Oscar Silver 73 EPO

Oscar Silver 73 EPO is ACA compliant.

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

Oscar Silver 73 EPO - Available 01/01/16

All Oscar plans have the same greatOscar 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, you pay a copay (fixed amount) or coinsurance
(a percentage of the bill) for certain benefits.
Free Preventive Care (Annual Checkups, Flu Shots and More)
$40 Primary Care, OB/GYN, or Mental Health visits
$55 Specialist visits
$35 Lab work
$250 Xrays & Dianostic imaging
20% Outpatient Facility
$40 Physical, Occupatinonal & Speech Therapy
$80 Urgent Care visits
$15 Tier 1 Drugs

3. For drugs that aren't in Tier 1, you pay Oscar's negotiated rate until you reach your plan's pharmacy deductible.
$250 ($500 for families)

4. For everything else, you pay Oscar's negotiated rate until you reach your plan's medical deductible.
$1,900 ($3,800 for families)

5. After that, we share the cost through copays or coinsurance.
$250 Ambulance $15 Tier 1 Drugs
$250 Emergency Room $45 Tier 2 Drugs
20% Inpatient Facility $70 Tier 3 Drugs
20% Inpatient Surgeon Fees 20%* Tier 4 Drugs
*up to $250 per script after pharmacy deductible

6. Once you reach your plan's out-of-pocket max, Oscar pays for everything with no annual limits**.
$5,400 ($10,900 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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