Jeffrey Wade
One Medical is a primary care provider that accepts insurance from most insurance carriers, including Medicare, and offers a range of virtual and in-person healthcare services. One Medical is not an insurance plan itself but works with many insurance companies to provide healthcare services to their customers. The specific insurance plans accepted by One Medical may vary based on location, so it is recommended to check with their office before making an appointment. One Medical also offers affordable options for those without insurance, including self-pay and discounted memberships for students and employees of certain companies.
| Characteristics | Values |
|---|---|
| One Medical is an insurance plan | No |
| One Medical accepts insurance | Yes |
| Insurance accepted | Most health plans from most insurance carriers, including Medicare, Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net, MultiPlan (PPO), and UnitedHealthcare |
| Insurance not accepted | Medicaid |
| Self-pay option available | Yes |
| Out-of-pocket fees | Yes |
| Virtual care billed to insurance | No |
| In-office appointments billed to insurance | Yes |
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What You'll Learn
One Medical accepts health plans from most insurance carriers
One Medical is a primary care provider that accepts insurance like any other doctor's office. It accepts health plans from most insurance carriers, including Medicare, and select Medicare Advantage plans. One Medical also accepts Original Medicare and Medigap plans.
While One Medical accepts most insurance carriers, it does not accept Medicaid. Medicaid contracts are very specific about where individuals can receive care, and One Medical is not able to provide long-term care under these contracts.
One Medical works with nearly all of the hospitals in the area, allowing patients to go to the hospital of their choice. If a patient needs to see a specialist for a follow-up, One Medical can provide a referral and help coordinate the logistics. If a patient ends up at a hospital for another reason, One Medical can help transfer their medical records so that their provider can review their stay and test results and help with any needed follow-up.
One Medical offers in-office appointments and scheduled remote visits, billing the patient or their health insurance. The amount owed depends on the specific health insurance plan. On-demand virtual care through the One Medical app is included in the membership at no extra cost and is not billed to insurance.
Some of the more popular insurance plans that One Medical accepts are listed on their website. However, the list is not exhaustive and changes periodically, so it is recommended to check with One Medical's office prior to making an appointment to ensure a specific insurance plan is accepted at the intended office location.
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One Medical accepts Medicare
One Medical is a primary care provider that accepts insurance, including Medicare. One Medical Seniors is a Medicare-participating provider and accepts Original Medicare (with or without most Medicare supplement plans) and select Medicare Advantage plans.
One Medical accepts health plans from most insurance carriers, including PPO and HMO insurance plans. They also accept Original Medicare and select Medicare Advantage plans. It is important to note that One Medical is not insurance itself but rather accepts insurance like any other doctor's office.
If you are unsure whether your insurance plan is accepted, you can check the list of covered insurance plans on their website or contact One Medical directly by email or phone to verify if your plan is accepted. This is especially important if you are on a smaller plan, as the list of accepted insurance plans provided by One Medical may not be exhaustive and may change periodically.
Additionally, One Medical offers virtual care through their app in all 50 states, Washington DC, and at select locations in 7 states. This virtual care is provided at no extra cost and is not billed to insurance. However, scheduled visits, whether in-person or remote, are billed to you or your insurance.
One Medical is committed to making quality healthcare accessible to everyone, and as such, they offer affordable options for those with high-deductible health plans or without insurance. They also provide comprehensive primary care for seniors on Medicare, ensuring that individuals over 65 can receive the in-person care they need.
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One Medical does not accept Medicaid
One Medical is a primary care provider that accepts insurance from most insurance carriers, including Medicare, Medigap, and select Medicare Advantage plans. They also offer out-of-pocket fees for those without insurance. However, One Medical does not accept Medicaid. This is because Medicaid contracts are very specific about where individuals can receive care. As a result, One Medical is unable to provide long-term care to Medicaid patients as they cannot authorize referrals, procedures, lab testing, prescriptions, and other necessary services.
One Medical recommends that individuals on Medicaid establish care with another provider who is in-network and can meet their healthcare needs. While One Medical does not accept Medicaid, they are dedicated to making quality care accessible to everyone. They offer financial assistance and affordable options for those with high-deductible health plans or no insurance. This includes assistance with medical care and/or the annual membership fee for those who complete a financial assistance application and meet the financial criteria.
It is important to note that One Medical is not an insurance plan itself but rather a provider that accepts insurance. The membership fee for One Medical is also not typically covered by health insurance plans or other healthcare benefit plans. However, Amazon Prime members can purchase a One Medical membership at a special price. Additionally, individuals without insurance can still receive care through "self-pay," where they pay for in-office appointments or scheduled remote visits directly.
Before making an appointment with One Medical, it is recommended to check with their office to ensure that your insurance plan is accepted at that location. This is because the accepted insurance plans may vary based on location. One Medical also provides a list of covered insurance plans on their website, which can be used to verify if your plan is accepted.
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One Medical offers self-pay options for those without insurance
One Medical is a primary care provider that accepts insurance from most major insurance carriers, including Medicare. However, it does not accept Medicaid. For those without insurance, One Medical offers self-pay options.
If you are uninsured, you can still receive care through One Medical by paying 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. You can contact One Medical via email or phone to learn more about expected costs.
One Medical also provides financial assistance to eligible patients who are unable to pay for their care. To be eligible for financial assistance, you must complete a financial assistance application and supply the necessary documentation within the allotted time frame. Eligibility is determined using your most recent tax return. If you meet the criteria, you will receive a discount on your annual membership fee and any out-of-pocket costs for one year.
Additionally, One Medical offers a range of virtual care services at no extra cost, which are accessible through their app. These services are not billed to insurance and are available to all members, regardless of their insurance coverage. Amazon Prime members can also benefit from special membership pricing.
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One Medical has a membership fee
One Medical is a primary care provider that accepts insurance like any other doctor's office. It accepts health plans from most insurance carriers, including Medicare, and is in-network with most health insurance carriers. However, it does have a membership fee, which is not typically covered by health insurance plans. The membership fee is $199 per person per year for those not covered by their company's health insurance through Justworks. If your company offers health insurance through Justworks, you and your family have access to One Medical membership at no cost. Discounted memberships are also available for all benefits-eligible employees and their families at $149 per person per year. Amazon Prime members can also purchase One Medical memberships at a discounted rate of $99 per year for the first member and $66 per year for each additional family member, up to a maximum of five. CCA students are also eligible for One Medical membership, which is included in their student insurance plan.
One Medical offers on-demand virtual care nationwide, including 24/7 urgent video chats, provider messaging, prescription refills, and Treat Me Now services, which are included in the membership at no additional cost. These virtual services are also co-pay and claim-free. In-person and remote visits are billed to you or your insurance and are subject to standard fees, copayments, deductibles, or coinsurance. It is recommended that you check with One Medical's office before making an appointment to ensure that your insurance plan is accepted at that location.
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Frequently asked questions
One Medical is not an insurance plan but a primary care provider that accepts insurance like any other doctor’s office. They accept health plans from most insurance carriers as well as Medicare. They also offer affordable options for those without insurance.
You can check if your insurance plan is accepted by One Medical by searching for your plan on their website. If you can't find your plan, you can call or email One Medical to verify if your plan is accepted.
For in-office appointments and scheduled remote visits, One Medical bills you or your health insurance, and you are responsible for the standard fees, copayment, deductible or coinsurance, depending on your specific health insurance plan.
