Paul Sanchez
One Medical is a primary care provider that accepts insurance like any other doctor's office. They work with your insurance just like a regular doctor's office would, but they offer so much more. 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, Medicare, and select Medicare Advantage plans as well as Original Medicare and Medigap plans. They also accept most major health insurance plans for scheduled in-office and remote visits.
| Characteristics | Values |
|---|---|
| Insurance accepted | One Medical accepts most health insurance carriers and health plans, including Medicare, select Medicare Advantage plans, Original Medicare, and Medigap plans. They also accept most PPO and HMO insurance plans. |
| Out-of-pocket fees | One Medical offers simple out-of-pocket fees for those without insurance. |
| Medicaid | One Medical does not accept Medicaid, except for residents of Washington, DC. |
| Billing | One Medical bills you or your health insurance for in-office appointments and scheduled remote visits. |
| Standard fees | Standard fees include copayment, deductible, or coinsurance, depending on the specific health insurance plan. |
| Virtual care | On-demand virtual care through the One Medical app is included in the membership at no extra cost and is not billed to insurance. |
| Membership cost | One Medical membership typically costs $199 per person per year, with discounted rates available for families and employees of certain companies. |
| Pediatric care | One Medical offers pediatric and family care, with Family Medicine doctors seeing patients aged 14 and up, and Internal Medicine doctors seeing patients aged 18 and up. |
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What You'll Learn
One Medical works with most major health insurance plans
One Medical is a primary care provider that accepts insurance like any other doctor's office. It works with most major health insurance plans, including most PPO and HMO insurance plans, and offers simple out-of-pocket fees for those without insurance. One Medical also accepts health plans from most insurance carriers, select Medicare Advantage plans, Original Medicare, and Medigap plans.
The company works with your insurance just like a regular doctor's office, but with added benefits. For example, One Medical provides comprehensive primary care for seniors on Medicare, who can receive care in person. It also offers flu shots during flu season, which are covered by most insurance plans.
One Medical's membership typically costs $199 per person per year, but discounted memberships are available for eligible employees and their families at $149 per person per year. This membership is not insurance but rather a subscription service that provides access to doctors and other healthcare services.
It's important to note that One Medical does not accept Medicaid, except for residents of Washington, DC. If you have Medicaid, you will need to seek care from a different provider as Medicaid contracts are very specific about where you can receive care.
To ensure proper and prompt processing of your claim, it is recommended to verify your insurance information at the time of booking. If you are covered by multiple insurance plans, be sure to inform them before your visit.
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One Medical does not accept Medicaid
One Medical is a primary care provider that accepts insurance from most major insurance carriers, including Medicare, Original Medicare, and select Medicare Advantage plans. They also offer out-of-pocket fees for those without insurance. However, One Medical does not accept Medicaid. This means that, except for residents of Washington, DC, One Medical cannot provide care for individuals solely relying on Medicaid.
Medicaid contracts are very specific about where individuals can receive care. One Medical is unable to provide long-term care to Medicaid patients because they cannot authorize referrals and procedures, lab testing, or prescriptions. As a result, they recommend that patients relying on Medicaid establish care with another provider who is in-network and can meet their healthcare needs.
One Medical accepts most PPO and HMO insurance plans and is in-network with most health insurance carriers. They also provide comprehensive primary care for seniors on Medicare, who can receive in-person care. One Medical accepts health plans from most insurance carriers, but it is always recommended to verify that your specific plan is accepted.
One Medical offers virtual care through their app, which is available in all 50 states, including Washington, DC. This virtual care is provided at no extra cost and is not billed to insurance. However, scheduled in-person or remote visits are billed to the patient or their insurance, and most major insurance plans are accepted. It is important to check with the specific One Medical office before making an appointment to ensure that your insurance plan is accepted at that location.
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One Medical offers a membership for $199 per year
One Medical is a primary care provider that accepts insurance like any other doctor's office. They accept health plans from most insurance carriers, including Medicare, select Medicare Advantage plans, Original Medicare, and Medigap plans. They also accept most PPO and HMO insurance plans. One Medical works with your insurance just like a regular doctor's office, but with additional benefits.
The membership fee for One Medical is separate from insurance and provides additional benefits and conveniences. It is important to note that the scheduled visits, whether in-person or remote, will still be billed to you or your insurance, and copays and deductibles may apply.
One Medical accepts most major insurance plans and works with your insurance provider to cover the costs associated with preventive care, such as annual physicals, wellness exams, and lab tests. They also offer financial assistance and payment plans for those who may not have insurance or are unable to pay the full cost of their care.
Overall, the $199 annual membership fee for One Medical provides enhanced access to primary care services, virtual care options, and convenience, but it does not replace the need for health insurance or the associated costs of medical care.
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One Medical offers discounted memberships for employees and their families
One Medical is a membership-based primary care provider that accepts insurance like any other doctor's office. It works with major insurance providers and offers simple out-of-pocket fees for those without insurance. One Medical accepts most PPO and HMO insurance plans, as well as Medicare, select Medicare Advantage plans, and Original Medicare and Medigap plans.
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One Medical accepts health plans from most insurance carriers
One Medical is a primary care provider that accepts health plans from most insurance carriers, including Medicare, Original Medicare, select Medicare Advantage plans, and Medigap plans. 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, and major health insurance plans for scheduled in-office and remote visits.
One Medical works with your insurance just like a regular doctor's office, but with additional benefits. They offer comprehensive primary care for seniors on Medicare, and accept most health plans offered through Justworks, including Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net, MultiPlan (PPO), UnitedHealthcare, and Medicare.
One Medical also provides on-demand virtual care through their app, which is included in your membership at no extra cost and is not billed to your insurance. This means there is no extra cost regardless of your insurance coverage. They also offer flu shots by appointment during flu season, which are covered by most insurance plans.
It is important to note that One Medical does not accept Medicaid, except for residents of Washington, DC. Additionally, while most lab tests are covered by insurance, it is recommended to contact your insurance carrier beforehand to ensure coverage.
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Frequently asked questions
One Medical is a primary care provider that accepts insurance like any other doctor’s office. They accept health plans from most insurance carriers, including Medicare, Original Medicare, and select Medicare Advantage plans. They also accept most PPO and HMO insurance plans.
If you're covered under two insurance providers, be sure to let One Medical know before your visit.
One Medical offers simple out-of-pocket fees for those without insurance. Membership typically costs $199 per person per year, but discounted memberships are available for eligible employees and their families at $149 per person per year.
One Medical accepts most health plans offered through Justworks, including Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net, and more. If your company offers health insurance through Justworks, you and your spouse/partner/dependents have access to One Medical membership at no cost.
One Medical does not accept Medicaid, except for residents of Washington, DC.
