I've had it with OneMedical

[Anonymous]

I loved the OneMedical model until Amazon rolled them up and they started requiring paid office visits nearly every time I wanted a prescription refilled. Their responsiveness has fallen off significantly and they are super stingy with meds I legitimately need. Some examples: couldn't get a timely anti-inflammatory injection for a back flare-up before a golf trip ("come in for an exam", "I don't have time, I leave tomorrow!", can't get effective sleep or anxiety meds despite no history of abuse, etc. I appreciate the app-based, co-op approach but it's no longer working for me. Anyone have recommendations for primary care in DC that might share some of the upsides of the OneMedical model without the frustrations above?

[Anonymous]

Unless you want to pay thousands for concierge, no.

This hasn't been my experience with OneMed at all. Maybe consider switching providers? I've had no trouble getting meds via the "treat me now" feature, and same-day appointments are almost always available in the DC metro area (not always at my GP's location, but there are several so it's not a huge issue).

If you desperately need a pain injection, you could try to get it done at an urgent care. Honestly, it sounds like lack of planning is part of your suffering. That's not something you're going to be likely to fix with a business model unless, of course, you want to pay for the privilege of on-demand care. Likewise, there are plenty of non-narcotic anxiety and sleep meds that are perfectly effective; I just got prescribed one yesterday at my annual (at OneMedical). If you're shopping for benzos, that may be part of your trouble. Your doctors are doing you a favor by pointing you away from those things.

[Anonymous]

I use a concierge practice and have had the same doctor for over a decade. My experience has been that most primary care doctors will not prescribe benzodiazepines or sleep meds on a regular basis. They might give you one or two weeks’ worth of prescription sleep meds or a couple of tablets of benzos for a one-time event, but don’t expect that to be renewed. This isn’t so much a One Medical issue as a change in prescribing guidelines for this class of medications that reflects up-to-date information on how quickly patients develop physiological dependence—as little as 2-4 weeks. Such medications are no longer first-line treatments. Expect to be asked to try other meds and interventions first with possible referral to a specialist(s). Also expect an exam to rule out causal factors.

When you say anti-inflammatory injection, are you referring to Toradol or steroid? If steroid, that type of back injection is usually done by a pain-management specialist or physiatrist. These treatments are also not considered first-line treatments. Doctors usually expect that you will try physical therapy and have imaging done before they prescribe such interventions (and insurance often requires it). Anything that requires more than one injection tends to be coded as a procedure (Botox for medical reasons, nerve blocks, steroid injections) rather than an office visit. These often involve insurance pre-authorizations that take more than one business day to obtain.

[Anonymous]

Anonymous wrote:I use a concierge practice and have had the same doctor for over a decade. My experience has been that most primary care doctors will not prescribe benzodiazepines or sleep meds on a regular basis. They might give you one or two weeks’ worth of prescription sleep meds or a couple of tablets of benzos for a one-time event, but don’t expect that to be renewed. This isn’t so much a One Medical issue as a change in prescribing guidelines for this class of medications that reflects up-to-date information on how quickly patients develop physiological dependence—as little as 2-4 weeks. Such medications are no longer first-line treatments. Expect to be asked to try other meds and interventions first with possible referral to a specialist(s). Also expect an exam to rule out causal factors.

When you say anti-inflammatory injection, are you referring to Toradol or steroid? If steroid, that type of back injection is usually done by a pain-management specialist or physiatrist. These treatments are also not considered first-line treatments. Doctors usually expect that you will try physical therapy and have imaging done before they prescribe such interventions (and insurance often requires it). Anything that requires more than one injection tends to be coded as a procedure (Botox for medical reasons, nerve blocks, steroid injections) rather than an office visit. These often involve insurance pre-authorizations that take more than one business day to obtain.

In my case, I'm talking about a Toradol injection. I've gotten a 2-3 of them over the last 24 months with good results.

[Anonymous]

It depends on the medication, not necessarily One Medical. I only have to check in every 3 months for some of my renewals but I don’t take any controlled substances.

[Anonymous]

Anonymous wrote:Unless you want to pay thousands for concierge, no.

This hasn't been my experience with OneMed at all. Maybe consider switching providers? I've had no trouble getting meds via the "treat me now" feature, and same-day appointments are almost always available in the DC metro area (not always at my GP's location, but there are several so it's not a huge issue).

If you desperately need a pain injection, you could try to get it done at an urgent care. Honestly, it sounds like lack of planning is part of your suffering. That's not something you're going to be likely to fix with a business model unless, of course, you want to pay for the privilege of on-demand care. Likewise, there are plenty of non-narcotic anxiety and sleep meds that are perfectly effective; I just got prescribed one yesterday at my annual (at OneMedical). If you're shopping for benzos, that may be part of your trouble. Your doctors are doing you a favor by pointing you away from those things.

+1. They shouldn't work for free to write prescriptions on email. You can do a Telehealth appointment like it's an urgent call app (think PM Pediatrics). They deserve to make money.

[Anonymous]

This seems like a you problem. I get last minute appointments, both remote and in person all the time. They are also super responsive in terms of prescriptions. Just last week they replaced an antidepressant that I had lost instantly. You seem like a drug seeker.

[Anonymous]

Anonymous wrote:I loved the OneMedical model until Amazon rolled them up and they started requiring paid office visits nearly every time I wanted a prescription refilled. Their responsiveness has fallen off significantly and they are super stingy with meds I legitimately need. Some examples: couldn't get a timely anti-inflammatory injection for a back flare-up before a golf trip ("come in for an exam", "I don't have time, I leave tomorrow!", can't get effective sleep or anxiety meds despite no history of abuse, etc. I appreciate the app-based, co-op approach but it's no longer working for me. Anyone have recommendations for primary care in DC that might share some of the upsides of the OneMedical model without the frustrations above?

That's not reasonable to expect an appointment the day before a trip. And, if you need an injection, I don't understand because you'd need an appointment. Same with sleep and antianxiety meds - normal is to go in every few months to assess how you are doing. It's not healthy to be on sleep meds long-term. Honestly, you do sound like you are abusing them.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Unless you want to pay thousands for concierge, no.

This hasn't been my experience with OneMed at all. Maybe consider switching providers? I've had no trouble getting meds via the "treat me now" feature, and same-day appointments are almost always available in the DC metro area (not always at my GP's location, but there are several so it's not a huge issue).

If you desperately need a pain injection, you could try to get it done at an urgent care. Honestly, it sounds like lack of planning is part of your suffering. That's not something you're going to be likely to fix with a business model unless, of course, you want to pay for the privilege of on-demand care. Likewise, there are plenty of non-narcotic anxiety and sleep meds that are perfectly effective; I just got prescribed one yesterday at my annual (at OneMedical). If you're shopping for benzos, that may be part of your trouble. Your doctors are doing you a favor by pointing you away from those things.

+1. They shouldn't work for free to write prescriptions on email. You can do a Telehealth appointment like it's an urgent call app (think PM Pediatrics). They deserve to make money.

No one ethical will give those things long term without an appointment.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I use a concierge practice and have had the same doctor for over a decade. My experience has been that most primary care doctors will not prescribe benzodiazepines or sleep meds on a regular basis. They might give you one or two weeks’ worth of prescription sleep meds or a couple of tablets of benzos for a one-time event, but don’t expect that to be renewed. This isn’t so much a One Medical issue as a change in prescribing guidelines for this class of medications that reflects up-to-date information on how quickly patients develop physiological dependence—as little as 2-4 weeks. Such medications are no longer first-line treatments. Expect to be asked to try other meds and interventions first with possible referral to a specialist(s). Also expect an exam to rule out causal factors.

When you say anti-inflammatory injection, are you referring to Toradol or steroid? If steroid, that type of back injection is usually done by a pain-management specialist or physiatrist. These treatments are also not considered first-line treatments. Doctors usually expect that you will try physical therapy and have imaging done before they prescribe such interventions (and insurance often requires it). Anything that requires more than one injection tends to be coded as a procedure (Botox for medical reasons, nerve blocks, steroid injections) rather than an office visit. These often involve insurance pre-authorizations that take more than one business day to obtain.

In my case, I'm talking about a Toradol injection. I've gotten a 2-3 of them over the last 24 months with good results.

You need an in person for that and you seem like you are drug seeking.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I use a concierge practice and have had the same doctor for over a decade. My experience has been that most primary care doctors will not prescribe benzodiazepines or sleep meds on a regular basis. They might give you one or two weeks’ worth of prescription sleep meds or a couple of tablets of benzos for a one-time event, but don’t expect that to be renewed. This isn’t so much a One Medical issue as a change in prescribing guidelines for this class of medications that reflects up-to-date information on how quickly patients develop physiological dependence—as little as 2-4 weeks. Such medications are no longer first-line treatments. Expect to be asked to try other meds and interventions first with possible referral to a specialist(s). Also expect an exam to rule out causal factors.

When you say anti-inflammatory injection, are you referring to Toradol or steroid? If steroid, that type of back injection is usually done by a pain-management specialist or physiatrist. These treatments are also not considered first-line treatments. Doctors usually expect that you will try physical therapy and have imaging done before they prescribe such interventions (and insurance often requires it). Anything that requires more than one injection tends to be coded as a procedure (Botox for medical reasons, nerve blocks, steroid injections) rather than an office visit. These often involve insurance pre-authorizations that take more than one business day to obtain.

In my case, I'm talking about a Toradol injection. I've gotten a 2-3 of them over the last 24 months with good results.

You need an in person for that and you seem like you are drug seeking.

Even if you aren't "drug seeking," you may look like you are on paper. The doctors are covering themselves appropriately.

[Anonymous]

I just started going back to them, and I still love them.

Super easy to get in, and instead of old stodgy, haughty condescending male doctors who rush me out, my PCP is a young attractive NP, who is friendly, empathetic and open to listening. I had lots of time to talk to her, and we've traded several messages on the app post visit, following up on lab results and a conversation we had about possibly starting a GLP1 for my blood pressure. She even sent me a list of questions to ask my insurer to see what I'm eligible for.

[Anonymous]

Inova 360 is good

[Anonymous]

If you have to get an injection to play golf, you maybe should stop playing golf.

[Anonymous]

I LOVE One Medical and am just so bummed Amazon bought them since I've rid my life of everything else Bezos touches.