

See why Oscar’s mobile app is the industry leader for member engagement.Two page summary of setting up an Oscar Account.Links & Videos to help you get the most from OscarĬoncierge – reinventing customer service with a personalized team of 3 care guides and a nurse – for every member. In 2021 Oscar paid a lot of claims! Their MLR Medical Loss Ratio was 99.7% ! Modern Health Care * Yahoo * Covered CA * CMS.gov * Fierce Health Care * For example, you have a $4,500 deductible and MOOP on the Gold Simple plan, however you can go to the doctor, get your labs and x-rays all at a flat co-pay prior to meeting your deductible. The kicker, you still get pre-deductible benefits. Offer something different, they combine the deductible and Out of Pocket Maximum as one number. After that, Oscar pays 100% for any covered care. With HSA compatible Saver plans, you pay the full negotiated rate for care out of your HSA until your reach your deductible. In California, these are plans that work alongside a Health Savings Account (HSA). Saver plans are low premium, high deductible plans. All plans have either coinsurance or affordable copays after you hit your deductible. Most plans provide pre-deductible copays for routine care and drugs.

Classic plansĬlassic plans have higher monthly premiums and lower annual deductibles than Simple plans. This means you don’t need to book an appointment with a primary care provider just to get a permission slip, saving you time and money. Even better, Oscar never requires referrals to see a specialist. Orange County has 9 hospitals and 5,000 providers.Īll plans are EPOs with Doctor on Call, Concierge, and Step Rewards for staying active. Providence Health & Services, UCLA Health, St Joseph, HOAG, Huntington Memorial and USC Keck have signed on to Oscar’s network, giving it 19 hospitals and 11,000 MD’s in Los Angeles. Consumers, for example, receive no coverage out of network, but unlike an HMO they don’t need a primary care physician or a referral to see a specialist. Oscar offers an Exclusive Provider Organization plan, or EPO - a hybrid of the HMO and PPO models. A consumer could expect to shell out a total of $200 in co-pays and typical prescriptions or tests for a visit to a specialist.

Oscar’s Health Insurance focuses centers around the Internet and mobile applications. Another click and appointment options - a free doctor’s call or a visit to a primary care physician or specialist - are splashed on the screen with estimated costs.
