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From the blog
Care, coverage, and everything in between. Actually explained.
Oscar Medical coverage is underwritten by Oscar Insurance Company and its affiliates. Administrative Services for all plans provided by Oscar Management Corporation. All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs, and complete details of coverage, contact Oscar at (855) 672-2788.
Plans sold in Texas use policy and associated COC form numbers OSC-TX-IVL-HMO-EOC-2027-HIX OHIN-134128348; OSC-TX-IVL-HMO-EOC-2027 OHIN-134128297; GUIDED OSC-TX-IVL-HMO-GOLD-0-GUIDED-CARE-EOC-2027 OHIN-134128360; OSC-TX-IVL-EOC-2027 OHIN-134080911;OSC-TX-IVL-EOC-2027-HIX OHIN-134080906; OSC-TX-IVL-EOC-2027-HIX OHIN-134079760; OSC-TX-S-IVL-EOC-2027 OHIN-134079760.
Plans sold in Virginia use policy and associated form numbers VA ON OSC-VA-IVL-EOC-2027-HIX OHIN-134065976; VA OFF OSC-VA-IVL-EOC-2027 OHIN-134065976.
Oscar Virtual Care availability varies by service, location, and plan. Oscar’s Virtual Care offerings are not available in U.S. territories or internationally. Members enrolled in certain HSA-compatible high-deductible health plans or Secure plans may not be eligible for $0 visits before meeting their deductible; please refer to the applicable plan documents for details. Prescriptions, visits, and services may be limited at the provider’s discretion. Integrated Behavioral Health through Oscar Virtual Care is currently available only in Florida, Georgia, New York, Oklahoma, Texas, and Arizona.
This material is a summary and does not include every plan term, exclusion, limitation, or cost. Review the applicable Summary of Benefits and Coverage and policy or Evidence of Coverage to determine covered services, cost sharing, network requirements, and other plan terms. For more information or help choosing a plan, call Oscar at (855) 672-2788.
Certain Oscar features use artificial intelligence. AI-generated outputs may be inaccurate or incomplete and may not be reviewed by a person before they are displayed. Verify important information before acting on it. AI features do not replace professional medical advice or emergency services. Oscar processes personal information as described in its Privacy Policy, applicable Notice of Privacy Practices, Terms of Service, and any feature-specific disclosures.
Oscar Rewards Program participation is available to eligible active IFP and CHOICE Arrangements (previously known as ICHRA) members age 18 and older. Participation does not guarantee eligibility for every reward. Reward availability, eligibility, values, qualifying activities, annual limits, verification timing, and redemption options vary by member, plan, and state and are subject to the applicable policy and program terms. Please refer to hisocar.com/get-coverage/oscar-unlocks for more information.
Adult dental and vision coverage is available only on eligible plans in select markets. Benefits, provider networks, cost sharing, limitations, and exclusions vary by plan and location. Review the applicable plan documents before enrolling.
Oswell is an AI-enabled informational tool, providing general health and benefits information only. Oswell may not be available to all members. It does not provide medical advice, diagnosis, treatment, therapy, behavioral-health treatment, or emergency services, and it does not create a provider-patient relationship. Responses may be inaccurate or incomplete and are not reviewed by a clinician. Do not rely on Oswell to make health decisions or delay seeking professional care. For a medical emergency, call 911. For a mental-health crisis, call or text 988. Benefit information is subject to your plan documents, which control. Use of Oswell is subject to Oscar’s Terms of Service.