San Francisco

Affordable Care Act/Covered California

One Medical is committed to providing everyone with affordable access to high-quality primary care.

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 2018: Many insurers have decided to leave the ACA Exchanges effective January 1, 2018. 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.

Important Note About Oscar Plans: One Medical is in-network with Oscar as part of the Hill Physicians network. We participate in both On-Exchange and Off-Exchange plans at our San Francisco and Burlingame offices.

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 415-523-6317 if you have any questions.

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 415-523-6317.

For more information, please refer to our FAQ on Health Insurance Exchanges.

What is the difference between Exchange and Off-Exchange ACA plans?

An off-exchange plan is just an individual health insurance policy that is purchased directly from the carrier or through an agent or broker, outside of the state health insurance exchange. "On-exchange" refers to when an individual chooses a plan on the ACA's health insurance exchanges (marketplaces). The exchange is where individuals can compare policies, enroll in a plan, and receive a subsidy if they're eligible.

Self-Pay Fee Schedule

Our prices for uninsured members are below. While common services are included, some may not be listed.

Service Price
Primary Care — Initial Visit/New Issue $190-$225
Primary Care — Follow-up Visit $140-$175
Procedures* $100-$350
Injections* Call for rates
Specialty Care — Osteopathic Manipulation — Initial Visit/New Issue $100-$200
Specialty Care — Osteopathic Manipulation — Follow-up Visit $140-$175
Specialty Care — Mental Health $180-$380
Preoperative Evaluation $175

*Representative pricing for common services. We can provide a more accurate estimate prior to your appointment based on your specific needs.

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Questions? Call us at 415-523-6317.