Oscar is a health insurance provider based in New York and offers coverage in 9 states.
In 2012, Oscar Ceo Mario Schlosser and his wife were preparing to have a baby and saw how difficult it was to navigate through the healthcare system. Schlosser’s friend, Josh Kushner, had also had a similar frustration in treating an injury. They founded Oscar Health on a hope to help consumers feel less powerless in managing their health. What makes Oscar different is the Concierge Team that guides members and handles customer service questions and coordination of clinical care.
In its first year, Oscar secured 16,000 members. In 2015, Oscar expanded into New Jersey and grew to about 40,00 members. In 2016, they had 145,000 members in New York, New Jersey, California and Texas. They then expanded in Tempe, Arizona. In 2016, Oscar opened the Oscar Center in partnership with Mount Sinai Health System. The Oscar Center has a primary care practice with a doctor, nurse practitioner and behavioral health specialist. It also hosts free yoga classes and classes for expectant mothers.
In 2017, Oscar entered the small group insurance market in New York. That summer, Oscar announced its partnership with Cleveland Clinic to offer individual health insurance plans to consumers in five counties in Ohio. Later that year, they also entered Tennessee, Texas, New Jersey and California.
A technology-focused health insurance company, today Oscar focuses on the health insurance industry through telemedicine. Oscar Insurance health plans are available through the health insurance marketplaces in New York, Texas and California.
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The Oscar app allows you to access your health information anytime you need it. It allows you to search for doctors & drugs and even have virtual visits with a doctor.
Oscar Health Insurance offers plans through the health insurance marketplace. You can begin searching plans here or you can get several free health insurance quotes here.
Each state has their own marketplace. If you’re not sure where to begin, visit https://www.healthcare.gov/. You can also schedule a personal appointment with a local Kaiser Permanente Medicare specialist: 1-866-973-4588.
Your doctor or care provider should submit a claim to the insurer. You should be covered except for copay. Your insurer will send you an explanation of benefits. If you owe anything, your doctor will send you a bill. If you visit an out-of-network provider, you will not be covered unless it was an emergency. Call 855-672-2755 with any additional questions.
To cancel Oscar health insurance, you can call Oscar health directly at 1-855-672-2788 or cancel using your account at healthcare.gov or your state’s health exchange marketplace.
Oscar Insurance has several options for health insurance, based on the different tiers that marketplace insurers use. Prices for plan vary from person to person but the average monthly cost for a 30-year-old is $162.09 pm the secure plan. The deductible, however, is $7,900. If you need emergency surgery, you’d have to pay the $7,900 before expenses get covered.
Oscar Insurance is a reliable company with positive ratings in customer service. Users find the online app and doctor on-call service helpful.
You can get health insurance quotes here.
Quest Diagnostics is Oscar’s preferred lab so your preventive labs will be free if they are processed there. Not all labs participate with your health plan so make sure you’re going to a preferred lab.
Oscar Insurance is available in New York, California, Texas, New Jersey, Ohio, Tennessee, Arizona, Florida, and Michigan.
Oscar health insurance plans cover a wide range of medical services and drugs. You have the option of selecting from different tiers, based on the coverage you anticipate needing. There’s an Oscar health insurance plan for every budget. Oscar also offers Medicare Advantage and Medicare Supplements.
CVS pharmacy is Oscar’s preferred pharmacy in New York.
No, Oscar is an Exclusive Provider Organization plan, or EPO. Consumers receive coverage for in-network providers and they don’t need a primary care physician to refer them to a specialist. Out-of-network providers are only accepted in case of an emergency.
Medicare Advantage is the private version of Medicare. It is important to note that it’s not necessarily more expensive. To compare Medicare Advantage plans (Medicare Part C, which replaces Parts A and B), visit here.
Oscar does not offer dental or vision insurance, only medical.
Yes, urgent care accepts Oscar insurance, which also offers the even more convenient option of telemedicine, with which you can get a prescription after talking to a doctor on the phone.
Yes, Oscar covers behavioral health and psychotherapy counseling with mental health providers that accept Oscar.
The step tracking happens right in the Oscar app, which generates a custom step goal for each member each day. Each day they meet the goal, members earn $1 for a maximum of $100 in a year, delivered as an Amazon gift card, which members can collect once they’ve earned $20.
You can pay online with a checking account or debit card at www.hioscar.com/member/payment. California members can also use a credit card. You also have the option of using the mobile app, phone (1-855-672-2755) and check or money order.
|Address||75 Varick St. 5th Fl, New York, NY 10013|
|Phone||1 (844) 392-7589|
The information listed on this page is from our own in house research. It is accurate as of the article publish date. Visit the carrier website for additional information.
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