Alyssa Lane
One Medical is a membership-based primary care organization that works with your health insurance plan to give you access to different healthcare services. One Medical accepts most major insurance plans, including Medicare, and is in-network with a number of different exchange plans. However, it is essential to note that One Medical is only compatible with individuals with an existing health insurance plan, and those without insurance will have to pay for their services in full. One Medical offers affordable options and financial assistance for those who are uninsured or underinsured, and provides reasonable out-of-pocket payment options.
| Characteristics | Values |
|---|---|
| Insurance Compatibility | One Medical is compatible with most major insurance plans, including Medicare Advantage, Original Medicare, and Medigap. However, it does not accept Medicaid. |
| Self-Pay Option | Yes, One Medical offers a self-pay option for individuals without insurance. The cost varies based on the type of visit. |
| Financial Assistance | Financial assistance is available for eligible individuals who cannot pay for their care or membership fees. |
| Referrals and Coordination | One Medical can provide referrals to specialists and coordinate care with hospitals in the area. |
| Prescription Services | One Medical can send prescriptions electronically to the pharmacy of your choice. It also offers easy prescription renewal requests through its online account or mobile app. |
| Membership Fee | The annual membership fee is $199 and is not typically covered by insurance plans. |
| Appointment Booking | One Medical offers same-day appointments and 24/7 access. Appointments can be booked online, via mobile app, or by phone. |
| Virtual Care | Virtual appointments and on-demand video visits are available through the One Medical Mobile App. |
| Insurance Processing | Proper insurance information verification is required for prompt processing of claims. |
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What You'll Learn
One Medical accepts most major insurance plans
One Medical's mission is to make quality care accessible to everyone. They offer affordable options for those with high-deductible health plans or no insurance, as well as financial assistance for those who are unable to pay for their care. Members can access medical services from One Medical providers without the benefits of the 1Life enhanced digital tools and value-added member services. This access does not include the use of the 1Life Healthcare proprietary technology platform, including online and mobile appointment booking, on-demand video visit technology, and the mobile app.
One Medical's membership costs $199 per year and includes services such as same-day appointments, 24/7 access to the clinical team, and quick, on-demand video calls with the next available provider. They also offer reasonable out-of-pocket payment options, and depending on your insurance coverage, you may be able to submit these expenses for reimbursement.
It is important to note that the Annual Membership Fee is typically not covered by health insurance plans or other healthcare benefit plans. It is recommended to check with your insurance provider if you have questions concerning your coverage. Additionally, One Medical does not accept Medicaid, except for residents of Washington, DC.
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One Medical offers financial assistance for eligible patients
One Medical works with nearly all of the hospitals in the area, allowing patients to go to the hospital of their choice, and helping them coordinate care as needed. It accepts most major insurance plans and offers simple out-of-pocket fees for those without insurance. One Medical also provides comprehensive primary care for seniors on Medicare and is a Medicare-participating provider. It accepts Original Medicare (with or without most Medicare supplement plans) and select Medicare Advantage plans.
One Medical is dedicated to serving its community, regardless of financial means. It offers financial assistance to eligible patients who don't have insurance and other payment resources available to them. To be eligible for financial assistance on medical care and/or the annual membership fee, patients must complete the financial assistance application and supply the necessary documentation within the allotted time frame. Eligibility will be determined using the patient's most recent tax return. If patients don't meet the requirements but still need assistance, they can reach out to a member of the One Medical team to discuss other options, such as no-interest payment plans.
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One Medical accepts self-pay for those without insurance
One Medical works with nearly all of the hospitals in the area and can help coordinate care as needed. It accepts most major insurance plans and is in-network with specific ACA-related plans sold via the Health Insurance Marketplace. It also accepts Original Medicare (with or without most Medicare supplement plans) and select Medicare Advantage plans.
However, One Medical does not accept Medicaid. Even if you pay for your membership fee out-of-pocket, Medicaid contracts are very specific about where you receive care. One Medical cannot provide long-term care as it will not be able to authorize referrals and procedures, lab testing, ordering prescriptions, etc.
For those without insurance, One Medical offers self-pay options. 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 based on financial criteria. If you are uninsured or self-paying, you have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services.
One Medical also provides financial assistance to eligible patients who don't have insurance and other payment resources. You may be eligible for financial assistance on medical care and/or the annual membership fee if you complete the financial assistance application and supply the necessary documentation within the allotted time frame, and meet the financial criteria.
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One Medical offers affordable alternatives to concierge medicine
One Medical is a modern, tech-enabled primary care practice that offers a surprisingly affordable alternative to concierge medicine. It provides access to hundreds of premier doctors with luxury offices across nine cities, as well as same-day, next-day, instant, or advance appointments through its 24/7 app.
One Medical accepts most major insurance plans, including health plans from most insurance carriers, select Medicare Advantage plans, Original Medicare, and Medigap plans. It also works with nearly all hospitals in the area, allowing patients to go to the hospital of their choice and facilitating referrals and the transfer of medical records.
For those without insurance, One Medical offers affordable options for self-pay, with costs varying based on the visit. Financial assistance is also available for those who qualify, with discounts on the annual membership fee and out-of-pocket costs. This includes no-interest payment plans and other financial programs.
One Medical's services include mental health screenings, medication support, lifestyle support, and preventative care. It also offers digital tools such as online and mobile appointment booking, prescription renewal requests, and on-demand video visit technology, although these are not included in the basic membership.
Overall, One Medical provides an affordable and accessible alternative to concierge medicine, ensuring that financial hardships do not prevent members from receiving quality medical care.
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One Medical works with nearly all hospitals in the area
One Medical accepts most major insurance plans, including select Medicare Advantage plans, Original Medicare, and Medigap plans. They also accept some ACA/Exchange plans and are in-network with specific ACA-related plans sold via the Health Insurance Marketplace. However, they do not accept Medicaid, except for residents of Washington, DC.
If a patient does not have insurance, they can still receive care through "self-pay". They can pay for their in-office appointment or scheduled remote visits directly, and the cost will vary based on the visit. One Medical also offers affordable options based on financial criteria. They provide financial assistance to eligible patients who do not have insurance or other payment resources.
One Medical has doctors' offices conveniently located near where patients live or work in the D.C. Metro Area (DMV), Dallas-Ft. Worth, and Miami-Ft. They offer same-day appointment availability and 24/7 access to their clinical team, making them a great option for urgent needs.
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Frequently asked questions
One Medical is a membership-based primary care organization that works with your health insurance plan to give you access to different healthcare services. Individuals without insurance will have to pay for their services in full. However, One Medical offers affordable options for people without insurance.
One Medical accepts most major insurance plans and health plans from most insurance carriers. One Medical is currently in-network with a number of different exchange plans.
You can search for your insurance plan on One Medical's website. If you don't see your plan listed, you can call them to verify if your plan is accepted.
