Oscar Gold 80 EPO

Oscar Gold 80 EPO is ACA compliant.

Anthem Blue Cross information Blue Shield Health Information Sharp Health Plan Information Health Net Company Information Cigna Company Information

Oscar Gold 80 EPO - Available 01/01/16

All Oscar plans have the same great Oscar Health Insurance Logo doctors, drugs, and medical coverage. The difference is how each plan shares the cost of your medical care. Market Plans provide the essential health benefits required by California with extra Oscar perks..

How this plan works:

1. You pay your plan's monthly premium.
Your premium varies based on your income and family size.

2.From the day your coverage starts, Oscar shares the cost of your care.
You're responsible for a copay (a fixed amount) or coinsurance
(a percentage of the bill) each time you get care.
Free Preventive Care (Annual Checkups, Flu Shots and More)
$35 Primary Care, OB/GYN, or Mental Health visits
$55 Specialist visits
$35 Lab work
$50 Xrays & Dianostic imaging
$250 Ambulance
$250 Emergency Room
$250 Imaging (CT/PET scans, MRI's)
$600/day Inpatient Facility (up to 5 days)
$55 Inpatient Surgeon Fees
$600 Outpatient Facility
$35 Physical, Occupatinonal & Speech Therapy
$60 Urgent Care visits
$15 Tier 1 Drugs
$50 Tier 2 Drugs
$70 Tier 3 Drugs
20% Tier 4 Drugs (up to $250 per script)

3. Once you reach your plan's out-of-pocket max for the year, Oscar pays
for everything with no annual limits*.
$6,200 ($12,400 for families)

**Oscar plans provide in-network coverage. Only covered services will apply to the deductible
and out-of-pocket maximum. Additional terms and exclusions are set forth within the policy.

When receiving medical attention, you must only use an in network medical facility unless it is a medical emergency. Click here for Oscar's physician and location information.

Information contained in this website is limited in scope, subject to change without notice, and does not contain all the terms, conditions, limitations, or exclusions of the referenced benefit plans. Only the insurance company Plan Documents and Policy's contain the exact terms and conditions of coverage.

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