Your cost for primary care visits (also referred to as a copay or coinsurance) is determined by your specific insurance plan. Your co-pay should be listed on the front of your insurance card; you can also call the member services number on the back of your insurance card to learn more about your specific benefits. If you don't have insurance, check out our fee schedule to see pricing for common services.
We charge a minimal amount for in-office phlebotomy services (i.e. blood draws), and you'll see this charge reflected in your next bill from One Medical. The company that processes your labs (either LabCorp or Quest) will bill your insurance first and then send you a bill for any remaining amount that you may owe. If you'd like an estimate of what you may owe for your labs, we're happy to provide you with the names of your specific tests. You can then call your insurance to find out what you might be expected to pay.
After your visit, One Medical submits your claim for processing by your insurance carrier. Once processed, One Medical then receives a notification of your outstanding balance and will send you a bill via email. This all takes a few weeks, but after you receive this email you can log in to your secure online payment platform (powered by PatientPay) to view and pay your bill online. If you prefer to receive paper statements, let us know by emailing us at firstname.lastname@example.org or calling 212-441-4383.
An EOB is not a bill but rather an itemized explanation of how your health care benefits were applied to a specific claim. On it you will find: the services you received, the amount applied toward your deductible (explained below), what your insurance paid, and any unpaid balance that you may owe. You aren't required to pay anything until you receive a bill from One Medical (in the mail or through email).
Your deductible is the dollar amount you are required to pay out-of-pocket for certain covered services before your health insurance begins paying for your care. This includes services like in-office visits and lab tests. For example, if you have a $500 deductible, you'll have to pay that $500 before your insurance starts paying for services you receive. After you've met your deductible, you may just owe a copayment or coinsurance for the services you receive. Of course, this all varies depending on the specific benefits outlined by your plan.
A high-deductible health plan (HDHP) has a lower monthly cost, and therefore a low yearly premium, but a higher deductible (the amount paid out of pocket for things like office visits). Some preventive “wellness” visits may not apply to your deductible, which means you'll have to pay less out-of-pocket for those. HDHPs also make you eligible for a health savings account, also known as an HSA. Patients with an HDHP often use the money they save on monthly premiums and deposit it into their HSA to help cover health costs that might come up.
With a lower deductible plan you pay higher premiums but a lower amount per visit. This kind of plan is generally recommended for those who visit the doctor frequently, are taking prescription drugs, have a chronic condition, are pregnant or planning on becoming pregnant, or have children.
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 — Travel Health Consultation||$50|
*Representative pricing for common services. We can provide a more accurate estimate prior to your appointment based on your specific needs.