Oxford Health Plans Insurance Review & Ratings (2024)

Uncover the Strengths and Weaknesses of Oxford Health Plans Insurance in 2023. Find out what real users have to say about their overall satisfaction, claims experience, cost, billing, and service. Get valuable insights to make informed decisions about your health insurance coverage. With an A.M. Best rating of A and an S&P Rating of AA, Oxford Health Plans Insurance is known for its commitment to quality care.

UPDATED: Nov 26, 2023

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: Nov 26, 2023Fact Checked

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

Brandon Frady

Licensed Insurance Agent

Brandon Frady has been a licensed insurance agent and insurance office manager since 2018. He has experience in ventures from retail to finance, working positions from cashier to management, but it wasn’t until Brandon started working in the insurance industry that he truly felt at home in his career. In his day-to-day interactions, he aims to live out his business philosophy in how he treats hi...

Licensed Insurance Agent

UPDATED: Nov 26, 2023

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: Nov 26, 2023

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: Nov 26, 2023

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: Nov 26, 2023Fact Checked
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Optima Health Insurance

Average monthly rate for healthy individuals:

N/A

A.M. Best rating:

A

Complaint level:

Low

Pros

  • Comprehensive coverage for medical, dental, and vision benefits.
  • Range of coverage options, including low and high-deductible plans and HSA-compatible plans.
  • Customized healthcare coverage for employers, including medical, dental, and vision benefits.
  • Offers Medicaid plans in Virginia and North Carolina.
  • Wellness programs and discounts to save on premiums.

Cons

  • Mixed customer reviews regarding the cost of premiums and plan complexity.
  • Complaints about the complexity of claims and the cost of premiums mentioned in customer feedback.

Final Verdict: Review of Optima Health Insurance

Oxford Health Plans is a health insurance company that offers a range of plans and options to customers in several states across the United States. The company has a strong history and mission of providing high-quality, affordable healthcare to individuals and families.

While Oxford Health Plans offers a wide range of plans and incentives, customer reviews of the company are mixed. Some customers have had positive experiences with the company’s plans and services, while others have reported issues with customer service and billing.

Overall, customers considering Oxford Health Plans should carefully review the plans available in their area and read reviews from other customers to determine if the company is a good fit for their needs. With careful research and consideration, customers can find a health insurance plan that fits their needs and budget.

What You Should Know About Optima Health Insurance

Welcome to our comprehensive article on Oxford Health, a leading health insurance provider.
In this guide, we delve into the key aspects of Oxford Health, including its coverage options, customer reviews, and cost considerations.

Whether you’re seeking comprehensive coverage, preventative care, or wellness programs, Oxford Health offers a range of plans to suit your needs. We’ll explore their history, mission, and highlight customer experiences to help you make an informed decision.

  • The company has a strong focus on preventative care and wellness programs to help customers live healthier lives.
  • Oxford Health Plans insurance is available in several states across the United States, including New York, New Jersey, and Connecticut.

To ensure you find the best insurance provider in your area, we invite you to enter your ZIP code below.
By comparing rates from top insurance providers, you can secure the coverage that fits your requirements and budget. Don’t miss out on the opportunity to discover the ideal health insurance plan that prioritizes your well-being and peace of mind.
Enter your ZIP code now and take the first step toward finding the perfect health insurance solution.

In this review, we’ll take a closer look at Oxford Health Plans insurance, including its history, mission, products and services, and customer reviews.

History and Mission of Oxford Health Plan

Oxford Health Plans was founded in 1984 by Stephen Wiggins to provide high-quality health insurance to individuals and businesses in the New York area.

Initially, the company focused on providing health maintenance organization (HMO) plans, which offered comprehensive coverage and a network of healthcare providers who worked together to provide coordinated care.

The mission of Oxford Health Plans is to provide innovative, affordable health insurance products and services that help customers achieve their health and wellness goals.

The company is committed to working with healthcare providers to improve the quality of care, while also using data and technology to make healthcare more efficient and cost-effective.

Overall, Oxford Health Plans has established itself as a leader in the healthcare industry, with a focus on providing high-quality, customer-centric health insurance solutions.

Optima Health Insurance Coverage Options

Optima Health Insurance prioritizes accessibility and affordability, offering a variety of coverage options tailored to meet the diverse healthcare needs of individuals and families in Virginia, North Carolina, and Maryland.

  • Individual and Family Plans: Comprehensive medical, dental, and vision coverage. Flexible options, including low and high-deductible plans and HSA-compatible plans.
  • Medicare Plans: Medicare Advantage and Supplement plans for enhanced coverage.
  • Employer Sponsored Plans: Customized healthcare coverage for employees, including medical, dental, and vision benefits.
  • Medicaid Plans: Available in Virginia and North Carolina, providing comprehensive coverage.
  • Additional Services: Wellness programs and discounts to save on premiums.

Optima Health Insurance ensures quality care with affordable and flexible coverage options. Whether you’re an individual, a family, or an employer, explore the range of plans to secure the ideal healthcare coverage for your well-being. For further details, contact Optima Health Insurance directly or consult with a licensed insurance agent.

Oxford Health Plans offers a range of health insurance plans to meet the unique needs of its customers. Here are some of the main products and services offered by the company:

  • HMO plans: Oxford Health Plans’ HMO plans offer comprehensive coverage and a network of healthcare providers who work together to provide coordinated care. These plans are a good choice for individuals and families who want predictable costs and easy access to healthcare services.
  • EPO plans: EPO plans offer more flexibility in choosing healthcare providers, but may have higher out-of-pocket costs than HMO plans. With an EPO plan, customers can usually see any healthcare provider in the plan’s network without needing a referral from a primary care physician.
  • POS plans: POS plans combine features of HMO and PPO plans, allowing customers to choose between in-network and out-of-network providers. With a POS plan, customers typically choose a primary care physician who coordinates their care and provides referrals to specialists as needed.
  • Medicare advantage plans: Oxford Health Plans also offers Medicare Advantage plans for individuals who are eligible for Medicare. These plans provide comprehensive coverage for medical and prescription drug expenses, as well as additional benefits like dental, vision, and hearing care.

The company also offers a range of discounts for customers who meet certain criteria, such as participating in wellness programs or having multiple insurance policies with the company. Overall, Oxford Health Plans is committed to providing innovative, affordable health insurance products and services that meet the unique needs of its customers.

States Where Oxford Health Plan Offers Insurance

Oxford Health Plans offers health insurance plans in several states across the United States. However, the availability of plans may vary depending on the specific region or county within each state. Here are the states where Oxford Health Plans currently offers health insurance:

  • New York: Oxford Health Plans offers individual and family plans, as well as Medicare Advantage plans, in New York State.
  • New Jersey: Oxford Health Plans offers individual and family plans, as well as Medicare Advantage plans, in select counties in New Jersey.
  • Connecticut: Oxford Health Plans offers individual and family plans, as well as Medicare Advantage plans, in select counties in Connecticut.

It’s worth noting that the specific plans and options available may vary depending on the state and county where the customer lives. Customers should check with Oxford Health Plans or their insurance agent to learn more about the plans available in their area. Additionally, Oxford Health Plans may offer plans in other states or regions in the future, so it’s worth checking back periodically to see if coverage has expanded.

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Optima Health Insurance Rates Breakdown

The cost of Oxford Health Plans insurance varies depending on many factors, including the type of plan, coverage level, location, and age of the customer. Here are some things to keep in mind when considering the cost of Oxford Health Plans insurance:

  • Plan type: As mentioned earlier, Oxford Health Plans offers a range of plan types, including HMO, EPO, POS, and Medicare Advantage plans. The cost of each plan will vary depending on the type of plan selected and the level of coverage provided.
  • Coverage level: Customers can choose from a range of coverage levels when selecting an Oxford Health Plans insurance plan. Higher coverage levels generally come with higher monthly premiums, but also provide more comprehensive coverage.
  • Location: The cost of health insurance can vary significantly depending on where a customer lives. Oxford Health Plans operates in several states, including New York, New Jersey, and Connecticut, and the cost of insurance may be higher or lower depending on the local healthcare market.
  • Age: The cost of health insurance typically increases as customers get older, as they may require more healthcare services. Oxford Health Plans offers plans for customers of all ages, but older customers may need to pay higher premiums.

It’s worth noting that Oxford Health Plans also offers a range of discounts and incentives to help customers save money on their insurance. For example, customers may be able to save money by participating in wellness programs or having multiple insurance policies with the company.

Overall, the cost of Oxford Health Plans insurance will vary depending on several factors, and customers should take the time to carefully review their options before selecting a plan.

Optima Health Insurance Discounts Available

Oxford Health Plans offers a range of discounts and incentives to help customers save money on their health insurance. Here are some of the main discounts and how customers can qualify for them:

  • Multi-policy discount: Customers who have multiple insurance policies with Oxford Health Plans, such as a health insurance plan and a dental plan, may be eligible for a multi-policy discount. This can help customers save money on their premiums for both policies.
  • Healthy living discounts: Oxford Health Plans offers several programs and incentives to help customers live healthier lives. For example, customers who participate in the company’s Healthy Living program may be eligible for discounts on their premiums. This program provides personalized health coaching, wellness resources, and other tools to help customers improve their health.
  • Fitness discounts: Customers who belong to a participating fitness club may be eligible for a fitness discount on their health insurance premiums. This discount varies depending on the customer’s plan and the fitness club they belong to.
  • Tobacco cessation discounts: Customers who participate in a tobacco cessation program and successfully quit smoking may be eligible for a tobacco cessation discount on their health insurance premiums.
  • Safe driving discounts: While Oxford Health Plans is primarily a health insurance company, it does offer discounts on auto insurance to customers in some states. Customers who have a safe driving record and meet other eligibility requirements may be eligible for a discount on their auto insurance premiums.

It’s worth noting that the availability and number of discounts may vary depending on the customer’s plan, location, and other factors. Customers should check with Oxford Health Plans or their insurance agent to learn more about the discounts they may be eligible for.

How Optima Health Insurance Ranks Among Providers

In the competitive landscape of health insurance, Optima Health Insurance faces several key players, each offering unique strengths and coverage options. Understanding these competitors is crucial for individuals seeking the best healthcare solutions. Let’s take a closer look at some of the main rivals standing alongside Optima Health Insurance.

  • Anthem: Known for a diverse range of health insurance plans, Anthem boasts a nationwide presence and competitive pricing. Their offerings encompass various coverage options, making them a formidable competitor in the market.
  • UnitedHealthcare: As one of the largest health insurers in the U.S., UnitedHealthcare provides an extensive array of health plans, emphasizing innovation and digital tools for customer convenience. Their broad network and comprehensive solutions make them a strong contender.
  • Aetna: A leading national provider, Aetna offers comprehensive health plans for individuals, families, and employers. With a focus on preventive care and wellness programs, Aetna is recognized for its commitment to overall health.
  • Cigna: As a global health service company, Cigna stands out with a wide range of insurance products. Their emphasis on holistic well-being and a diverse network of healthcare professionals makes them a notable competitor.
  • Kaiser Permanente: Functioning as an integrated healthcare system, Kaiser Permanente provides both insurance and healthcare services. Their focus on coordinated and preventive care, coupled with robust digital tools, distinguishes them in the market.

Whether considering Optima Health Insurance or its competitors, individuals have a range of choices to meet their healthcare needs. Each competitor brings unique strengths, contributing to the diversity of options available in the health insurance landscape.

Getting a Handle on the Claims Procedure at Oxford Health Plans Insurance

Ease of Filing a Claim

Oxford Health Plans offers multiple convenient options for filing insurance claims. You can file a claim online through their website, over the phone by contacting their customer service, or by using their mobile app. This flexibility ensures that policyholders can choose the method that best suits their needs and preferences.

Average Claim Processing Time

The average claim processing time with Oxford Health Plans is relatively quick, which is a positive aspect for policyholders. Thanks to their efficient claims processing system, you can expect timely resolutions to your claims, helping you access the benefits of your insurance coverage when you need them most.

Customer Feedback on Claim Resolutions and Payouts

Customer feedback on claim resolutions and payouts from Oxford Health Plans varies. While some policyholders express satisfaction with the company’s prompt claim resolutions and fair payouts, others have reported issues with the claims process, including delays and disputes.

It’s essential for potential customers to consider these mixed reviews and weigh them against other factors when evaluating Oxford Health Plans’ insurance offerings.

Oxford Health Plans Insurance Trailblazing Digital and Technological Advancements

Mobile App Features and Functionality

Oxford Health Plans offers a feature-rich mobile app that allows policyholders to manage their insurance needs on the go. The app provides access to policy information, claims tracking, and even the ability to submit claims directly from your mobile device.

Additionally, it offers features like finding in-network healthcare providers, viewing digital ID cards, and receiving notifications, enhancing the overall user experience.

Online Account Management Capabilities

Policyholders of Oxford Health Plans have access to robust online account management capabilities. Through their user-friendly online portal, you can review and update your policy details, view claims history, check benefit coverage, and make premium payments securely.This digital convenience streamlines the management of your insurance account, ensuring you have easy access to vital information.

Digital Tools and Resources

Oxford Health Plans provides a suite of digital tools and resources to assist policyholders in making informed decisions about their healthcare. These resources include online calculators, educational materials, wellness programs, and cost estimator tools. These digital assets empower customers to take control of their health and insurance choices.

Frequently Asked Questions

What is Oxford Health Plans?

Oxford Health Plans is a health insurance company that provides coverage to individuals and families in the United States. They offer a variety of plans with different levels of coverage and benefits.

What types of insurance plans does Oxford Health Plans offer?

Oxford Health Plans offers a range of insurance plans, including HMO, POS, EPO, and PPO plans. They also offer dental and vision insurance, as well as Medicare Advantage plans.

Is Oxford Health Plans a good insurance company?

Oxford Health Plans has received generally positive ratings for their customer service and claims handling. However, the quality of their plans may vary depending on the specific plan and region.

How can I get a quote for an Oxford Health Plans insurance plan?

You can get a quote for an Oxford Health Plans insurance plan by visiting their website or contacting their customer service department. You will need to provide information such as your age, location, and desired level of coverage.

Does Oxford Health Plans offer coverage for pre-existing conditions?

Yes, Oxford Health Plans offers coverage for pre-existing conditions under their insurance plans. However, the specifics of coverage may vary depending on the plan.

Can I choose my own doctor with an Oxford Health Plans insurance plan?

The ability to choose your own doctor may depend on the specific plan you choose. Some plans may require you to choose a primary care physician and obtain referrals for specialist care, while others may allow you to see any in-network provider without a referral.

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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

Brandon Frady

Licensed Insurance Agent

Brandon Frady has been a licensed insurance agent and insurance office manager since 2018. He has experience in ventures from retail to finance, working positions from cashier to management, but it wasn’t until Brandon started working in the insurance industry that he truly felt at home in his career. In his day-to-day interactions, he aims to live out his business philosophy in how he treats hi...

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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