Jeffrey Wade
Oscar Health Insurance was formed in 2012 to cater to those who do not qualify for Medicaid, Medicare, or employer benefits. The company offers health plans from all four metal tiers (platinum, gold, silver, and bronze) in select states, including New York, California, and Texas. These plans include benefits such as free doctor visits, free generic medicine, and practical care services like flu shots and pregnancy screenings. While Oscar does not provide Medicaid, it fills a gap in the market by targeting those who do not qualify for such government-sponsored programs.
| Characteristics | Values |
|---|---|
| Year of Formation | 2012 |
| Target Group | Those who do not qualify for Medicaid, Medicare, or employer benefits |
| States Available | New York, California, Texas, New Jersey, Ohio, Tennessee, Arizona, Florida, and Michigan |
| Number of Customers | More than 145,000 |
| Number of In-Network Physicians in New Jersey | More than 20,000 |
| Number of In-Network Physicians in New York | More than 30,000 |
| Number of Hospitals in New Jersey | 66 |
| Number of Hospitals in New York | 80 |
| Number of Pharmacies in New York | 60,000 |
| Concierge Team | Yes |
| Cost of Some Prescriptions | $3 |
Explore related products
What You'll Learn
Oscar Insurance was designed for those who don't qualify for Medicaid
Oscar Insurance was designed for those who do not qualify for Medicaid. The company was formed in 2012 in the wake of the Affordable Care Act (ACA). Its intention is to provide benefits that are easy to understand and quality care that saves both time and money. Oscar offers health plans from all four metal tiers (platinum, gold, silver, and bronze) in the states of New York, New Jersey, California, and Texas. These plans include benefits such as free visits to the doctor, free generic medicine, and more than 75 free practical care services, such as flu and immunization shots and pregnancy screenings. Oscar plans also feature other cost-saving benefits, such as discounted brand-name medications and urgent care visits, as well as cash rewards for meeting fitness goals.
Oscar's product offerings include EPO plans, and they offer personal service at no additional cost. They have a Concierge Team that guides members and handles customer service questions and coordination of clinical care. Oscar also has a flu shot program that donates $3.30 to children in need for every shot administered to a member during flu season.
Oscar Insurance is available in New York, California, Texas, New Jersey, Ohio, Tennessee, Arizona, Florida, and Michigan. In New Jersey, there are more than 20,000 in-network physicians and 66 hospitals, while New York has more than 30,000 in-network doctors, 80 hospitals, and 60,000 pharmacies. Oscar serves more than 145,000 customers nationwide.
Oscar Primary Care is available in Texas, New York, Florida, Arizona, Georgia, and Oklahoma, for members aged 18 and above. Prescriptions, visits, and services may be limited at the provider's discretion.
Executive Medical Insurance: Cobra Eligibility Explained
You may want to see also
Explore related products
Oscar Insurance is available in nine states
Oscar Insurance is a technology-driven, consumer-focused health insurance company founded in 2012 and headquartered in New York City. Oscar is one of the fastest-growing health insurance companies in the country, and it sells its plans in nine states.
The nine states where Oscar Insurance is available are:
- Arizona
- California
- Florida
- Michigan
- New Jersey
- New York
- Ohio
- Tennessee
- Texas
Oscar Insurance offers a range of health plans, including individual, family, and child-only plans. These plans are designed to be affordable and easy to use, providing benefits such as free doctor visits, free generic medicine, and practical care services like flu shots and pregnancy screenings. Oscar also offers cost-saving benefits, such as discounted brand-name medications and cash rewards for meeting fitness goals.
In addition to the nine states where Oscar Insurance is directly available, the company also has a presence in other states through its affiliates. For example, Oscar Health Plan, Inc. offers HMO products in Arizona, Illinois, and Ohio, while Oscar Health Plan of Georgia provides coverage in Georgia.
Life Insurance and Medicaid: What Happens After Death?
You may want to see also
Explore related products
Oscar Primary Care is available in six states
Oscar Insurance was formed in 2012 in the wake of the Affordable Care Act (ACA). It was designed for those who do not qualify for Medicaid, Medicare, or employer benefits. The company's intention is to provide benefits that are easy to understand and quality care that saves time and money.
Oscar Primary Care providers are employed by Oscar Medical Group, not Oscar Insurance Company or its insurance plan affiliates. Oscar Primary Care is only available to members aged 18 and over. Prescriptions, visits, and services may be limited at the provider's discretion, and Oscar Primary Care is not intended to be used in conjunction with another primary care consultation.
Oscar Primary Care in-person visits in conjunction with a virtual visit may have a copayment. Due to medical licensing laws, you must be in your home state at the time of your virtual visit. On HMO plans in Georgia and Texas, and on EPO plans in Northern and Central Florida markets, there may be a cost share associated with your visit.
University Insurance and Medicaid: Can You Have Both?
You may want to see also
Explore related products
$36 $58
![Oscar [DVD]](https://m.media-amazon.com/images/I/81NrjFWr02L._AC_UY218_.jpg)
Oscar Insurance offers a Concierge Team to guide members
Oscar Insurance was formed in 2012 in the wake of the Affordable Care Act (ACA). The company was designed with a specific group in mind—those who do not qualify for Medicaid, Medicare, or employer benefits. Oscar Insurance offers a dedicated Concierge Team, or Care Team, to guide members and ensure they receive quality care.
The Care Team's primary role is to help members navigate their insurance plans and answer any questions they may have. This includes explaining the intricacies of their coverage, claims, and any copayments. The team can also assist members in finding virtual or local, in-person providers who specialize in their specific needs. For instance, Oscar Insurance offers a network of over 20,000 in-network physicians and 66 hospitals in New Jersey, and more than 30,000 doctors, 80 hospitals, and 60,000 pharmacies in New York.
The Concierge Team provides personalized support to members, helping them understand the various options available and making informed decisions about their healthcare. They can also run cost estimates so that members are aware of potential expenses before receiving treatment. Oscar Insurance's Concierge Team is easily accessible, just a call, text, or message away, ensuring members can promptly receive the guidance and assistance they require.
Additionally, Oscar Insurance offers a range of affordable health plans, including individual, family, and child-only plans, across all four metal tiers (platinum, gold, silver, and bronze) in New York, New Jersey, California, and Texas. These plans include benefits such as free doctor visits, free generic medicine, and over 75 practical care services at no additional cost. Oscar's Primary Care is available in select states and offers easy access to healthcare providers and prescriptions.
Combining Insurance with Medicaid: What are your Options?
You may want to see also
Explore related products
![The Oscar [Blu-ray]](https://m.media-amazon.com/images/I/81pRBRofqqL._AC_UY218_.jpg)
Oscar Insurance offers a range of health plans from all four metal tiers
Oscar Insurance was formed in 2012 in the wake of the Affordable Care Act (ACA). It was designed with a specific group in mind: those who do not qualify for Medicaid, Medicare, or employer benefits. Oscar offers a range of health plans from all four metal tiers: platinum, gold, silver, and bronze. These plans are currently available in the states of New York, New Jersey, California, and Texas.
Within each metal tier, Oscar offers three plan types: Simple, Classic, and Elite. The difference between these plan types is the breakout of coinsurance and copays. All Oscar plans include preventive care at no cost when visiting an in-network doctor. This includes annual check-ups, screenings, vaccines, and more. Oscar's network of providers has already agreed to negotiated rates, so even if you have a deductible and have to pay out-of-pocket, you will benefit from Oscar's lower rates.
Oscar's plans also include other cost-saving benefits, such as discounted pricing on brand-name medications and urgent care visits. Additionally, Oscar offers cash rewards for meeting fitness goals. Oscar serves more than 145,000 customers nationwide and has a strong presence in New York and New Jersey, with over 30,000 in-network doctors, 80 hospitals, and 60,000 pharmacies in these states alone.
Oscar's product offerings include EPO plans, and they understand the unique insurance needs of individuals and families, as well as small business owners and their employees. Oscar allows customers to buy health insurance, switch plans, or renew their plans through the Marketplace during the Open Enrollment Period, which typically lasts from November 1 to January 15, depending on the customer's location.
Malpractice Insurance: Understanding Coverage for Medical Professionals
You may want to see also
Frequently asked questions
Oscar Insurance is a health insurance company that was formed in 2012. It offers affordable health insurance plans in New York, California, Texas, New Jersey, Ohio, Tennessee, Arizona, Florida, and Michigan.
No, Oscar Insurance does not have Medicaid. It was designed for those who do not qualify for Medicaid or Medicare.
Oscar Insurance offers a range of benefits, including free visits to the doctor, free generic medicine, and more than 75 free practical care services such as flu and immunization shots. Oscar also has a Concierge Team that guides members and handles customer service questions.
You can get a quote for Oscar health insurance plans online and compare the benefits and options. You can also activate your account and pay your monthly premium with autopay.
