---|---|
| Mission | To make quality care accessible to everyone |
| Financial hardships | Shouldn't prevent members from receiving medical care |
| Insurance | Accepts most major insurance plans |
| Uninsured members | May be eligible for financial assistance on medical care and/or the annual membership fee |
| Annual membership fee | Covers costs for non-medical services; not a prerequisite for receiving medical care |
| Self-pay | Available for uninsured members |
| Virtual care | Available in all 50 states and Washington, DC |
| Medicare | One Medical Seniors is a Medicare-participating provider |
| Medicaid | One Medical does not care for individuals only on Medicaid |
| Hospitals | Works with almost all hospitals in the area |
| Appointments | Same-day availability; can be booked online or via the mobile app |
| Prescriptions | Can be requested via the app or by calling |
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What You'll Learn
One Medical works with most major insurance plans
One Medical is a membership-based primary care organisation that works with your health insurance plan to give you access to different healthcare services. It works with nearly all of the hospitals in the area, allowing you to go to the hospital of your choice, and can help coordinate care as needed. One Medical works with most major insurance plans, including Original Medicare (with or without most Medicare supplement plans) and select Medicare Advantage plans. It also accepts health plans from most insurance carriers.
One Medical's mission is to make quality care accessible to everyone. It acknowledges that financial hardships shouldn't prevent members from receiving the medical care they need. While it accepts most major insurance plans, it understands that some members may not have access to medical insurance or other resources to pay for necessary primary care. It offers financial assistance to eligible patients who don't have insurance and other payment resources available to them. This financial assistance can be applied to medical care and/or the annual membership fee.
The annual membership fee covers costs associated with high-touch and value-added non-medical services, including lifestyle and wellness offerings and value-added personal assistance services. It is not a prerequisite for receiving medical care at One Medical offices, nor is it a covered benefit under most health insurance plans. One Medical also provides comprehensive primary care for seniors on Medicare who can receive care in person.
If you do not have insurance, you can still get care with "self-pay". You can pay for your in-office appointment or scheduled remote visits directly, with the cost varying based on your visit. One Medical also offers affordable options based on financial criteria.
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Uninsured members may be eligible for financial assistance
One Medical is a membership-based primary care organisation that works with your health insurance plan to give you access to different healthcare services. However, it also offers simple out-of-pocket fees for those without insurance. If you are uninsured, you can pay for your in-office appointment or scheduled remote visits directly. The cost will vary based on your visit.
One Medical's mission is to make quality care accessible to everyone. They believe that financial hardships shouldn't prevent members from receiving the medical care they need. Their member financial assistance guidelines are designed to help those who are unable to pay for their care. Uninsured members may be eligible for financial assistance on medical care and/or the annual membership fee if they meet certain criteria.
To be eligible for financial assistance, you must complete the financial assistance application and supply the necessary documentation within the allotted time frame. You must also meet the financial criteria, which includes not having health insurance, having a health insurance policy that doesn't cover all necessary medical care, or having a health insurance policy that imposes substantial patient responsibility for medical care.
If you meet the criteria, you’ll receive financial assistance and a discount will be applied to your annual membership fee as well as any out-of-pocket costs for one year. It is important to note that financial assistance discounts are not applicable towards services rendered by outside facilities, such as labs, specialist facilities, and imaging facilities. Additionally, the Annual Membership Fee covers costs associated with non-medical services, including lifestyle and wellness offerings, and is not a covered benefit under most health insurance plans.
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One Medical offers an annual membership fee
One Medical is a membership-based primary care organisation that works with your health insurance plan to give you access to different healthcare services. It accepts most major insurance plans, including Medicare, and works with nearly all hospitals in the area. However, it is essential to note that One Medical is incompatible with individuals without an existing health insurance plan. Those without insurance will have to pay for their services in full, and this payment can be made through "self-pay". The cost of self-pay will vary based on the type of visit.
To receive all the benefits of One Medical membership, including online and mobile appointment booking, online and mobile prescription renewal requests, on-demand video visit technology, and digital access to virtual medical services through the One Medical Mobile App, registration as a member is required. Without membership, individuals may still access medical services from One Medical providers, but they will need to call to schedule appointments and may not have access to all the digital tools and value-added services.
While One Medical is dedicated to serving its community regardless of financial means, it is important to note that financial hardships may impact the accessibility of certain services. Those without insurance or with high out-of-pocket costs may face challenges in fully utilising One Medical's offerings.
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One Medical accepts Medicare
One Medical is a membership-based primary care provider that works with your health insurance plan to give you access to different healthcare services. It accepts most major insurance plans, including Medicare. One Medical provides comprehensive primary care for seniors on Medicare who can receive care in person. It accepts health plans from most insurance carriers, select Medicare Advantage plans, Original Medicare, and Medigap plans.
One Medical is not compatible with individuals without an existing health insurance plan. Individuals without insurance will have to pay for their services in full. However, One Medical offers financial assistance to eligible patients who don't have insurance and other payment resources available to them. This financial assistance is available for medical care and/or the annual membership fee. The annual membership fee is not a prerequisite for receiving medical care at One Medical offices.
One Medical works with nearly all hospitals in the area, allowing you to go to the hospital of your choice, and can help coordinate care as needed. It offers same-day appointment availability and 24/7 access to its clinical team. It is a great option for urgent needs. One Medical also offers online and mobile appointment booking, online and mobile prescription renewal requests, and on-demand video visit technology.
One Medical typically costs $199 per person per year for membership. If your company does not offer health insurance, you and your family members can access One Medical for a discounted price of $149 per year.
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Uninsured members can pay for their services in full
One Medical is a membership-based primary care organisation that works with your health insurance plan to give you access to different healthcare services. However, it also offers services to uninsured members.
One Medical also offers a separate annual membership fee, which is not a prerequisite for receiving medical care. This fee covers the costs of high-touch and value-added non-medical services, including lifestyle and wellness offerings and personal assistance services. One Medical does not require members to pay this fee, and it is not covered by most health insurance plans. Members can contact their local One Medical office to learn more about their options if they are unable to pay the fee.
It is important to note that financial assistance discounts are not applicable to services rendered by outside facilities, such as labs, specialist facilities, and imaging facilities. Uninsured members who wish to receive all the benefits of One Medical membership, including online and mobile prescription renewal requests, on-demand video visit technology, and digital access to virtual medical services through the One Medical Mobile App, must register as a member.
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Frequently asked questions
Yes, you can use One Medical without insurance. One Medical accepts most major insurance plans but also provides care for those without insurance. Those without insurance can pay for their in-office appointment or scheduled remote visits directly.
No, the Annual Membership Fee is not a prerequisite for receiving medical care in One Medical offices. However, most patients do pay the membership fee, which covers costs associated with high-touch and value-added non-medical services.
One Medical provides medical services for those without insurance, but these services do not include the benefits of the 1Life enhanced digital tools and value-added member services. This means that those without insurance will need to call to schedule appointments rather than using the online or mobile app services.
