Jane Dotson
One Medical accepts most major insurance plans, including Medicare, and is in-network with most health insurance carriers. It also offers simple out-of-pocket fees for those without insurance. The company provides comprehensive primary care for seniors on Medicare and accepts most PPO and HMO insurance plans. One Medical also has discounted membership options for those without insurance, and its services are available to all health insurance-eligible U.S.-based employees at companies offering access to medical benefits.
| Characteristics | Values |
|---|---|
| Insurance plans accepted | Most major insurance plans, including PPO and HMO insurance plans |
| Self-pay option | Yes, for those without insurance |
| Membership fee | $199/year for the first member, $66/year for each additional family member (up to 5) |
| Discounted membership fee | $149/year for benefits-eligible employees and their families |
| Insurance billing | In-office and scheduled remote visits are billed to the patient or their insurance |
| On-demand virtual care billing | Included in membership at no extra cost and not billed to insurance |
| Insurance verification | Recommended before making an appointment |
| Insurance carriers | Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net, Multiplan (PPO), UnitedHealthcare, and Medicare |
| Insurance coverage | Most insurance plans cover preventive care and lab tests |
| Insurance for work-related illness/injury | May not be covered by health insurance, resulting in self-pay claims |
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What You'll Learn
- One Medical accepts most major insurance plans, including Medicare
- One Medical offers simple out-of-pocket fees for those without insurance
- One Medical accepts most PPO and HMO insurance plans
- One Medical accepts Original Medicare (Part B) and various Medicare Advantage plans
- One Medical offers discounted memberships to all benefits-eligible employees and their families
One Medical accepts most major insurance plans, including Medicare
If you are covered by two insurance plans, you must inform One Medical before your visit. One Medical provides comprehensive primary care for seniors on Medicare, including in-person care. One Medical cannot, however, care for individuals on Medicaid in Washington, DC. Most insurance plans cover the costs associated with preventive care, such as annual physicals and wellness exams, but it is recommended to verify coverage before undergoing any lab tests.
One Medical also offers discounted memberships to benefits-eligible employees and their families at companies that do not offer medical insurance through Justworks. This membership is available at a rate of $149 per person per year. If your company does offer health insurance through Justworks, you and your family have access to One Medical membership at no cost.
One Medical accepts most health plans offered through Justworks, such as Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net, MultiPlan (PPO), and UnitedHealthcare. It is important to note that the membership fee is not a covered benefit under most health insurance plans, and payment of this fee is not required to receive medical care at One Medical offices.
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One Medical offers simple out-of-pocket fees for those without insurance
One Medical is committed to making quality healthcare accessible to everyone. They understand that financial difficulties should not prevent members from receiving the medical care they need. While they accept most major insurance plans, they know that some members may not have access to insurance or other resources to pay for their healthcare. As such, they offer financial assistance to eligible patients who do not have insurance or other payment options.
To be eligible for financial assistance, you must complete a financial assistance application and provide the necessary documentation within the specified timeframe. This includes your most recent tax return, and you have the option of uploading additional documents such as your current year's W2, 1099 earnings statements, or six months of current pay stubs. If you meet the financial criteria and do not have health insurance, you may be eligible for assistance with your medical care costs and/or annual membership fee.
One Medical also provides comprehensive primary care for seniors on Medicare, although they are unable to care for individuals on Medicaid. Most insurance plans cover preventive care, such as annual physicals and wellness exams, and lab tests. However, it is recommended to verify coverage with your insurance carrier before scheduling appointments or tests.
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One Medical accepts most PPO and HMO insurance plans
One Medical also offers discounted membership options for those without insurance. For example, if your company offers health insurance through Justworks, you and your spouse/partner/dependents can access One Medical membership at no cost. If your company does not offer health insurance through Justworks, you and your family members can access One Medical for a discounted price of $149 per person per year.
It is important to verify that your insurance plan is accepted at your desired One Medical office before making an appointment, as acceptance may vary based on location. You can do this by checking with the specific office or searching for your plan on the One Medical website.
Additionally, One Medical provides comprehensive primary care for seniors on Medicare, including Original Medicare (Part B) and various Medicare Advantage plans. They also offer pediatric and family care through One Medical Kids.
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One Medical accepts Original Medicare (Part B) and various Medicare Advantage plans
One Medical accepts most major insurance plans, including Original Medicare (Part B) and various Medicare Advantage plans. Original Medicare (Part B) is accepted at all One Medical practices. Original Medicare consists of Parts A and B, and many participants opt to add Part D to their plan. Medicare Advantage plans are offered by private insurance providers and include Parts A and B, often with additional benefits such as vision and hearing coverage, prescription drug coverage (Part D), or gym memberships.
One Medical provides comprehensive primary care for seniors on Medicare, with dedicated One Medical Seniors offices in select locations across seven states. These offices cater to adults aged 65 and over and those on Medicare. It is recommended to check with your local One Medical office to confirm which Medicare Advantage plans are accepted, as this may vary depending on the location.
One Medical is in-network with most health insurance carriers and offers simple out-of-pocket fees for those without insurance. They accept most PPO and HMO insurance plans and work with your insurance provider if your health plan is accepted. Additionally, One Medical offers self-pay options for individuals without insurance, with varying costs depending on the type of visit.
One Medical also has partnerships with specific companies, such as Justworks, to offer discounted memberships to their employees and their families. For example, if your company offers health insurance through Justworks, you and your spouse or partner, and dependents can access One Medical memberships at no cost. Discounted memberships are also available for eligible employees and their families if their company does not offer health insurance through Justworks.
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$15.32 $16.99
One Medical offers discounted memberships to all benefits-eligible employees and their families
One Medical is a modern doctor's office that offers comprehensive care for common illnesses, chronic diseases, and mental health concerns. They accept most major insurance plans, including PPO and HMO insurance plans, and are in-network with most health insurance carriers. They also offer simple out-of-pocket fees for those without insurance.
While One Medical does not require membership for those seeking medical care, they do offer memberships for $199 per person per year. This membership provides on-demand virtual care and a differentiated in-person care experience for those who live near a One Medical office. The membership fee is not typically covered by health insurance plans, but One Medical offers discounted memberships to all benefits-eligible employees and their families at a rate of $149 per person per year. Benefits-eligible employees include full-time U.S.-based employees, owners, and part-time U.S.-based employees working over 30 hours per week.
If your company offers health insurance through Justworks, you and your spouse/partner/dependents can access One Medical membership at no cost. If your company does not offer health insurance through Justworks, you and your family members can access One Medical at the discounted rate mentioned above. Additionally, if you are a Prime member, you can purchase One Medical memberships for $99/year for the first member and $66/year for each additional family member (up to 5).
One Medical accepts Original Medicare (Part B) at all practices and various Medicare Advantage plans at select locations. They also provide comprehensive primary care for seniors on Medicare, including in-person care. It is recommended that you check with your local One Medical office to ensure that your insurance plan is accepted at that location.
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Frequently asked questions
One Medical accepts most major insurance plans and health insurance carriers, including Medicare. Some of the more popular plans that One Medical accepts are listed on their website.
You can check if your insurance plan is accepted at One Medical by searching for your plan on their list of covered plans. You can also contact One Medical directly by email or phone.
No, Amazon One Medical Pay-per-visit does not accept health insurance for visits. However, you can submit a claim to your insurance provider for reimbursement.
