One Medical Copay
One Medical is committed to providing the best primary care through exceptional quality, a world-class experience, and second-to-none technology. Our highly-rated doctors take most insurance plans and are accepting new patients.
If you are 18 or older and have commercial insurance, you may be eligible for the OnePath Co-Pay Assistance Program.* This program will help cover the cost of insurance co-pays for FIRAZYR at 100%, up to the program maximum, for those who are eligible.
One Medical Copay Card
There are no financial requirements and no waiting period to participate in this program.
Contact a OnePath Patient Support Manager at 1-866-888-0660 to find out more.
*Important Notice: The OnePath Copay Assistance Program (the Program) is not valid for prescriptions eligible to be reimbursed, in whole or in part, by Medicaid, Medicare (including Medicare Part D), Tricare, Medigap, VA, DoD, or other federal or state programs (including any medical or state prescription drug assistance programs). No claim for reimbursement of the out-of-pocket expense amount covered by the Program shall be submitted to any third party payer, whether public or private. The Program cannot be combined with any other rebate/coupon, free trial, or similar offer. Copayment assistance under the Program is not transferable. The Program only applies in the United States, including Puerto Rico and other U.S. territories, and does not apply where prohibited by law, taxed, or restricted. This does not constitute health insurance. Void where use is prohibited by your insurance provider. If your insurance situation changes you must notify the Program immediately at 1-866-888-0660. Coverage of certain administration charges does not apply for patients residing in Massachusetts, Michigan, Minnesota, Rhode Island, and Vermont. Takeda reserves the right to rescind, revoke, or amend the Program at any time without notice.
A copayment is a fixed amount you pay each time you get a particular type of healthcare service, and copays will generally be quite a bit smaller than deductibles. But deductibles and copays are both fixed amounts, as opposed to coinsurance, which is a percentage of the claim. Courtesy One Medical I signed up to be a member of One Medical, a primary-care practice that charges a $200 annual fee and also bills your health insurance. One Medical has plans to double its.
printCopays for Medical Assistance and General Assistance members
Medicaid members 18 years of age and older and in the Medical Assistance or General Assistance categories will have to pay a copay for prescriptions and various medical services.
Members who are under the age of 18, pregnant, or in a nursing home do not have to pay the copays.
Residents of a long-term care facility or other medical institution, including intermediate care facilities, do not pay copays.
MA recipients, regardless of age, who qualify for benefits under Title IV-B Foster Care and Title IV-E Foster Care and Adoption Assistance do not pay copays.
PCP visits never have a copay.
Medical and General Assistance recipients cannot be denied a prescription if they cannot afford a copayment. If you cannot afford your prescription copayment, please let your pharmacist know. If you have any problems getting your medication from the pharmacist, please contact Member Relations at 1-800-553-0784 or 215-849-9600 (TTY 1-877-454-8477).
Medical Assistance copays
For the following services you will pay $5.00:
- For acupuncture, you will pay $5.00 for each visit (up to 20 visits). Members who are pregnant or under age 21 do not need to pay a copay.
For the following services you will pay $3.00:
- For inpatient hospital care (which includes both general and medical rehabilitation hospitals), you will pay $3.00 for each day you are in the hospital up to $21.00 for the stay
- For Short Procedure Unit (SPU)/Ambulatory Surgical Center (ASC) visits, you will pay $3.00 per admission or visit.
- For brand name prescription drugs, you will pay $3.00 for each prescription or refill.
One Medical Copley
For the following services, you will pay $1.00:
One Medical Pay Bill Online
- For outpatient x-ray services, you will pay $1.00 for the service (not for each x-ray).
- For generic prescription drugs, you will pay $1.00 for each prescription or refill.
- For chiropractor visits, you will pay $1.00 for each visit.
You don’t have to pay a copayment for any of the following if they are part of your benefit package:
- Any services provided in an emergency
- Birth centers
- Blood and blood products
- Certain drugs for high blood pressure, cancer, diabetes, asthma, epilepsy, heart disease, psychosis, HIV/AIDS, glaucoma, depression, and anxiety, as well as anti-Parkinson agents, anti-manic agents, anti-convulsants, anti-neoplastic agents, oral contraceptives, test strips, lancets, meters, and needles
- CRNP (Certified Registered Nurse Practitioner) services
- Dental visits
- Disposable medical supplies
- Doctor's fee for x-rays, diagnostic tests, nuclear medicine or radiation therapy
- Drugs and vaccines that you get in your doctor’s office
- Family planning services
- Home health agency services
- Hospice services
- Laboratory tests
- Medical examinations for members under age 21 provided through the EPSDT program More than one of a series of specific allergy tests provided in a 24-hour period Non-emergency ambulance services
- Nurse midwife (maternity services)
- Optometrist visits
- Oxygen
- Physician visits
- Podiatrist visits
- Portable x-ray services
- Renal dialysis services
- Rental of Durable Medical Equipment (DME)
- Skilled Nursing Facility
- Targeted case management services
- Tobacco cessation counseling services
- Waiver services