About Oscar

Oscar offers a consumer-centric approach to health insurance with nine affordable Exclusive Provider Organization (EPO) plans across all four Affordable Care Act Metal Tiers.

The “Doctor on Call” program lets your employees talk to a board-certified doctor for free and get advice and a prescription over the phone. There are no copays and no afternoons at the doctor’s office. The no-cost Concierge Service gives members access to a team of care guides and a nurse. Plus, they can go directly to any in-network specialist with no referral required. Oscar’s mobile app makes it easy to manage benefits, look up doctors, view lab results, and more.

Click below for details on Oscar plans available to employers in Los Angeles County and Orange County.

Quick Plan Highlights

Here are some of our most popular Oscar health plans along with a high level snapshot of plan coverage and out-of-pocket costs. To view a complete list of Oscar coverage options, click Download All Plans below to see the most current plan information.

These plans are effective beginning: 1/1/19

Bronze EPO A

Network	Oscar-EPO
Calendar Year Deductible	†$6,650 / $13,300
Out-of-Pocket Max Ind/Fam:	$6,550 / $13,300
Dr. Office Visit (PCP):	100%
Urgent Care:	100%
Emergency Room	100%

Silver EPO A†

Network	Oscar-EPO
Calendar Year Deductible	$2,500 / $2,700/ $5,000³
Out-of-Pocket Max Ind/Fam:	$6,650 / $13,300
Dr. Office Visit (PCP):	80%
Urgent Care:	80%
Emergency Room	80%

Gold EPO A

Network	Oscar-EPO
Calendar Year Deductible	none
Out-of-Pocket Max Ind/Fam:	$6,000 / $12,000
Dr. Office Visit (PCP):	$30 Copay
Urgent Care:	$50 Copay
Emergency Room	$350 Copay

Platinum EPO A

Network	Oscar-EPO
Calendar Year Deductible	none
Out-of-Pocket Max Ind/Fam:	$3,350 / $6,700
Dr. Office Visit (PCP):	$15 Copay
Urgent Care:	$15 Copay
Emergency Room	$150 Copay

Bronze EPO A

Network	Oscar-EPO
Calendar Year Deductible	†$6,650 / $13,300
Out-of-Pocket Max Ind/Fam:	$6,550 / $13,300
Dr. Office Visit (PCP):	100%
Urgent Care:	100%
Emergency Room	100%

Silver EPO A†

Network	Oscar-EPO
Calendar Year Deductible	$2,500 / $2,700/ $5,000³
Out-of-Pocket Max Ind/Fam:	$6,650 / $13,300
Dr. Office Visit (PCP):	80%
Urgent Care:	80%
Emergency Room	80%

Gold EPO A

Network	Oscar-EPO
Calendar Year Deductible	none
Out-of-Pocket Max Ind/Fam:	$6,000 / $12,000
Dr. Office Visit (PCP):	$30 Copay
Urgent Care:	$50 Copay
Emergency Room	$350 Copay

Platinum EPO A

Network	Oscar-EPO
Calendar Year Deductible	none
Out-of-Pocket Max Ind/Fam:	$3,350 / $6,700
Dr. Office Visit (PCP):	$15 Copay
Urgent Care:	$15 Copay
Emergency Room	$150 Copay

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