Oscar is a newer name among health insurance providers, but it has grown from its initial startup since its founding in 2012. The company values simplicity and communication, so it seeks to simplify policies in order to better cover the needs of its clients.
With Oscar, customers can find plans with health savings accounts (HSAs) and traditional health insurance plans for individuals and families. Oscar also offers Medicare. Oscar does not offer dental or vision coverage.
Oscar Health Insurance was created to give customers a new, simple way to get health insurance and affordable care. Its plans include perks for things like reaching a fitness goal.
Oscar puts a strong emphasis on technology to cater to customers’ needs and add convenience to health care.
Open Enrollment for 2020 health care plans runs November 1, 2019-December 15, 2019. If you missed the open enrollment period, check to see if you qualify for a special enrollment period.
Oscar tries to ensure that all clients find an easy health care plan to suit their individual needs. Oscar offers both on and off exchange individual plans in all states in which it operates, plus small business plans in New York, New Jersey, and Tennessee. Under the Affordable Care Act on- and off-exchange plans must cover essential health benefits, like primary care, hospital stays, and mental health services. (The health insurance exchange is a government-created marketplace, also called the health insurance marketplace.)
Oscar's coverage options include: Health Savings Account (HSA)-compatible plans and self-funded options. From the company's website, t's unclear what kinds of networks Oscar's plan options include. It's common for health insurers to offer plans with in- or out-of-network coverage. For example, Health Maintenance Organization (HMO) plans only cover in-network care, except in emergencies. Preferred Provider Organization (PPO) plans cover in-network care and out-of-network care. Even though a PPO plan offers more flexibility with providers than an HMO plan, your out-of-pocket costs will typically be higher if you see an out-of-network provider than for seeing an in-network provider with a PPO network plan.
Oscar also offers Medicare Advantage plans. It does not offer Medicaid services.
Oscar offers three plan options:
These plans are also organized using the metal tier system created by the Affordable Care Act. Depending on your area, each Oscar insurance product can be a bronze, silver, gold, or platinum plan. Bronze plans put the most cost-sharing on policyholders, while platinum plans put the least. Bronze plans also have lower deductibles. Platinum plans typically have much higher deductibles.
All Oscar Plans have free Doctor on Call telemedicine services, rewards for steps tracking, an Oscar Concierge team, and pre-deductible preventive care benefits to keep out-of-pocket costs to a minimum for both specialty and brand-name drugs.
Oscar Classic plans generally match the policy and structures of most of the plans on the individual insurance market.
However, Oscar Simple plans are easier to understand, because clients only have one dollar amount to remember: all covered services are free after clients hit their deductible. This is because the deductible is set at the same level as the maximum out-of-pocket amount. (Note: Care that happens before the deductible is met requires a copay, coinsurance, or full payment by consumers.)
Oscar Saver plans are HSA-compatible plans with low monthly premiums and a higher deductible. Members use the money in their HSA to pay for health care throughout the year.
Oscar Backup plans are a low premium, high deductible option designed for healthier people who was to save on upfront medical expenses.
Before becoming a member, potential clients can receive free quotes of premiums from Oscar's website or by phone. With this tool, a customer can answer a few general questions about themself (zip code, age, how many people they want to cover) as well as about their expected medical needs in the next year. Through this brief process, Oscar can direct clients to the most cost-efficient health plan with the person's health in mind.
Individuals are then able to see all of Oscar insurance plans, costs (deductibles, copays, out-of-pocket maximums, and health insurance premiums, including government subsidies if you qualify), benefits, and recommended options to help decrease out-of-pocket costs.
After clients pay the first premium, Oscar sends a welcome kit, which includes the client's ID card(s), an in-depth look at the free perks and benefits, as well as the individual's Schedule of Benefits and Coverage. This welcome kit also has a "Health Care Cheat Sheet" to help break down all the details of the chosen insurance coverage within the individuals' plan.
Lastly, Oscar offers a web account and mobile app to its customers. The online account and health insurance app allow users to search for health professionals covered by Oscar's plans, book appointments with healthcare providers, and view detailed doctor credential information and reviews to find the one(s) best suited to handle their specific needs. The Oscar app makes the features of the member portal more convenient to access on the go.
Members can call or message their Concierge team by simply clicking a button within the app. This app also provides members with a "Health Timeline", which contains their personal medical information and history such as appointments, prescriptions, lab results, and billing information.
Oscar has unique features that many other competing health insurance companies do not. One of these is the fast registration process. Because the company emphasizes simplicity, Oscar has taken many steps to remove the complication of choosing a health insurance plan and registering. It also seeks simplicity by providing efficient customer service, clarifying information on health insurance policy and potential medical expenses, and more.
Each member is also assigned to a Concierge team and a nurse, which allows customers to receive specialized service. This team can assist with finding doctors, booking appointments, coordinating care for complex or chronic medical issues, providing clinical guidance, and resolving billing or reimbursement issues.
Furthermore, instead of casting a wide net and contracting with every health care provider, Oscar has developed a curated network of medical groups and doctors in each of its service areas to ensure tighter integration and higher quality health insurance policy for members. Additionally, they use data science and complex modeling to assess network coverage, provider quality, and service volume to improve their offerings.
Oscar also provides rewards to customers who reach their step goals. Customers track their steps using the health apps that come with iPhones and Androids. When they reach their daily step goals, they can receive up to $240 per year.
Oscar provides excellent customer support. They provide phone support from 8 a.m.-8 p.m. Monday-Friday local time in each of its markets, and 9 a.m.-5 p.m. on weekends. When clients call or secure message Oscar, you are connected to a Concierge team. This unique model provides customers with additional support. Each Concierge team consists of a care guide and a registered nurse.
In addition, due to the nurse's experience on the team, they can also handle clinical questions, including assessing a member's needs and connecting them with the proper type of doctor to address their needs. Concierge teams proactively reach out to members if they visit the ER or hospital unexpectedly to make sure they are okay and that they have done all the follow-ups the doctors requested. Because they're familiar with you and use Oscar's powerful backend systems to see your history instantaneously, there is never a need to be passed off to another department.
Oscar also provides what they call Doctor on Call, a telemedicine service that lets members talk to a doctor 24/7 for free over the phone. This service is especially convenient for getting medical advice when you don't want to take a trip to the doctor's office.
Oscar health insurance plans are only available to customers in some parts of the United States, including New York, New Jersey, California, Texas, Ohio, Michigan, Florida, Arizona, and Tennessee. Small businesses may also be eligible for Oscar coverage in California, Tennessee, New Jersey, and New York. To check availability, input your zip code on Oscar's website to see the plans available to you.
Oscar health plans don't include dental or vision coverage, except for children under the age of 18. Many competing insurance providers do include dental and vision options.
Oscar doesn't work with customers on Medicaid. Depending on your plan, you may get health care, prescriptions, and medical supplies from providers who take Oscar plans. This might mean you don't need a referral for a specialist, but it may also mean that you have no out-of-network benefits, except for emergency situations or if you sign up for out-of-area coverage as a small group customer. Be sure to understand how your health coverage works when looking for health care providers.
Oscar insurance customers should also make sure they understand the terms of their health care plan. They should understand under what circumstances they need prior authorization and what kind of coverage is available for pre-existing conditions.
Signed up with Oscar on 12/17/2017. Still waiting for welcome kit and insurance card. Was told it has been sent twice. They are sending again should take 5-6 days from NY to Ohio, really!! Would not overnight it. Would not cover the Lyrica that I have been taking for almost year, but would cover gabapentin. I took gabapentin before and did not work for me. They won't cover because because of cost, Lyrica is a name brand and has no generic brand. It's all about cost, not what works for you. They require prior authorization from your doctor on just about everything. If your dr. writes a prescription then you need it, why would your dr. need to say it again that you need it. Prior authorization's take forever with this company I believe they do it on purpose so that you will give up. Many drugs they will only cover for example 15 pills for 25 days when you dr. prescribes 30 pills for 30 days. They are an insurance company not a medical professional. Another medication I am prescribed needed a prior authorization per their drug company, CVS caremark, although Oscar said no prior authorization was needed and Oscar sets the policy. Spoke with two representatives at CVS caremark and one, Karen, spoke generically about Ohios new law which has nothing to do with my policy or prescription from my doctor, the other representative, Crystal, asked me if I had taken this medication before. Crystal has no right to ask me these types of questions, she is not a doctor, nurse or in the medical profession. What bearing does my answer have on if Oscar will cover the medication. I will tell you NONE . I am sorry that I signed up for this insurance. Their website is geared to millenials you do not even have insurance.
Reply from Oscar
Feb 06, 2018
Hi Lori, we’re sorry to hear you’re frustrated. Due to privacy laws, we're unable to discuss the specifics of your private health information here, but we're happy to address your general concerns. Some medications do require prior-authorization for coverage or certain quantities. This means that the prescribing doctor needs to submit documentation through CVS Caremark, our prescription partner, indicating that the prescribed medication or quantity is medically necessary. Once the prior authorization is received, it will be reviewed by a clinical team then approved as long as it is indeed deemed to be medically necessary. Any prior-authorization requirements will be listed in our online search. To access this information, you can follow the following steps: visit > enter your plan type and location > using the dropdown menu on the left, toggle the search feature to "drugs" enter the medication you're looking for. From there, any quantity limits or prior-authorization requirements will be listed. We also apologize that you had a negative experience when you contacted CVS Caremark. If you reach out to us at 855-OSCAR-55, we’ll be happy to look into this and escalate the issue as needed. As always, please don't hesitate to reach out to your concierge team with any questions or concerns.
BEWARE THIS COMPANY!!!! I NEED CANCER SURGERY AND THIS COMPANY WON'T GET ME TO A SURGEON. I was diagnosed with melanoma (skin cancer) by an Oscar network dermatologist and told to get scheduled right away for a resection of melanoma and sentinel lymph node biopsy with a surgical oncologist. I live in Austin and there are plenty of qualified surgeons to do this, but not one of them is in Oscar's network, which tells you how inadequate their network is. First Oscar referred me to doctors who only do breast cancer. Then they again referred me to two more inappropriate doctors who do only endocrinology and breast cancer--obvious from their bios if Oscar had bothered to read them or call. Their latest third option now is to send me to a hick town in Taylor, TX 75 miles away, with a doctor who specializes in pancreatic and liver cancers but does other stuff (because it's a small town), and who doesn't have surgical availability for weeks, rather than find me an appropriate doctor who deals with melanoma every day and can do the surgery timely. I even offered to go to Dallas or Houston or another metropolis if I had to in order to have an appropriately qualified doctor and have my surgery timely. But Oscar can't seem to manage that either, or to authorize an out of network surgeon here in Austin, even though I would be paying some or all out of pocket from my high deductible. They give you a "case manager" who can't authorize anything, and then when you ask to speak with someone who can, they tell you the authorization people don't speak to customers. And then random people who know nothing about your case text you inappropriate physician referrals instead of your case manager managing anything. Zero urgency, zero competency, zero caring that I am not getting the surgery my physician told me to get promptly. This is how you will be treated when you have CANCER people. Stay away from this company at all costs!!!
Reply from Oscar
Feb 06, 2018
Hi Heather, We’re very sorry to hear this, thank you for bringing this issue to our attention. Due to privacy laws, we’re unable to discuss the specifics of your care or private health information here, but our representative Katie along with nurse Elizabeth, are working to bring this to resolution ASAP. They will be keeping you updated on the process as well as next steps. Please don’t hesitate to reach out to them with any questions or concerns. We apologize again for the negative experience.
Horrible company. Was lied to the entire time i was signing up. For the $1100.00 a month I pay for this insurance I should be able to find a doctor in my area I was told when I signed up that my doctors are in coverage. And I gave them a list of medications I take and was told that they where covered. They are not covered.
Reply from Oscar
Feb 02, 2018
Hi Thomas, we're very sorry to hear this. Due to privacy laws, we're unable to discuss your private health info here, but give us a call at 855-OSCAR-55 or send us a message via your Oscar profile and we'll be happy to look into this and help in any way we can.
I have never seen a insurance change its billing several times after the service was performed. My wife gave birth to our son last January. They covered all the expenses. Later in NOVEMBER, i get a bill for 15,000 because my son was taken care of by out of network doctors in the NICU which I had no idea was being done. How was I supposed to know that? My son also needs a hearing aid. They had a written statement stating that they will cover 100% of the hearing aid price. They then bill us months later sayign we have to cover 10 % of the cost which was about 500 dollars. I wish I could choose a better insurance company. I am unfortunately stuck with Oscar because of obamacare. Please help me if you guys have a heart. I have been through tremendous stress on trying to come up with the money to pay these bills.
Reply from Oscar
Jan 31, 2018
Hi Santhosh, we're sorry to hear this! Due to privacy laws, we're unable to discuss the specifics of your family's private health info here, but please don't hesitate to reach out to us at 855-OSCAR-55 or at and we'll be happy to look into this. Please be aware that Oscar never bills members for anything other than premium payments. If you're receiving a bill from an out-of-network provider, it's possible that they never submitted a claim to us for payment and we can reach out to them to coordinate this. Give us a call and we'll be happy to help in anyway we can!
HELP: How Do You Get an Estimate of Health Care Costs? Oscar has Denied Me in Every Attempt. I called Oscar with instructions from my doctor to call my insurance company, and give them billing codes to estimate a long term treatment plan for my son's allergy shots. When I called Oscar, supervisor Sarah B. told me that you cannot estimate cost until AFTER you receive treatment. My physician said the cost could be as much as $8,000! Doesn't a patient have a right to know what they will be billed? AT LEAST AN ESTIMATE! Sarah B. has strongly denied my request for a simple estimate.
Reply from Oscar
Jan 30, 2018
Hi Allison, we’re sorry for the frustration. Cost estimates are difficult to provide for two reasons. While we typically know why we're seeking care–perhaps for a general check-up or a specific concern–we don't always know the kind of care we're going to need. Even when we do know the care we're seeking, the treatment is provided as a part of a care episode and may include other supporting services we're not anticipating. For example, if you go to see your provider for a cough, you will expect to pay for the office visit; however, diagnostic tests administered within the visit - such as breathing tests, labs ordered, or prescriptions sent may result in additional charges. Moreover, the charge you incur will vary depending on the setting in which you see a provider as well as that provider's specific credentialing and qualifications. While we are committed to providing cost transparency when and where we can, these factors make cost estimates hard to pin down. Above all, we want to make sure we're providing you an estimate that we can stand by so that you can make a decision with confidence, and we would hate to set any inaccurate expectations. You can be certain that as long as the service is covered and performed with an in-network provider, the cost of the service will never exceed your out-of-pocket maximum for the year. Please don’t hesitate to reach out to us with any questions or concerns: 855-OSCAR-55 or .
I'm so disappointed with Oscar insurance - they have terrible customer service, can't answer simple questions, and lie about coverage... At the beginning of December 2017 I received a written authorization for genetic testing (BRCA1) and it clearly stated that the provider of my choice is participating in Oscar and the test will be covered in full. To my amazement few weeks later the claim was denied on the ground that provider was out-of-network... I called and emailed multiple times but they never answered my question: Why my claim was denied???
Reply from Oscar
Jan 30, 2018
Hi Ela, we're sorry to hear this! Due to privacy laws, we're unable to discuss the specifics of your private health info here, but give us a call at 855-OSCAR-55 and we'll be happy to look into this. It's possible that the provider changed their credentialing information without updating with us, which can sometimes cause claims to deny as out of network. If that's the case and the provider is indeed in-network, we'll just need to reach out to them to get their info updated and the claim will be processed accordingly.
I wish I could leave them without any stars! Once you enroll with this company, it is impossible to get a hold of a representative!
Reply from Oscar
Jan 29, 2018
Hi Erin, we apologize for the frustration. Due to all of our members starting new policies with us this month, we’ve been receiving far more calls and messages than usual which has resulted in longer hold times. Moving forward, our goal is to answer all calls within 5 minutes or less and we hope to be meeting that goal with the majority of incoming calls soon. Thank you for taking the time to share your feedback, please don’t hesitate to reach out to us with any additional questions or concerns: 855-OSCAR-55 or .
Just got Oscar Insurance and not one doctor in in Glendale Queens New York takes this insurance getting frustrated because I have diabetes and high blood pressure and can't get my pills
Reply from Oscar
Jan 23, 2018
Hi Angelo, we're sorry to hear you're having trouble finding a doctor! We do have a number of providers in the Glendale area that are in-network. While we aren't sure what type of provider you're looking for, here are some results for primary care providers within 5 miles of Glendale: Your Concierge team is also always available to help you find any care you may need. Please don't hesitate to reach out to them at 855-OSCAR-55 or by sending a secure message via your online profile with us.
Warning: If you want an insurance company overrules what your Dr. prescribes Oscar is for you! I am very unhappy with Oscar the short time I have been with them. First off, I spent 3 hours of my morning trying to understand why my prescription is not being filled. The reason is took me 3 hours is because their customer service technical issues dropped my call every time I called. Finally, when I spoke with someone they informed me that another company handles their prescriptions. This person from the prescription company said that Oscar will only pay for the 60 out of the 90 pills of adderall I'm prescribed per month. Note: I've been taking this prescription for over 8 years. They said it was because it was an Opioid. I indicated to the rep that this wasn't an opioid and she changed her tune that this was a controlled substance. I'm beyond baffled how an insurance company can decide how much medicine I should be prescribed over a medical professional. Please note that none of this was ever explained to me in my benefits prior to enrolling with Oscar Humana. Please reconsider the amount of money you will supposedly save switching to Oscar. I will be cancelling our service and changing to Blue Cross for myself and my employees.
Reply from Oscar
Jan 16, 2018
Hi Korey, We apologize for the frustration! We did have a brief technical issue on January 15th that resulted in some calls dropping, but this has since been resolved. We're very sorry for the inconvenience! Due to privacy laws, we're unable to discuss the specifics of your private health information here, but we're happy to address your general concerns. Controlled substances generally have a quantity limit for coverage. This means that if an amount beyond the designated quantity limit is prescribed, it requires prior authorization from a doctor. All this means is that the prescribing doctor needs to submit documentation through CVS Caremark, our prescription partner, indicating that the prescribed quantity is medically necessary. Once the prior authorization is received, it will be reviewed by a clinical team then approved as long as it is indeed deemed medically necessary. Any quantity limits will be listed in our online search feature. To access this information, you can follow the following steps: visit > enter your plan type and location > using the dropdown menu on the left, toggle the search feature to "drugs" enter the medication you're looking for > Once on the search page for the medication, toggle the dropdown menu to reflect the prescribed quantity. From there, any quantity limits or prior-authorization requirements will be listed. Apologies again for any frustration! As always, please don't hesitate to reach out to your concierge team for help–you shouldn't hit that call issue again!
So far not impressed. Nightmare really. Switched to Oscar effective Jan. 1, 2018. Went for my annual woman wellness exam on Jan. 10. Doctor found lump in breast and ordered mammogram, pretty routine next step - I'd have had a mammo even if she didn't find lump given my age. Turns out Oscar is not contracted with anyone in my market to do the more advanced mammo given the finding in a routine exam. Isn't this why we have these routine, yearly exams? Spent hours on phone with Oscar and they even called providers in town to locate one and when they transferred me, turns out they don't do this type. Arrgh. So frustrating. Just need to know if this is cancerous and can't find anyone to do the mammo because I'm with Oscar.
Reply from Oscar
Jan 12, 2018
We're very sorry to hear that you've been having trouble finding in-network options! Qiana, one of our supervisors, has reached out to you to help. Please don't hesitate to let her know if there's anything else we can do to assist!
My husband and I were nervous about going with such a young Insurance but it was the best thing we did. It really is great. The options for Drs is great and the claim process is simple and clear. Not to mention the dedicated Customer Service. We even get amazon $ for steps. Highly recommend.
Kristin A. is a very awesome nurse she answered all my questions and goes above and beyond to get everything my mother need. Thank you for all you do.
This plan was AWFUL! They covered absolutely nothing but tried to force you to use teledoctors for EVERYTHING or else they wouldn't cover it. Such a waste of money for a young healthy individual. I literally saw thousands of dollars in a year being wasted on this POS insurance company that spends a majority of their dollars on marketing, web design and advertising. No real substance to this plan.....stay FAR FAR away! Also super difficult and tedious to cancel with them.
I have had Oscar since July this year. I have been to the doctor many times and had prescriptions filled all with no problem at all. One of the reasons I signed up with Oscar is that my doctor was in network and not with any other individual plans being offered. Plus the premium was less than the other options. Oh by the way, I am also an insurance agent and there are going to be issues with all companies but so far with Oscar I am please.
Great customer service ... this is my first time getting insurance after college. Oscar is the most affordable plan anyone can afford. I've spent over 3 months searching for a plan. Oscar is a new medical insurance plan and not much PCP will accept it but the team is very helpful in finding you a PCP that can assist you. The simple plan is only $170 per month which is SOO much cheaper than any plan I've seen after college. Whether you are making $100k per year or $20k per year, if you are under the age of 29, you can enroll into the simple plan at Oscar. I'm so thankful that NY has a plan for young individuals that doesn't need to go to the doctors often. I go to the doctors once a year for annual check up and the simple plan offers 3 FREE visits to your pcp. Great plan, great idea, and very affordable.
Oscar has huge deductibles and tons of red tape. They are inefficient and impossible to deal with and cover virtually nothing. Worst of all, they promise member benefits like bonuses for health clubs or exercise, but do EVERYTHING in their power to find excuses, loopholes, exceptions and sometimes, in my experience, outright lies so they can avoid ever giving those benefits. I started out liking them, but they have worked hard to earn my utter contempt.
I entered in my zip code wrong on my credit card so they charged me twice, caused my bank to go into overdraft, wouldn't reverse the charge, then cancelled my coverage (even though I had double paid). Customer service wouldn't do anything to help I called and messaged every day for a week. Terrible product, piss poor collections department, no customer service. Really, really, really bad.
After my Oscar insurance was denied at a Tom Thumb last year for a flu shot (which is supposed to be an Oscar network pharmacy), I was very curious to see if that was a one-time glitch (a flu shot after all is a ACA government mandated benefit), or Oscar's usual practice. In late August, after providers and insurers were heavily advertising "free flu shots," I took my Oscar insurance card to a local Walmart for a shot. Nope; not even enough info on the card to process a claim, I was told. Then I took my card to Tom Thumb. Similar response; not enough info on the card to process a claim. But this very helpful pharmacist offered to call Oscar. After a considerable time on hold and then talking to an Oscar rep, she tells me that the rep said that Oscar would pay for the vaccine, but not for the administration of the shot. But the rep couldn't explain how she was to break that out; she would need to call back Monday she said. Obviously that was bad information, so then I went online. Yep, the Oscar website says flu shots were covered at no additional cost. So I asked the online "concierge" "what you have to do to get the flu shot. First response - the website is out of date; we stopped paying for flu shots last Spring; sorry you missed the deadline. I protested this ridiculous response, then was told maybe that answer wasn't right after all, but he'd have to get further information to be sure he gave me the right information. (I guess you just make it up the first time?) Most of September goes by and no follow up, while every reputable ACA insurer is busily paying for flu shots all over the country. Obviously I'm just getting the run around from Oscar, so I go ahead and pay for my flu shot at a Walgreen's while in the store for other purposes, and plan on submitting a claim manually. A week or so later, I finally get a follow up from the "concierge" that I can now get a "free flu shot"; just don't go to a Walgreen's! Incredible. All this just to beat me out of a flu shot. I can't imagine what would happen if I actually needed serious medical care. We will definitely switch health insurance carriers next year. Even if we have no choices, I would self-insure and pay a tax penalty before wasting my money on Oscar any further.
At first, I was excited to enroll with Oscar. Heard good things about it. Went to my PCP. Got care. Billing's were clear. The concierge team is awesome. I can call them or email them at any time up to 8 pm. They are there for me. Answer all my questions and concerns. And they help me find a provider when I cannot find one. I used to call doctors and ask them if they take my insurance. And most said NO. Oscar is new. And not many providers take it as much as Aetna Cigna Empire, etc. But Oscar has a wonderful team that will direct you to a great provider. Just ask. I just has spinal surgery. And I could not find a surgeon to do it. Oscar concierge team spent days finding me the perfect surgeon. Within days, they sent me a list of surgeons to choose from. And on top of that, a member of the team called me and told me that he would call the surgeon and make the appointment for me while I was on the line. He called the surgeon, who just happened to be part of the Mount Sinai Spinal team. I got the appointment for the next day. At Mt Sinai Spine Center in NYC. To make a long story short, I got a great Spine Center. And Oscar has been there for me every step of the way. Richard O, Brian, Amy and few others on the concierge team are simply awesome. Oscar has done right by me. Deductible is a bit high, but so are the other insurers available to us.
May doctors are not art of the Oscar Health care. When you search on the web, the doctor is in the list, but when you go to the doctor, he is not accepting the medical provider. Lots of money for no service.
With Oscar, I can have a Doctor call me back in 10 mins or less AND they prescribe/refill medication. That's huge for me! And when I do need to see a doctor IRL, I can ping my rep there directly and he finds me the best doctor for me, close to work. I know its pricey but its still cheaper than everyone else and they are totally worth it.
It's a cute marketing layer for a terrible product. You know you're screwed when you have to travel to the outskirts of NYC to get care, only for the front desk to tell you to shell out $200 for a 10 minute exam. $485 a month for a plan with a $7,000+ deductible? Please. I don't care if the design is on Dribbble, or the registration process is seamless, I don't ever want to use Oscar again. And yeah, the phone-a-doctor feature comes in handy when you realize it'll cost half an unemployment check for a doctor to "prescribe" Sudafed. Bye Felicia Oscar, hello Aetna PPO ✌?
I love the personal and dedicated customer service and advice I get from my concierge. The app is also super easy to use!
Hands down the best experience I've ever had with health insurance. Oscar's app helped me find a primary care doctor near to me who was accepting new patients - and I even booked an appointment directly with them. I've used their free telemedicine service a few times, which has calmed my nerves and saved me trips to the doctor's office. And I LOVE my Concierge team - they've been super helpful whenever I've had questions. Couldn't recommend Oscar highly enough!
Oscar is a complete rip off. they claim you get 1 free visit a year but really don't specify (but I am sure in small print somewhere) that that 1 free visit is only for a physical and/or lab work. me & my husband paid $700/month - neither went to the dr ever - and the 1 time my husband goes for a sinus infection, Oscar doesn't cover it and we get billed. I call them and they say they don't cover 1 free visit a year if you are sick. are you kidding me!?! so people, just an fyi - if you get a cold or something, you don't get any coverage. I would drop the insurance if you are a well person since you shouldn't be taxed for not carrying it now...
Absolutely the worst Health Care Provider in the US. Period. We've had nothing but issues. Their customer service is the worst part. Let me just say this. I enrolled, paid and was waiting for service to kick in for a month. A month after I enrolled and paid I was not in the system. Every time I called it took hours...literally hours and multiple calls to get to a human. They lied about dental coverage and then called my wife & I liars. Oh yeah, literally called us liars. Rude worthless people that make excuses at every turn, yet some how it always ends up our fault there was an issue. By the way, all this BS and we have yet to file a claim. 4 months in and still the worst experience I've had to date. Not just with health care. In general!!!!!
Since Oscar narrowed it's service in NYC and dropped out of the New York Insurance Market Place I had to leave Oscar immediately in 2017. I liked the customer service I received but none of the medical centers, hospitals and doctors keep Oscar as a viable insurer. Oscar's answer was to open a clinic in Brooklyn. Seriously. Not an option for me. I'd have to start all over again with a new doctor. Not to mention that more than six months later I am receiving bills for copays that Oscar won't cover. Glad I'm done with them.
Oscar is hands down the absolute worst Health Insurance company I have ever had in my life. They lost the same claim I had to repeatedly send to them on 3 different occasions. I honestly believe their claims department does not even exist. I believe this company to be a total scam. The only time you hear from them is when they want their monthly bill. After you pay them your monthly premium they disappear. Seriously this company is a scam and a front and should be investigated for fraud.
Dissatisfied Potential Costumer
I would like to send my gratitude to the rude repesentativewho hange up the phone on me when I said I was not available to talk because i was eating lunch. Ended up not getting your service because of that and I hope you reprimand your staff to be more courteous to people. Potential costumer lost here. Well done!
Dissatisfied Potential Costumer
I would like to send my gratitude to the rude repesentativewho hange up the phone on me when I said I was not available to talk because i was eating lunch. Ended up not getting your service because of that and I hope you reprimand your staff to be more courteous to people. Potential costumer lost here. Well done!
Worst experience today with a representative who was a poor listener and made good of his threat to hang up the phone on me ,I wonder if these calls are really recorded . That was an awful customer experience!
I have used Oscar for the past year. It has been the BEST insurance company I have used. Everything is set up very efficiently--from the website to the claims procedures. My favorite part of Oscar is their "doctor on call" service. I have periodic eczema and rather than paying $150 for a doctor visit to get the same ointment prescription I always get, I could call Oscar and get the prescription renewal. It is savings for the insurance company and for me. Thank you, Oscar, for common-sense insurance!
I have a Family of 4 and unfortunately have Oscar Gold. Truly the worst Health insurance company. Premiums continue to skyrocket -currently paying 1500.00 a month. Premiums increased 60% in 1 year - deductibles to meet for the year 2016 are up to $6000.00. We recently received notice that they are cutting their network back. I have all but one doctor remaining in the Oscar network. Some of my doctors I have been with for 20+ years. They sent us a letter last month Stating our current plan will no longer be avaiible for 2017. The new plan that we will have to get will have a yearly deductible of 8,000 and still do not know what the premium will be! This month they sent me a fantastic letter stating that on December 31,2016 I will not be eligible for New York State exchange insurance. To top all of this off. My wife was just diagnosed with aggresive cancer that is affecting the an organ now. I am currently seating in the out patient area of the hospital trying to get a port placement for her chemo treatment. This is something that was suppose to be preformed 3days ago. I arrived at the hospital at 6am Thursday and the nurses started to prep her for surgery, so she can receive her first treatment of chemo. At 6:30am the nurse has made me aware that they have nto recieved confirmation from the Insurance company still. They tell me they have to stop until they get in touch with Oscar insurance and they do not open till 8am. The good news is that I did submit an application for expensive insurance carrier which has extremely great coverage. I will struggle to pay the premiums, but how can I put a price on my wife's care !!!! This is a true event!!
I was with Oscar for one year, this was a great and simple insurance company to work with. Loved the dedicated customer service team, they were very easy to contact, follow-up was great, and they were easy to use and provided great coverage. The biggest challenge was during the first half of the year having to spend a lot of time convincing healthcare providers and hospitals that Oscar was a real health insurance company. Oscar poorly communicated its entrance to the Dallas Texas market when it entered in January 2016. I was very disappointed that Oscar decided to leave Dallas after spending only six months of that first year in Dallas. This demonstrated very poor strategic and operational planning on their part. Given, that Oscar was a startup insurance company and took some losses during its first year, this was a major disruption for customers, medical providers and others. As much as I liked Oscar, I am reluctant to go back to them in the future given that they are so unstable and pulled out so quickly. I would not want to risk having to change my physicians and care givers again in such a short time. Although they were a good insurance company and was beginning to provide excellent service, they cost me a lot of unnecessary disruption during a critical time in my life including destroying critical relationships with some excellent healthcare providers due to the short coming and going and need to find providers in new networks. This was very painful and I felt abused. Oscar has lost my support and made me reluctant to support future new healthcare insurance company startups. M. Mills. Dallas, TX
I went to one gyno visit for an annual checkup after being with Oscar for over a year, and they already are trying to scam me by making me pay for what was supposed to be a free annual checkup. I did everything right, picked one of their network doctors, and yet now I'm stuck in this red tape hell and the issue is not resolved, the doctor claiming Oscar won't pay for the HPV preventative test (which I didn't even ask for, but is supposedly routine) while Oscar claims in does pay for it, but that the doctor did not enter it as a preventative HPV test. The doctor said yes I entered it as preventative, and insisted on a three-way call. Finally after hours of getting passed around the Oscar people said oh gosh actually yeah looks like it was listed as preventative--AND YET IT'S STILL NOT OVER. They have to have a committee decide or something. It's an issue of $124 for something I was promised would be free. I've paid this company over $5,000 at this point, am healthy with no issues, went to one checkup and they're fighting me over $124.
I have had Oscar for a year and was satisfied until July when my doctor dropped out of a group and Oscar refused to admit him to their network. So, I must pay $100 to see my family doctor, which is something I can live with. However, Oscar is dropping the entire NYU Network at the end of 2016 and they dropped the Cornell-NY Hospital network in March 2016 so I am reluctant to stay with Oscar as they may drop more doctors and hospitals during the year 2017 - they can drop providers but once one is committed to them, the subscriber is married to Oscar for an entire year - not fair. Their customer service gives me bulls**t every time that they are forming their own network but I wonder if Oscar will even last the entire 2017 year a smaller and smaller networks will eventually lead to going out of business. Therefore, if I stay with them in 2017, it will not be for a platinum plan but may just take a gold plan as I don't really know too much about the other companies. But right now, I am investigating all and every option out there for me in the NY area. I feel that by cutting their network options in more than half, Oscar is telling its subscribers to go to h*ll.
Affiliation with UCLA Healthcare provides access to esteemed professionals and renowned full-spectrum services, for whole body Wellness. Top-5 Network, urgent care coverage, seamless billing, non-referral, Wearable incentive, "24/7 Doctor on Call"; a no-brainer.
I was refused a walk-in at their 408 jay st facility and they advertise walk-ins.. waste of time........
A startup designed to profiteer off of the affordable care act. Bumped me from the catastrophic plan, as I turned 30, resulting in a 333% increase in premiums and an increase of 300$ in deducible. If that wasn't obscene enough they're slashing their network for 2017 as well as hiking premiums and deductibles across the board. They flood the subways with colorful cartoon advertisements in an attempt to snare as many people as possible and then provide virtually no coverage whatsoever, Maybe they could reallocate some of their advertising budget into providing a decent service. American medicine is a grotesque show of human greed and indecency and Oscar is the perfect posterchild.
Oscar dropped NYU at the end of 2016. I am in rehab at NYU and they refused to let me finish my treatment set for January 20, 2017. They do not care about your health.
I've had a very good experience with Oscar but nervous now because 3 doctors have dropped Oscar and I'm having a hard time finding new doctors who take the insurance...its making me uneasy now. I went to a specialist in Oscars plan but then I got a bill for over $700. from Oscar. They (Oscar) said "one of the doctors 3 office locations was not medically covered" yes, I said "the doctors location of his office" and I should have know that info prior to seeing the doctor.,,in other words, if I saw the doctor at one of the other 3 locations, I would be covered...crazy! The specialist dropped Oscar and released me of any responsibility of payment and ate the loss...isn't that a shame that Oscar stiffed the specialist and me as well because I would have had to pay that bill.
AWESOME CUSTOMER SERVICE...REPRESENTATIVE ARE POLITE AND HELPFUL...
Oscar used to be ok, now totally horrendous. Horrible and useless customer service, things that are covered on paper, aren't necessarily covered in practice, and now the network of providers has shrunk drastically, so finding a decent doctor who would take this insurance is mission impossible type of thing. AND their rates have just gone up too. So, all in all, they don't want to pay, they don't want to help, they don't care if you have any healthcare-related issues. The only convenient thing is the app, which doesn't work that flawlessly, especially the steps program... they just sync as many steps as THEY would prefer, so even if you did walk over 10,000, the app might just show 9,000 or something, so you don't get your dollar. Wouldn't recommend this health insurance, as it is expensive, offers small network, has really bad customer service and won't cover pretty much anything.
Debbie Christine Tjong
This is the worst health insurance company I've had to deal with. My doctor left the network in the middle of the year, but I had to have follow up appointment with him. I applied for a Continuation of Services and was approved on June 20th 2016. Upon receiving this information by phone (both my provider and I), we proceed to schedule an appointment for July 5th. Shortly after, we received a letter saying that the Continuation of Services expires on June 30th 2016. What were we suppose to do with such a short amount of time? My provider and I both called it to ask about this because it seemed like a mistake, and they said that they would issue another letter to extend the dates to cover the appointment on July 5th since that was made AFTER we received the approval. THAT NEVER HAPPENED. It also mysteriously disappeared from the notes they had on file. After the July 5th appointment, my doctor told me I have to have surgery on my throat and we again tried to extend continuation of services. this time it was denied. My only solution now is to wait till next year when I switch insurance. I can't work, because I cannot use my voice and I need surgery to be able to use it. Now I'm stuck with a bill of $1783 for the doctor's appointment made on July 5th because Oscar would not cover it, stating that the Continuation of services only last 3 months from when the doctor's left the network. That is ridiculous.I applied for the continuation of service beginning of June, and did not get approval till late june, and it expires end of June??! That does not make any sense. It seems that Oscar is just trying to wiggle their way out of paying for bills. My provider only made the appointment for me because we got the call that the continuation of services was approved. I'm at a loss of what to do now because I cannot receive health care i need, and I'm stuck with this bill. DO NOT GO WITH OSCAR. When it really counts, they do not help. I've spoke today with Margery from member's services who, aside from reading back the notes on file to me, could not help me, could not direct me to Jennifer, with whom I've spoken with before, could not transfer me to a supervisor, and seemed offended when I tried to ask her for her name. No empathy, no help at all. I feel bad for everyone who's sick and needs healthcare and have to deal with people and a company that don't care about the health of their members first.
Customer service only exists when they want to bill you -- when it comes time to pay, they DISAPPEAR. Where is Elizabeth Warren for this one???
Cristina Grever McAllen
Absolute worst insurance company! If youi live in Texas and considering Oscar, DON'T!!!! I have never felt the need to write a review about anything until now. Too much to complain about. Bottom line…cheap monthly premiums = bad health insurance. There is a reason why very few health care providers in San Antonio, Tx are not contracted with Oscar and refuse to accept their services.
Christine Kessler Pierce
Signed up for Oscar Gold plan due to need of medical equipment. Trying to order a wheelchair since January 2016 and STILL getting the run around. They've been caught in lies blaming everyone else for the delay. They don't pay for most medications, including my son's inhaler or any kind of inhaler. They call it an uncovered script that is out of network and all inhalers are out of network - so if you have asthma DON'T CHOOSE OSCAR!! My Dr. said he is having the same issue with his other patients who have this insurance. THEY DON'T HELP THE OSCAR MEMBER - THEY ONLY TAKE YOUR MONEY, LIKE MY $712 A MONTH. SHAME ON THEM. OSCAR IS A RIP OFF COMPANY IN MY OPINION - However, they did pay for my 24 hour hospital stay for a minor procedure after I paid the first $3,000 so I will rate them a 3. I am very disappointed with Oscar - more because their phone/email assistants have "canned responses" to why they are dragging their feet on getting my son his wheelchair. Their delay is physically hurting my son. I'm thinking of seeking an attorney for the irreversible damage they are causing my son to incur.
I was initially sold on Oscar due to their marketing towards millennials and claims to be different than other health insurance companies. However, from the first day that my insurance plan with Oscar went into effect, I realized that they are all smoke and mirrors. It took me hours of calling providers listed on their website as "in-network" to find a doctor that actually took Oscar insurance. Finally, after finding a doctor that took Oscar, there were issues with figuring out which services were covered. Literally every single time I have contacted the customer service phone number, I have received complete misinformation from customer service representatives. They are clueless about everything. I am currently pregnant and after contacting Oscar representatives I was specifically told where to order a breast pump from, and when I went to place the order, the company said they don't work with Oscar!! Of course this was frustrating, but imagine my frustration, when, 7 months pregnant... And now the SECOND company Oscar reps told me to order from also denied me for a breast pump saying they are not contracted through Oscar! The severe lack of communication across the board, from educating physicians offices they are listing as in-network to providers of government mandated medical supplies to communication with customers... Oscar should be embarrassed of themselves for how horrible their service is.
They seem to lose information often and take FOREVER to process claims (still waiting for mine almost 5 months later, while receiving collection demands from the provider). Dollar amounts owed change at random. Nothing is made clear on plan documents or when calling customer service. Terrible.
I have sent personally and had my doctors send claims to Oscar for 7 months now and multiple times per claim. Each and every time, Oscar "loses" the information. I'm not even asking for money, just an Explanation of Benefits that they are required by law to provide me. At first I thought it was simple incompetence, but it's clear that they are intentionally not processing the information. I've had to refer the matter to the Attorney General.