Haris Ashley
One Medical is a membership-based primary care organization that works with your health insurance plan to give you access to different healthcare services. It is in-network 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 and select Medicare Advantage plans. One Medical also provides comprehensive primary care for seniors on Medicare and accepts health plans from most insurance carriers. While it is possible to use One Medical without insurance, your services will not be covered as One Medical bills healthcare services through your current insurance plan.
| Characteristics | Values |
|---|---|
| Insurance compatibility | One Medical is compatible with most major insurance plans, including PPO and HMO insurance plans, and Medicare. However, individuals without insurance will have to pay for their services in full. |
| Self-pay option | Yes, One Medical offers a self-pay option for those without insurance or with high-deductible plans. The cost varies based on the visit. |
| Billing | One Medical bills healthcare services through your current insurance plan. You can check your billing on the One Medical app under the "My Health" tab and click on "Insurance & Billing" to see your online bills. |
| Financial assistance | One Medical offers financial assistance for those who are unable to pay for their care. You may be eligible for assistance if you complete a financial assistance application, supply necessary documentation, and meet specific financial criteria. |
| Virtual care | One Medical offers virtual care through its app, including 24/7 on-demand video chat, at no extra cost. These services are not billed to insurance. |
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What You'll Learn
One Medical works with most major insurance carriers
One Medical is a membership-based primary care organisation that works with most major insurance carriers. 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 Seniors offices are dedicated to adults 65 and over and those on Medicare.
One Medical also offers affordable options for those without insurance, including a self-pay option. The cost will vary based on the type of visit, such as the complexity of the visit, the topics discussed, and whether any procedures were performed. For those experiencing financial hardship, One Medical offers financial assistance and no-interest payment plans to help cover the cost of medical care and/or the annual membership fee.
If you are covered by insurance, One Medical will bill your insurance company for in-office appointments and remote visits. Your visit will be coded based on industry-standard guidelines, creating a claim that is filed electronically with your insurance carrier. To ensure the prompt processing of your claim, it is important to verify your insurance information at the time of booking. If you are covered by two insurance plans, be sure to inform One Medical before your visit.
You can check your billing information on the One Medical app under the "My Health" tab by clicking on "Insurance & Billing". While you may receive an Explanation of Benefits (EOB) from your insurance carrier, it is recommended to wait for your statement from One Medical before reaching out with any questions about your bill.
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One Medical Seniors is a Medicare-participating provider
One Medical Seniors provides comprehensive primary care for seniors on Medicare who can receive care in person. One Medical Seniors cannot care for individuals on only Medicaid, except for residents of Washington, DC.
One Medical is in-network with most health insurance carriers and offers simple out-of-pocket fees for those without insurance. It accepts most PPO and HMO insurance plans. If One Medical accepts your health plan, all One Medical providers will work with your insurance.
One Medical also provides virtual care through its app in all 50 states, plus Washington, DC, which is included in your membership at no extra cost. This service is not billed to your insurance, so there will be no extra cost regardless of your insurance coverage.
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One Medical offers financial assistance for those without insurance
One Medical is a primary care provider that accepts insurance like a regular 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, Original Medicare (with or without most Medicare supplement plans), and select Medicare Advantage plans.
One Medical also offers financial assistance for those without insurance or other payment resources. They believe that financial hardships shouldn't prevent members from receiving the medical care they need. To be eligible for financial assistance, individuals must complete a financial assistance application and supply the necessary documentation within the allotted time frame. They must also meet the financial criteria and have a health insurance policy that doesn't cover all necessary medical care or imposes substantial patient responsibility.
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. There are also other One Medical financial programs, including no-interest payment plans.
One Medical provides comprehensive primary care for seniors on Medicare who can receive care in-person. They also offer virtual care through their app, including 24/7 on-demand video chat and Treat Me Now, at no extra cost, and they do not bill insurance for these services.
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One Medical offers self-pay options for those without insurance
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.
One Medical also offers self-pay options for those without insurance. 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. The cost will vary based on your visit. They offer affordable options for working together based on financial criteria. If you are uninsured or self-pay, 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 Seniors is a Medicare-participating provider. They accept Original Medicare (with or without most Medicare supplement plans) and select Medicare Advantage plans. They also provide comprehensive primary care for seniors on Medicare who can receive care in-person. However, One Medical cannot care for individuals only on Medicaid.
One Medical also offers an Annual Membership Fee that covers costs associated with access to the 1Life Healthcare proprietary technology platform, which includes benefits such as online appointment booking and online prescription renewal requests. Members who pay the Annual Membership Fee also have access to time-saving services through the One Medical Mobile App, including on-demand video visit technology and digital access to virtual medical services on the go. The Annual Membership Fee is not a covered benefit under most health insurance plans, and payment of the fee is not a prerequisite for receiving medical care.
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One Medical offers virtual care at no extra cost
One Medical is a primary care provider that accepts insurance from most insurance carriers, including Medicare. They also offer an annual membership for $199 per person, typically paid out of pocket, which offers priority access to care.
For those without insurance, One Medical offers affordable options based on financial criteria. They also offer self-pay options for both in-office and remote visits, with costs varying based on the complexity of the visit, topics discussed, and any procedures performed.
One Medical provides comprehensive primary care for seniors on Medicare, with dedicated offices for adults 65 and over in select locations. They also offer on-site laboratory services without the need for an appointment.
It is recommended that patients verify their insurance information with One Medical at the time of booking to ensure proper and prompt processing of their claims.
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Frequently asked questions
Yes, you can use One Medical without insurance. However, you will have to pay for your services in full. One Medical offers financial assistance and payment plans for those who are unable to pay.
One Medical accepts most major insurance plans, including Original Medicare (with or without most Medicare supplement plans) and select Medicare Advantage plans. They also accept most PPO and HMO insurance plans.
You can check if your insurance is compatible with One Medical by using their Insurance Finder tool on their website. You can also contact your insurance carrier directly to verify if One Medical is in-network.
You can pay for your One Medical services online through the One Medical app or by phone. You can also view and update your billing information through the app.
