Healthcare Insurance Coverage - Health Plans

Who we work with

We’re in network with most plans from the major insurance carriers below, but there can be exceptions. Get a quick overview with this chart then check our complete list of insurance plans to verify if you’re covered.

Provider	PPO	HMO	Massachusetts Health Connector
Aetna	Available	Available	Not Available
Blue Cross Blue Shield	Available	Available	Available
Cigna	Available	Available	Not Available
Firsthealth	Available	Available	Not Available
Harvard Pilgrim	Available	Available	Available
MultiPlan / PHCS	Available	Not Available	Not Available
* Tufts	Available	Available	Available
United Healthcare	Available	Not Available	Not Available
Neighborhood Health Plan	Available	Available	Available
Medicare	We accept most Medicare plans. Call for details.
Medicaid	Unfortunately, we cannot accept Medicaid at this time.
* Tufts Premier plans are in-network. Please call 617-903-5000 regarding Tufts Together, Unify, and Direct plans.

Provider	PPO	HMO	Get Covered Illinois
Aetna	Available	Available	Not Available
Assurant Health	Not Available	Not Available	Not Available
Blue Cross Blue Shield (including Blue Choice Select networks)*	Available	Available	Available
Cigna**	Available	Available	Not Available
Coventry	Not Available	Not Available	Not Available
Humana***	Available	Available	Not Available
United Healthcare	Available	Available	Not Available
Medicare	We accept most Medicare plans. Call for details.
Medicaid	Unfortunately, we cannot accept Medicaid at this time.
* We are in network with Blue Cross Blue Shield HMO plans if associated with Advocate Illinois Masonic Medical Center. We are OON with Cigna Local Plus and Cigna HMO Connect Network. * Humana HMO Commercial Products only.

Provider	PPO	Covered California
Aetna	Available	Not Available
Anthem	Available	Not Available
Blue Shield	Available	Available
Cigna	Available	Not Available
Health Net	Available	Not Available
United Healthcare	Available	Not Available
Coventry	Available	Not Available
Healthsmart	Available	Not Available
MultiPlan	Available	Not Available
Medicare	We accept most Medicare plans. Call for details.
Medicaid	Unfortunately, we cannot accept Medicaid at this time.
* As of 3/1/2019 we no longer accept HMO plans.

Provider	PPO	POS	EPO	HMO	Individually purchased plans & NY State of Health*
Aetna	Available	Available	Available	Available	Not Available
Cigna	Available	Available	Available	Available	Not Available
Empire Blue Cross Blue Shield	Available	Available	Available	Available	Not Available
Humana	Available	Available	Not Available	Not Available	Not Available
MultiPlan	Available	Available	Not Available	Not Available	Not Available
Oscar	Not Available	Not Available	Available	Not Available	Available
Oxford	Available	Available	Available	Available	Not Available
United Healthcare	Available	Available	Not Available	Available	Not Available
Medicare	We accept most Medicare plans. Call for details.
Medicaid	Unfortunately, we cannot accept Medicaid at this time.

Provider	PPO	HMO
Aetna	Available	Not Available
Arizona Care Network	Available	Not Available
Blue Cross Blue Shield of AZ	Available	Available
Cigna	Available	Available
United Healthcare	Available	Available
Medicare	We accept most Medicare plans. Call for details.
Medicaid	Unfortunately, we cannot accept Medicaid at this time.
* As of 1/1/18, One Medical will be out of network with HealthNet's Affordable Care Act (ACA) product, Ambetter.

Provider	PPO	HMO
Aetna	Available	Not Available
Cigna	Available	Not Available
Premera Blue Cross Heritage*	Available	Not Available
Regence Blue Shield	Available	Not Available
United Healthcare	Available	Not Available
Medicare	We accept most Medicare plans. Call for details.
Medicaid	Unfortunately, we cannot accept Medicaid at this time.
* We don’t participate in any Accountable Health Networks (AHNs).

Provider	PPO	HMO *	Covered California
Aetna	Available	Available	Not Available
Anthem Blue Cross	Available	Available	Not Available
Blue Shield	Available	Available	Available
Chinese Community Health Plan (CCHP) **	Available	Available	Available
Cigna	Available	Available	Not Available
Health Net ***	Available	Available	Available
MultiPlan / PHCS	Available	Not Available	Not Available
Oscar	Not Available	Not Available	Available
United Healthcare	Available	Available	Not Available
Medicare	We accept most Medicare plans. Call for details.
Medicaid	Unfortunately, we cannot accept Medicaid at this time.
* Brown & Toland is accepted in all San Francisco Bay Area offices. Hill Physicians is accepted in San Francisco and East Bay offices, as well as Burlingame and Redwood City. Affinity Medical Group is accepted in our Peninsula and South Bay offices. Meritage is accepted in our offices in the North Bay. We are in network with CCHP through Hill Physicians. * We are in network with individual Health Net PPO plans provided outside of Covered CA. We are not in network with individual Health Net EPO plans purchased through Covered CA.

Provider	PPO	POS	HMO	DC HealthLink *
Aetna	Available	Available	Available	Available
CareFirst BlueCross BlueShield	Available	Available	Available	Available
Cigna	Available	Not Available	Available	Not Available
MultiPlan / PHCS	Available	Available	Not Available	Not Available
United Healthcare	Available	Available	Available	Available
Medicare	We accept most Medicare plans. Call for details.
Medicaid	Unfortunately, we cannot accept Medicaid at this time.
* For Aetna DC plans, we only accept SHOP (small business plans). We don’t currently accept any Virginia ACA plans.

FAQ

One Medical accepts health plans from most insurance carriers as well as Medicare. Some of the more popular plans that we accept are listed here, but since the list periodically changes, we encourage you to call us if you don’t see your plan.
We believe that quality health care should be accessible to everyone, so if you have a high-deductible health plan or are not insured, we also offer affordable options for working together.
We are pleased to participate in a limited number of ACA/Exchange plans that enable us to provide you with 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. See our Insurance page for more information.
One Medical is only in network with specific ACA-related plans sold via the Health Insurance Marketplace, which are listed above.
For individual and family health plans purchased privately (outside of an employer) through an insurance company, broker, or small business group, please be aware that if we’re not in network with their Exchange counterparts, we may not be in network with those plans.
We’ve partnered with PatientPay, a third-party vendor, to provide online billing that’s fast, easy, and secure. PatientPay meets the highest security standards to keep your financial and health information safe.
When your bill is ready, PatientPay emails you directly on our behalf. You’ll need to set up a free PatientPay account where you’ll be able to view and pay your One Medical bills.

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Who we work with

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We keep it simple

Check your coverage

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Who we work with

Questions?

FAQ

What insurance plans do you accept?

Do you accept Affordable Care Act (ACA/ObamaCare) plans?

Do you accept off-Exchange or mirrored ACA plans?

Why did I get a bill from PatientPay?