Oscar Health Insurance Review & Ratings (2024)

Find out why Oscar Health Insurance is making waves in the industry. Read real user ratings and reviews on overall satisfaction, claims, cost, billing, and service. Get insights into their tech-based approach, innovative services, and commitment to accessible and affordable healthcare. Compare rates from top insurance providers by entering your ZIP code and make an informed decision.

UPDATED: Jun 21, 2024Fact Checked

Maria Hanson

Insurance and Finance Writer

Maria Hanson grew up with a unique passion and understanding of both the automotive and insurance industries. With one grandfather in auto mechanics and another working in insurance, you could say automotive insurance is in her blood. Her love of research and finance serves her well in studying insurance trends and liability.  Maria has expanded her scope of expertise to home, health, and life...

Insurance and Finance Writer

Justin Wright

Licensed Insurance Agent

Justin Wright has been a licensed insurance broker for over 9 years. After graduating from Southeastern Seminary with a Masters in Philosophy, Justin started his career as a professor, teaching Philosophy and Ethics. Later, Justin obtained both his Property & Casualty license and his Life and Health license and began working for State Farm and Allstate. In 2020, Justin began working as an i...

Licensed Insurance Agent

UPDATED: Jun 21, 2024

Advertiser Disclosure

It’s all about you. We want to help you make the right coverage choices.

Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.

Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.

Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.

UPDATED: Jun 21, 2024

Advertiser Disclosure

It’s all about you. We want to help you make the right coverage choices.

Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.

Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.

UPDATED: Jun 21, 2024Fact Checked

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Oscar Health Insurance

Average Monthly Rate For Good Drivers

$38

A.M. Best Rating:

NA

Complaint Level:

Low

Pros

  • Tech-based approach to healthcare.
  • Emphasis on personalized and accessible healthcare.
  • Innovative digital features, including a robust mobile app.
  • Competitive pricing compared to other health insurance providers.
  • Comprehensive online account management capabilities.

Cons

  • Mixed customer reviews with both positive and negative experiences.
  • The article does not provide detailed information on specific drawbacks or limitations of Oscar Health Insurance.
  • Lack of information on A.M. Best Rating, making it challenging to assess the company’s financial strength.
  • Limited details on discounts and cost-saving features, compared to traditional insurance providers.
  • Availability of specific health insurance plans may vary by state.

Oscar, started in 2013, is a ventured backed health insurance carrier that aims to use technology to make insurance simple and easy to use. The company is run by Silicon Valley veterans looking to disrupt the current health insurance industry. Currently, Oscar Health Plans are available to people buying Obamacare insurance plans through the New York and New Jersey health insurance marketplaces.

Oscar Health Insurance is a relatively new health insurance provider that offers affordable plans with a focus on technology and user experience. The company’s mission is to make healthcare more accessible and personalized for individuals, and it offers a range of services and resources to help customers manage their healthcare needs.

Overall, if you’re looking for an affordable health insurance option with a focus on technology and personalized care, Oscar Health Insurance may be worth considering. It’s important to do your research, compare plans and prices with other providers, and read customer reviews to determine if it’s the right choice for your healthcare needs.

What You Should Know About Oscar Health Insurance

Welcome to our comprehensive article on Oscar Health, a leading health insurance provider revolutionizing the industry with its tech-driven approach. In this guide, we will explore the key aspects of Oscar Health, including its unique features, benefits, and customer reviews. Here are some interesting attributes of the company

  • Oscar Health Insurance uses technology to simplify and streamline the health insurance process for its customers, providing a seamless user experience through its mobile app and website.
  • The company offers a range of health insurance plans, including individual and family plans, small business plans, and Medicare Advantage plans.
  • Oscar Health Insurance has partnered with major healthcare providers and hospitals to provide its customers with a broad network of high-quality healthcare providers.

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We’ll delve into topics such as overall satisfaction, claims, cost, billing, and service, providing you with valuable insights to make an informed decision about your health insurance coverage. To ensure you get the best rates and options available in your area, enter your ZIP code below and compare rates from the top insurance providers. Take control of your healthcare journey with Oscar Health.

Oscar Health Insurance is a tech-based health insurance company that was founded in 2012. It is known for its unique approach to healthcare and health insurance, offering plans that focus on preventive care and personalized healthcare.

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History of Oscar Health Insurance

Oscar Health Insurance was founded in 2012 by Mario Schlosser, Kevin Nazemi, and Josh Kushner. The idea for the company came from Schlosser’s personal experience with the healthcare system when his wife was pregnant with their first child.

He found the process confusing and difficult to navigate, and he saw an opportunity to use technology to simplify and improve the healthcare experience for everyone.

Mission of Oscar Health Insurance

The company’s mission is to make healthcare accessible and affordable for everyone by leveraging technology and innovation. Oscar Health Insurance believes that healthcare should be easy to understand, transparent, and personalized. The company’s approach to healthcare is based on three core principles:

  • Prevention: Oscar Health Insurance believes that preventing illness is more effective and less expensive than treating it. The company’s health insurance plans focus on preventive care, wellness programs, and disease management to help customers stay healthy.
  • Personalization: Oscar Health Insurance recognizes that everyone’s healthcare needs are different. The company’s plans are designed to be flexible and customizable, with a range of options for deductibles, copays, and out-of-pocket costs.
  • Technology: Oscar Health Insurance uses technology to simplify and streamline the healthcare experience for its customers. The company’s mobile app and website make it easy for customers to find doctors, schedule appointments, and access their health information.

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Overall, Oscar Health Insurance’s history and mission reflect a commitment to making healthcare more accessible, affordable, and personalized for everyone. By leveraging technology and innovation, the company is working to transform the healthcare industry and improve the lives of its customers.

Oscar Health Insurance Coverage Options

Oscar Health Insurance offers a range of health insurance products and services to individuals and families in the states where it operates. Here are some of the main products and services offered by the company:

  • Individual and family health insurance plans: Oscar Health Insurance offers a variety of individual and family health insurance plans that provide coverage for medical services, prescription drugs, and other healthcare needs. These plans are designed to be flexible and customizable, with a range of deductibles, copays, and out-of-pocket costs.
  • Medicare advantage plans: Oscar Health Insurance offers Medicare Advantage plans in select counties in certain states. These plans provide coverage for Medicare Part A (hospital insurance) and Medicare Part B (medical insurance), as well as additional benefits like prescription drug coverage, vision care, and fitness programs.
  • Telemedicine services: Oscar Health Insurance offers telemedicine services, which allow customers to connect with healthcare providers remotely through video consultations, phone calls, or messaging. This can be a convenient and cost-effective way to access healthcare services, especially for minor illnesses or injuries.
  • Wellness programs: Oscar Health Insurance offers a range of wellness programs and resources to help customers stay healthy and manage chronic conditions. These programs may include personalized health coaching, fitness programs, nutrition counseling, and more.

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If you’re interested in purchasing health insurance from Oscar Health Insurance, it’s a good idea to check the company’s website or speak to a representative to see what plans are available in your state and how much they might cost.

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States Where Oscar Health Offers Insurance

It’s worth noting that the availability of specific health insurance plans may vary by state, and not all plans may be available in every state where Oscar Health Insurance operates. Oscar Health Insurance offers health insurance plans in several states across the United States.

  • Arizona
  • California
  • Colorado
  • Florida
  • Georgia
  • Iowa
  • Kansas
  • Michigan
  • Missouri
  • New Jersey
  • New York
  • North Carolina
  • Ohio
  • Oklahoma
  • Pennsylvania
  • Tennessee
  • Texas
  • Virginia

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Additionally, the company’s Medicare Advantage plans are currently only available in certain countries within specific states.

If you’re interested in purchasing health insurance from Oscar Health Insurance, it’s a good idea to check the company’s website or speak to a representative to see what plans are available in your state and which plan might be the best fit for your needs.

Oscar Health Insurance Rates Breakdown

Securing the right health insurance coverage is a crucial decision that can significantly impact your overall well-being. In this comprehensive discussion, we’ll delve into the rates and criteria that shape the health insurance offerings of Oscar Health Insurance. Understanding the factors influencing rates, such as age, gender, and other considerations, is vital for making an informed decision about your healthcare coverage.

  • Age: Health insurance rates often vary based on age, with younger individuals typically benefiting from lower premiums. Oscar Health Insurance considers age as a crucial factor, tailoring rates to different age brackets.
  • Gender: While many health insurance providers no longer differentiate rates based on gender, it’s essential to examine Oscar Health Insurance’s approach. Some policies may still consider gender as a factor, and understanding this criterion helps individuals assess the fairness and transparency of the company’s rate structures.
  • Health Status: Oscar Health Insurance emphasizes personalized healthcare, and as such, your health status can impact your rates. The company may assess factors such as pre-existing conditions or overall health to tailor coverage and rates accordingly.
  • Coverage Level: The extent of coverage you choose significantly influences your rates. Oscar Health Insurance offers various plans with different coverage levels, allowing you to select a plan that aligns with your preferences and budget.

Navigating the intricacies of health insurance rates and criteria is essential for making well-informed decisions. As we conclude our discussion on Oscar Health Insurance, you’ll have gained insights into the factors shaping their rates, internal linking opportunities for policy customization, and the innovative services that set them apart in the healthcare landscape.

Coverage Cost at Oscar Health Insurance

The cost of health insurance plans from Oscar Health Insurance can vary widely depending on many factors, including the type of plan, the level of coverage, the state where the plan is offered, and the individual’s age, gender, and overall health status.

In general, Oscar Health Insurance plans tend to be competitively priced compared to other health insurance providers. According to a 2020 analysis by eHealth, the average monthly premium for an Oscar Health Insurance plan was $456 for an individual and $1,223 for a family, which was slightly lower than the national average for individual and family health insurance plans.

It’s worth noting that the cost of health insurance plans can vary from year to year, and it’s important to review your options and shop around to find the plan that best fits your needs and budget.

If you’re interested in purchasing health insurance from Oscar Health Insurance, it’s a good idea to check the company’s website or speak to a representative to get a personalized quote and see what options are available to you.

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Oscar Health Insurance Discounts Available

Oscar Health Insurance offers some cost-saving features and resources that can help customers save money on their healthcare expenses. These may include:

  • Telemedicine services: Oscar Health Insurance offers telemedicine services that allow customers to connect with healthcare providers remotely through video consultations, phone calls, or messaging. This can be a convenient and cost-effective way to access healthcare services, especially for minor illnesses or injuries.

  • Wellness programs: Oscar Health Insurance offers a range of wellness programs and resources to help customers stay healthy and manage chronic conditions. These programs may include personalized health coaching, fitness programs, nutrition counseling, and more.
  • Pharmacy benefits: Oscar Health Insurance offers a range of pharmacy benefits, including access to a national network of pharmacies and prescription drug discounts through partnerships with certain retailers.

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Overall, while Oscar Health Insurance may not offer traditional discounts like some other insurance providers, there are still many ways that customers can save money on their health insurance and healthcare expenses by taking advantage of the company’s programs and resources.

Comprehending How Oscar Health Insurance Handles Claims

Ease of Filing a Claim

Oscar Health Insurance offers multiple convenient channels for filing claims. Policyholders can file claims online through their user-friendly website, over the phone with their dedicated customer support team, or even through their mobile app. This flexibility makes it easy for customers to report claims in a way that suits their preferences and needs.

Average Claim Processing Time

The average claim processing time with Oscar Health Insurance is notable for its efficiency. The company utilizes advanced technology and streamlined processes to ensure that claims are processed promptly. While processing times can vary based on the complexity of the claim, customers generally experience quick and hassle-free claim settlements.

Customer Feedback on Claim Resolutions and Payouts

Customer feedback on claim resolutions and payouts with Oscar Health Insurance has been generally positive. Many policyholders have expressed satisfaction with the company’s responsiveness and fairness in handling claims. Oscar’s commitment to transparency and user-centric services reflects in their claim resolutions, fostering trust among their customers.

Transforming Insurance: Oscar Health Insurance Innovative Digital and Technological Features

Mobile App Features and Functionality

Oscar Health Insurance stands out for its robust mobile app, offering a range of features and functionalities that enhance the overall customer experience. The app allows policyholders to easily access their insurance information, view claims status, and even locate healthcare providers within their network. Additionally, it provides a user-friendly platform for filing claims, making it a valuable tool for policyholders on the go.

Online Account Management Capabilities

The online account management capabilities offered by Oscar Health Insurance are comprehensive and user-friendly. Policyholders can access their accounts 24/7 to review policy details, track claims, and make payments. The intuitive online portal empowers customers to manage their insurance needs conveniently from the comfort of their homes.

Digital Tools and Resources

Oscar Health Insurance provides a wealth of digital tools and resources to support their policyholders’ healthcare journey. These resources include educational materials, health and wellness information, and tools for estimating healthcare costs. By leveraging technology, Oscar equips its customers with the knowledge and resources needed to make informed healthcare decisions.

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How Oscar Health Insurance Ranks Among Providers

In the ever-evolving landscape of health insurance, competition fosters innovation, ultimately benefiting consumers seeking optimal coverage. In this exploration, we delve into the main competitors of Oscar Health Insurance, a company renowned for its tech-driven and personalized healthcare approach. Understanding the competitive landscape is crucial for individuals looking to make informed choices about their health coverage.

  • UnitedHealth Group: As one of the largest health insurers globally, UnitedHealth Group is a formidable competitor. With an extensive network and diverse coverage options, UnitedHealth offers a range of plans, including employer-sponsored, individual, and government programs.
  • Anthem, Inc.: Anthem, Inc., stands as a prominent player in the health insurance realm. Operating under various brands, including Blue Cross Blue Shield, Anthem provides a wide array of health plans across multiple states.
  • Cigna Corporation: Cigna is a global health services organization offering a diverse portfolio, including health insurance, pharmacy benefits, and wellness programs. With a focus on customer-centric solutions, Cigna competes with Oscar Health Insurance in providing comprehensive and innovative healthcare offerings.
  • Aetna (a CVS Health Company): Aetna, now a part of CVS Health, combines health insurance with the resources of a pharmacy and retail giant. This integration allows Aetna to offer unique health and wellness solutions.
  • Bright Health: As a newer entrant, Bright Health has gained attention for its tech-focused approach and collaborative care model. Much like Oscar Health, Bright Health leverages technology to enhance the healthcare experience.

Navigating the diverse landscape of health insurance providers involves considering the strengths and specialties of each company. In this overview of Oscar Health Insurance’s main competitors, we’ve touched on established industry giants and emerging disruptors, each bringing unique approaches to healthcare coverage.

Frequently Asked Questions

What is Oscar Health Insurance?

Oscar Health Insurance is a health insurance company that offers individual and family plans, as well as Medicare Advantage plans, in select states across the United States. They focus on technology-driven healthcare services and providing personalized support to their members.

What states does Oscar Health Insurance operate in?

Oscar Health Insurance operates in the following states: Arizona, California, Colorado, Florida, Georgia, Iowa, Michigan, Missouri, New Jersey, New York, Ohio, Pennsylvania, Tennessee, Texas, and Virginia.

What types of health insurance plans does Oscar offer?

Oscar Health Insurance offers individual and family plans, as well as Medicare Advantage plans. Their plans vary by state and may include options such as HMOs, EPOs, and PPOs.

What is an HMO plan?

An HMO plan is a type of health insurance plan that typically requires members to choose a primary care physician (PCP) and get referrals from their PCP in order to see specialists. HMOs typically have lower out-of-pocket costs but offer less flexibility in terms of choosing healthcare providers.

What is an EPO plan?

An EPO plan is a type of health insurance plan that typically does not require members to choose a primary care physician or get referrals to see specialists. EPOs typically offer more flexibility than HMOs but may have higher out-of-pocket costs.

What is a PPO plan?

A PPO plan is a type of health insurance plan that typically allows members to see any healthcare provider without a referral, although going out of network may result in higher out-of-pocket costs. PPOs typically offer more flexibility than HMOs but may have higher premiums.

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Maria Hanson

Insurance and Finance Writer

Maria Hanson grew up with a unique passion and understanding of both the automotive and insurance industries. With one grandfather in auto mechanics and another working in insurance, you could say automotive insurance is in her blood. Her love of research and finance serves her well in studying insurance trends and liability.  Maria has expanded her scope of expertise to home, health, and life...

Insurance and Finance Writer

Justin Wright

Licensed Insurance Agent

Justin Wright has been a licensed insurance broker for over 9 years. After graduating from Southeastern Seminary with a Masters in Philosophy, Justin started his career as a professor, teaching Philosophy and Ethics. Later, Justin obtained both his Property & Casualty license and his Life and Health license and began working for State Farm and Allstate. In 2020, Justin began working as an i...

Licensed Insurance Agent

Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.

Free Insurance Comparison

Compare quotes from the top insurance companies and save!

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