One Medical accepts health plans from most insurance carriers, including those listed below and Medicare. We update our providers frequently, so call us at 415-523-6317 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.
|Anthem Blue Cross||✔||✔||✔|
|MultiPlan / PHCS||✔|
|Medicare||We accept most Medicare plans. Call for details.|
* Brown & Toland and Hill Physicians accepted. One Medical participates with Affinity Medical Group in our Burlingame, Palo Alto, Redwood City, and Sunnyvale offices. In Berkeley, we only accept Alta Bates and Hill East Bay HMOs.
** Learn more about how One Medical works with Affordable Care Act/Covered California 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 individual ACA/Exchange plans: Anthem Blue Cross, Blue Shield of California, and Chinese Community Health Plan. Additionally, we participate with three SHOP (small group exchange) plans through Covered California: Anthem Blue Cross, Blue Shield of California, and Health Net.
Important Note for 2017: Many insurers have decided to leave the ACA Exchanges effective January 1, 2017. Starting in January, Anthem Blue Cross will not offer any PPO options on the exchange. Members who no longer have in-network coverage with One Medical are always able to pay for visits according to our fee schedule.
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 or broker, 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 415-523-6317.
Important note about Health Net plans: We are in-network with individual Health Net PPO plans (also known as "Off-Exchange" plans) provided outside of Covered CA. We are not in-network with individual Health Net EPO plans purchased through Covered California (referred to as "on exchange" plans.) Please call if you have any questions.
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 415-523-6317 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 — Osteopathic Manipulation — Initial Visit/New Issue||$175|
|Specialty Care — Osteopathic Manipulation — Follow-up Visit||$125|
|Specialty Care — Nutrition Consultation||$125|
|Specialty Care — Travel Health Consultation||$50|
|Specialty Care — Naturopathic Medicine||$125|
|Specialty Care — Mental Health||$150|
|Mind-Body Care - Initial Visit/New Issue||$200|
|Mind-Body Care - Follow-Up Visit||$150|
|Specialty Care — Acupuncture — Initial Visit/New Issue||$130|
|Specialty Care — Acupuncture — Follow-up Visit||$100|
*Representative pricing for common services. We can provide a more accurate estimate prior to your appointment based on your specific needs.