One Medical accepts health plans from most insurance carriers, including those listed below and Medicare. We update our providers frequently, so call us at 212-441-4383 if you don’t see yours listed. If you have insurance purchased directly from a private brokerage or agent, we highly recommend that you contact us to confirm in-network status.
State of Health*
|Empire BlueCross BlueShield||✔||✔||✔||✔|
|The Empire Plan||✔||✔||✔|
|Medicare||We accept most Medicare plans. Call for details.|
* Learn more about how One Medical works with Affordable Care Act/NY State of Health 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 Oscar ACA/Exchange 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.
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 212-441-4383.
For more information, please refer to our FAQ on Health Insurance Exchanges.
We are pleased to be in-network with a handful of Medicare Advantage plans to better serve our members age 65 and older. These plans often offer coverage beyond traditional Medicare with low monthly premiums. Learn more about how One Medical works with Medicare Advantage.
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 Group members 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.
|Primary Care — Initial Visit/New Issue||$175|
|Primary Care — Follow-up Visit||$125|
|Specialty Care — Osteopathic Manipulation — Initial Visit/New Issue||$175|
|Specialty Care — Osteopathic Manipulation — Follow-up Visit||$125|
|Specialty Care — Acupuncture — Initial Visit/New Issue||$130|
|Specialty Care — Acupuncture — Follow-up Visit||$100|
|Specialty Care — Travel Health Consultation||$50|
|Specialty Care — Mental Health||$150|
|Mental Health Services — Counseling||$150|
|Mental Health Services — Psychiatry — Initial Visit/New Issue||$350|
|Mental Health Services — Psychiatry — Follow-up Visit||$200|