One Medical accepts health plans from most insurance carriers, including those listed below and Medicare. We update our providers frequently, so call us at 617-419-2893 if you don’t see yours listed.
|Blue Cross Blue Shield||✔||✔||✔|
|Consolidated Health Plans||✔||✔|
|Fallon Community Health||✔|
|MultiPlan / PHCS||✔|
|TRICARE/Health Net Federal Services||✔||✔|
|Medicare||We accept most Medicare plans. Call for details.|
* Learn more about how One Medical works with Affordable Care Act/Massachusetts Health Connector health plans.
Our goal is to make quality health care accessible to everyone, so it’s no wonder we will bill you just like any other doctor's office. But we also offer affordable options for people with high deductible insurance or no health insurance at all.
We bill your insurance provider for each visit, and you cover the co-payment or deductible. The amount that you owe depends on the specific health insurance plan you have. If you have any questions, call the number on your insurance card to learn more about your coverage. For your co-payment or for those who prefer to pay out-of-pocket, we accept checks, debit and credit cards.
For those with an HMO plan, it's important for you to call your health plan (phone number on your insurance card) before your first visit and select one of our physicians as your PCP. This will reduce any insurance hassles for you later on and allow us to make any referrals and order tests and prescriptions on your behalf.
We are pleased to participate in the following ACA/Exchange plans: Blue Cross Blue Shield of Massachusetts, Harvard Pilgrim Health Care and Tufts Health Plan.
We participate with exchange plans that provide us with the best opportunity to provide the high level of care and service you expect from One Medical. Our goal is to participate with as many plans as possible, and we expect to continue to expand the list of participating plans over time.
At this time, One Medical is only in-network with ACA plans sold via the Health Insurance Marketplace, and we do not accept Off-Exchange or mirrored plans. For plans purchased privately (outside of an employer) through an insurance company, broker, or small business group, please be aware that if we are not in-network with their Exchange counterparts we may not be in-network with those plans. If you have any questions or concerns, please call us at 617-419-2893.
For more information, please refer to our FAQ on Health Insurance Exchanges.
For those without health insurance, our simple fee structure helps take the guesswork out of health care pricing. You can see a doctor when you want to without breaking your budget. Whether you need a physical, a vaccination or want to address specific health concerns, we make it affordable.
One Medical members without insurance pay just $175 for an initial doctor visit and only $125 for each subsequent appointment. For your convenience, we accept checks, debit and credit cards as payment for your visits.
For more information on pricing, view our fee schedule or call us at 617-419-2893 to learn more.
Pricing for common services are below; some services may not be listed.
|Primary Care — Initial Visit/New Issue||$175|
|Primary Care — Follow-up Visit||$125|
|Specialty Care — Travel Health Consultation||$50|
|Specialty Care — Mental Health||$150|
*Representative pricing for common services. We can provide a more accurate estimate prior to your appointment based on your specific needs.