Oscar
3.1
7.7
Overall Score
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IFA-SA San Antonio, TX
Oscar representatives ALWAYS take care of any medical requirements I might have upcoming. I currently have Stage 4 Cancer, and it is nice that my health care is one less thing to worry about! Thank you!
5 years ago
Patty Santa Monica, CA
I found Oscar health insurance to be very efficient . Good communication, excellent healthcare coverage, and a willingness to research questions and respond- either by email, or phone call.
I am hoping they will enter the Medicare field, so I can continue to have such excellent service.
Thanks, Oscar!!!!!
5 years ago
Reply from Oscar
Hi Patty, thank you for leaving such a kind review! We have announced that we will be entering the Medicare Advantage market in 2020, but stay tuned for further details and timeline.
Oct. 24th, 2018
Holt Franklin, TN
Good insurance. Would be better if more providers were available. A great physical therapy office no longer takes Oscar because they state that the paperwork and phone calls take up too much time (difficult to work with) compared to other insurances.
5 years ago
Teresa McGee La Vergne, TN
I've been nothing but pleased with Oscar. Everyone has been super nice and friendly. The website is easy to use. Looking for care is great. All of my doctors are in network. I hope to stay with you.
5 years ago
Connie L. Cleveland, OH
So far Oscar Health is a great coverage program and very convenient access to the network I am familiar with. I was looking for a program that would allow me to stay with CCF and Oscar Health was it! I look forward to exploring more of what Oscar Health has to offer in the future.
5 years ago
Diane Jones
I've had Oscar for a couple of years now a think it is fantastic. The App and concierge is very helpful. My favorite function of the App is that it keeps track of my steps and then pays me with an Amazon gift cars.
5 years ago
John O San Antonio, TX
Very happy with Oscar. Everyone I have encountered has been knowledgeable and professional. Quick and accurate responses. I’ve called for both medical and insurance issues. Both were handled extremely well!
5 years ago
Susan Podas
Oscar has been the best healthcare provider I've ever had. The staff at Oscar are very professional and go beyond the call-of-duty responding quickly to questions. It's the best customer service I've ever experienced.
5 years ago
Jill Kline Anaheim, CA
Love your app. Though I haven’t used your online doctor it’s nice to know I can do that. Love the magnets you sent me so I know where to go that’s covered without looking it up. Love that I can get paid for walking
5 years ago
Nereida Baldwin, NY
Although between my husband and I we pay over $25,000 a year Oscar they denied the anesthesia I needed for a nerve block. I ended up paying $300 out of pocket to cover the anesthesia.I appealed the case and I was still denied with Evicore the company that decides what procedures are and aren't covered. I also appealed with Oscar and I have never heard back. I think it's ridiculous to pay this amount of money and not have anesthesia paid for. Nerve blocks are not painless procedures. I don't see the point of having insurance if it will not cover what is medically necessary.
5 years ago
Reply from Oscar
Hi Nereida, thank you for reaching out about your concern. Due to privacy laws this isn't something we can help with via Best Company, but we've shared your feedback with our team, and they've informed us that they are currently working on resolving your case. If you'd like to discuss this matter further, please call us at 855-OSCAR-55 to be connected directly with your Concierge team.
Oct. 16th, 2018
Katheryn Nashville, TN
I’ve had several health insurance providers over the last 10 years and Oscar is the best by far. Good providers, excellent service and it’s very easy to manage my account.
5 years ago
Kimberly Herrera San Antonio, TX
OSCAR has been extremely easy to use overall. It is easy to find doctor's and specialist with the help of the app, which I love. I've never had insurance till the past two years, and OSCAR has made it a great experience.
5 years ago
Melvin Skochdopole Brooklyn, NY
Oscar is an easy-to-use, friendly and simple healthcare service that has made the transition from university to real world no problem at all. I look forward to seeing their services grow as the company grows.
5 years ago
Ben Huffman New York, NY
I am the CEO of Ripe and we use Oscar for our team. I love the product for my personal use and for my employees. Setting up Oscar was easy and has been a huge value add for keeping my best employees happy and healthy.
5 years ago
Cristina Grand Rapids, MI
Great customer service! Everyone I spoke with was super helpful and really engaged in answering all my questions I had. Would definitely recommend to family or friend looking for help with their healthcare.
5 years ago
Peter New York, NY
I called Oscar about potentially switching my health insurance. While I didn't decide to switch, their customer service was super helpful and walked me through all of my options
5 years ago
Amy Ivanoff North Ridgeville, OH
Anyone purchasing OSCAR insurance....be warned. OSCAR does not mean Cleveland Clinic. If you believe that any doctor you choose at the Cleveland Clinic will be covered by OSCAR you are WRONG. Also, if you go to a doctor in the OSCAR network you should know there is a good chance they will use a lab that is not in network and you will have to pay for it 100%. So if you have a colonoscopy (like my husband) make sure you say "I don't care which lab you normally use, please send my biopsy to a lab in network. Here is a list." That is YOUR responsibility according to Denton F., customer service supervisor at Oscar Insurance. If that doctor isn't contracted with an in network lab than you best ask for your biopsy sample in a to-go bag so you can get it to the right place. ALSO, if make an appointment with a doctor in an office at a Cleveland Clinic facility, don't let them offer you another doctor in the practice with whom you can get a faster appointment. They may very well be out of network. No one will tell you. You will just get the bill and have to pay 100%! There is a lot of work required on the part of members to make sure you get your medical expenses covered.
5 years ago
Reply from Oscar
Hi Amy, we're sorry to hear about the frustration. Due to privacy laws we're unable to discuss any specifics regarding a member's private health info here, but we've escalated this case and your husband should have received notification from our team. Our Concierge team is standing by to help find providers and vendors that meet our members’ needs – they can supply a list of preferred lab vendors according to any member’s plan. As always, if you have questions or would like help from our team, call us at 855-OSCAR-55 and you'll be connected directly to your Concierge team.
Sep. 12th, 2018
Joanne El Segundo, CA
DO NOT PROVIDE PHYSICAL THERAPY anywhere acceptable close to me (Los Angeles)
I switched to Oscar from Blue Shield at the beginning of the year because Blue Shield premiums skyrocketed all of a sudden (we all know why). It was the only other insurance UCLA accepted from the self-insured ones.
I thought it was good that they covered UCLA and USC doctors, which are research facilities and more trustworthy. However, I did not check their physical therapy network. It is horribly slim.
UCLA has offices in many parts of LA, but their physical therapists are only around Santa Monica and central LA.
I have a back injury, and cannot travel far for physical therapy: I don't drive and cannot sit long in a car. The closest physical therapist they gave me was 14 miles away in Santa Monica. Driving 14 miles into Santa Monica means sitting in a car for 45-60 min because of horrible traffic. By the time I would get there I would be in too much pain to do any exercises, and it would add up quite a lot with Uber ($45 for round trip), plus 1.5 hours gone a day that I could be working. You see a physical therapist more often than a doctor who could be farther for that one time check-up.
This is not acceptable. I wrote to request I see the physical therapist I've used in the past who is 1.5 miles away and who knows my issues, but was denied because they are not in their network. This is a normal price physical therapy facility which accepts every insurance out there (but Oscar who they said wouldn't even return their phone calls and forced another patient of theirs to go 70 miles away for physical therapy).
Yes, I understand what "in-network" means, and I agreed to it when I signed up, but I didn't imagine their network would be so poor.
I am going to follow with the state and submit and IMR report, and may end up paying out of pocket to see my local physical therapist (which is the same as not having insurance and worse than having stayed with the more expensive Blue Shield).
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Separately, I read the comment on the blood panel. Yes, Oscar did not cover my Vitamin D and calcium panels because those were not considered preventive. This at a time when Americans are largely suffering from a Vitamin D deficiency.
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Other than this I have been happy with their bill paying and letters regarding bills sent. That part of the insurance company works well. But if they don't cover physical therapy in a way that is manageable or acceptable, it is useless to have.
5 years ago
Reply from Oscar
Hi Joanne, we’re sorry to hear you’re frustrated with your experience. Due to privacy laws we’re unable to discuss any specifics related to your health information or claims here. We partner with a curated network of providers built around systems whose goal, like ours, is to keep costs down and provide a better experience for our members with excellent quality of care. Our full network of providers is searchable on our site at , but our Concierge team is also always happy to help you find in-network options. If you’d like to be connected with your team, please DM us your member ID number and we’ll have them reach out. Oscar follows the US Preventive Services Task Force guidelines. Services that are not deemed preventive by these standards – such as Vitamin D and calcium tests – are covered by your plan but subject to lab cost sharing. If you have any questions about these topics or anything else, please feel free to call us anytime at 855-OSCAR-55 or send a message via the app.
Jul. 9th, 2018
Amanda
My daughter was seeing a speech therapist prior to joining Oscar. We live in the big city of Austin and there is not one speech therapist with Oscar. When I contacted customer service about getting approved the the therapist she was already seeing and knew given there were no therapists in Austin, they told me I had to drive to TEMPLE (over an hour away) twice a week. I work so this is not a possibility. I would have to take off half a day everytime. So in the crucial point in development my only option is wait until Oscar can find a speech therapist in Austin to contract with or pay out of pocket to get less time with a therapist.
5 years ago
Reply from Oscar
Hi Amanda, we're sorry to hear this. We're always working on growing our provider networks to best serve our members. Due to privacy laws this isn't something we can help with directly here, but your concierge team will continue to work with you to find the best option for you and your daughter. If you'd like, feel free to message us your Oscar ID number here and we'll be happy to have someone from our team look into this further.
Apr. 3rd, 2018
Ric La Quinta, CA
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.
7 years ago
PJ Brooklyn, NY
Oscar has paid per the terms of my insurance for some visits/procedures, but for others, refuses to pay for ridiculous reasons. With regard to one specialist, I checked the Oscar website before my visit to make sure she was listed as in-network, and her receptionist confirmed that she was in network at the time of my visit. Oscar then denied the claim, saying that the provider was out of network. I pointed the customer service rep to their website, and they eventually admitted that the provider was, in fact, in-network and the claim was covered. Now, more than three months after the visit, they are now claiming that, while the provider is in-network now, she wasn't at the time of the visit, even though their website plainly listed her as a provider at the time.
With regard to the other specialist, an ophthalmologist, I also checked to make sure the provider was in-network before my visit. Oscar, however, denied coverage for the eye exam performed by the doctor on the grounds that eye exams are not covered by their policy, although this is nowhere stated in their policy. I have appealed this decision, but I have no doubt that Oscar will continue to deny coverage for whatever reason they can make up.
7 years ago
Emilce Bueno Miami, FL
Good customer services, and support when I was a new customer.
2 months ago Edited September 21, 2023
florencia menendez Norwalk, CT
Great service , everything worked perfectly , customer service is amazing
3 months ago Edited August 9, 2023
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hildo silva Kissimmee, FL
Cheap and easy to use. I love I love how easy it is to be served and the wide service network.
3 months ago
Review Source
Maira gomez
Excellent medical insurance I was able to find excellent specialists for my checkups
3 months ago
Elif Plymouth Meeting, PA
This company is very much a SCAM! I received a recent claim on my account for a telephone care service. After a couple of months, they say, "It looks like you received care from a provider outside the Oscar network, so the care you received with them isn't covered by your plan." Now I DO NOT UNDERSTAND THIS! I used Oscar's own platform to connect with the telecare service. It was OSCAR who matched me with the physician. How come the doctor they matched me with on their platform is out of their network? OSCAR SERIOUSLY FAILED! THEY SHOULD PAY FOR THIS!
10 months ago Edited February 6, 2023
Reply from Oscar
Hi Elif, thanks for reaching out. We’re very sorry about this experience and we’d like to help. Please send us an email at [email protected] with a brief description of your issue, and we can assist you with this.
Mar. 14th, 2023
Lola Aparicio Orlando, FL
THE WORST CUSTOMER SERVICE THAT i HAVE EVER EXPERIENCE IN MY LIFE. WATING FOR A YEAR FOR A CLAIM. MY DAUGHTER WAS RUSHED TO THE HOSPITAL AND THEY DONT WANT TO PAY THE AMBULANCE BILL BECAUSE IT WAS OUT OF NETWORK.. ARE YOU KIDDING??? I CALLED 911!!!! IT WAS AN EMERGENCY... WHO SEARCHS FOR AN IN NETWORK AMBULANCE.....?????????????!!!!!!!!!!!! ITS AN EMERGENCY FOR GOD'S SAKE!!!!! YOU CALL 911 AND THEY SEND AN AMBULANCE PERIOD!!!!!!!!!!!!! I HAVE CALLED OVE R AND OVER ABOUT THIS . THEY DONT KNOW WHAT THEY ARE DOING. INSANE!!!!!!!!!!!!!!!!!
11 months ago
Reply from Oscar
Hi Lola, we’re sorry to hear about this experience and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Jan. 3rd, 2023
Jenn B Leander, TX
Oscar loves to deny claims as "not medically necessary". 2 so far this year for me, BOTH of which are absolutely medically necessary. On one of the peer to peer calls with my doctor, the representative actually told my doctor that they have been dealing with a lot of claims after the fact from surgery complications, so they are pretty much denying all claims for this particular procedure unless it's life threatening. Another claim for injections in my knee was denied in part because I haven't "tried and failed a weight loss program". What?? My weight was not even reported to them and is definitely not the issue with my knee. I am an Ironman triathlete and the injury I have was caused by past injuries and overuse. Another reason listed on the denial was that I had not tried oral medication to relieve the pain, such as acetaminophen or ibuprofen. Really? You think I haven't taken Tylenol or Advil for pain I've been having for years? No one even asked this question. How could they possibly know that?
We have had Oscar for several years and as long as you are quiet, pay your bill, and rarely go to the doctor, they are fine. As soon as you actually need the insurance though, they will fight every step of the way to not pay. We will not be renewing our policy with them. Buyer beware with Oscar!
8 months ago
Reply from Oscar
Hi Jenn, thanks for reaching out. We’re very sorry about this experience and we’d like to help. Please send us an email at [email protected] with a brief description of your issue, and we can assist you with this.
Mar. 14th, 2023
Irina Sidorova Denver, CO
Please do not get OSCAR HEALTH under any circumstances. They are frauds, out of the whole state of Colorado they gave me a list of 5 OBGYN that I can go. 5, Carl!
I have called all of them and waiting period is 2 to 6 months. Oh I forgot to mention that all of them more than 20 miles away from me.
Oh well, I didn’t know what I was signing for and it was two months left till I can change my insurance.
I called all 5 places AND NONE OF THEM WORKS WITH OSCAR! So they are liars!
I got back to them and they told me oh provide TIN and I did! And they happily said - yes, we do work with that place. I also called that placed and they have confirmed that they work with Oscar. (Please keep in mind it all took me about 2 weeks to figure out because of how their stuff is simply army of bots and instead of answering question they just copy paste same answers).
So I went to the doctor, did my procedure and month later I have looked and claims just to figure out their were all denied!
ALL OF THEM!
So I warn you - not only they don’t have doctors they work with, they also liars and frauds.
1 year ago
Reply from Oscar
Hi Irina, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Nov. 7th, 2022
JD Kansas City, MO
I have had my multi-state insurance license for years and have never had a more unprofessional experience than Oscar insurance. Out of country customer service hung up on me four times. They refuse to let me speak with their manager.
During the cancellation process they try to sell you everything from timeshares to bargains that they found on the internet. I've honestly never seen anything like it. After asking to verify our credit card in order to cancel, they fraudulently signed us up for additional coverage that we did not order and had to cancel it. When the fraudulent program arrived in the mail it was the wrong spelling of my wife's name and the wrong email and contact info. Absolutely the worst company I've ever dealt with in the last year.
I can't even imagine what kind of nightmare would await us if we actually made any kind of claims.
I will be complaining to the state insurance commissioner's office.
We were on the phone for an hour and a half October 18th and again on the phone today, the 26th. We were again refused the opportunity to speak with a manager.
1 year ago
Reply from Oscar
Hi JD, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Oct. 27th, 2022
Pete Columbus, OH
There are so many issues with Oscar it would be too many to mention here. I will just mention on ONE subject to which this applies to SEVERAL patients. I will say that when an insurance company denies paying on claims because they do not receive medical records in a "timely manner", you have to call to find out the time frame for what "timely manner" means to them. How vague is that? How about making things like that clear and easily accessible on your website? How about on your EOB's instead of saying "records not received in "timely manner", it actually says not received within 30 days, or 60 days or whatever the time frame is? Then when you do prove that records are submitted within their time frame, they still deny and change the claim number each time you contact them, and many times the reps can't see the previous claim numbers and their website does not either. This causes a lot of confusion with the reps & providers. Now going back to Oscar wanting medical records & wanting them in a "timely manner", how about sending the request for records within a good time frame to respond? Sometimes we receive a letter for records, but it is already past the "timely manner" set by Oscar to send them. Other times we don't even receive a letter at all. Another point that delays everything is how about getting the correct provider address updated with Oscar? How many times do we have to send a W-9? Is once or twice too much? 10 times? 20 times? How many times does it take? I think every claim for the last 1 1/2 years has been denied saying our providers is out of network. We have to work with that, then the medical records issue comes in. You what it is called when a person or company deliberately not pays for services? That called a criminal act. If I went to a doctor and had services done and refused to pay, that is stealing. Oscar needs to work on a lot of things, this is one of many that appears that they have no intention of fixing. Zero stars is not an option, but it should be.
1 year ago
Reply from Oscar
Hi Pete, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Oct. 27th, 2022
Stephanie Frias Nashville, TN
I have to use Obamacare for health insurance since my employer does not offer healthcare insurance. I was previously using Molina but switched to Oscar because they have a good app and their website is user friendly. Molina does not have a friendly user website but I never had any sort of issues of them paying my claims. I recently had a very dissatisfying experience with Oscar. I recently went for my annual pap smear/physical with an IN network Dr. (I checked multiple times). Because the Dr. used a facility to send the results to be examined was OUT of network, Oscar denied the claim. I was under the impression that as long as we were seen by an in network provider/Dr. we would be okay but turns out now we have to verify that the facility the Dr. uses is IN network or else we have to be responsible for the bill. How am I supposed to know which facility my in network Dr. uses? It's silly that we even have to ask prior to completing a procedure which facility our Dr. uses just so our insurance can pay for it. I mean what's next? Our nurse wasn't in network so now Oscar won't pay? Honestly, yes the APP and the website IS user friendly but at what cost? I would rather have a malfunctioning website but my claims covered. Also, when I try to book a primary care visit on the app, the Doctors and RN never have availability and that's been that way for over a month so I'm not sure the virtual care system even works. I will not be renewing my insurance with Oscar. I will go back to Molina or another provider as I have never had any issues before until I signed up with Oscar.
1 year ago
Reply from Oscar
Hi Stephanie, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Oct. 25th, 2022
Jake Kantor San Antonio, TX
Something went wrong with Oscar. From great to terrible in just a few years. Used to be you'd call and get smart, knowledgable people on the line. Now you call and get incompetent reps in a call center in the Philippines that have no idea how anything works, can't speak english very well and don't take their duty of care very seriously. Also, their find-a-doctor website portal is horribly out of date, and presents data that's just plain wrong. This makes finding a doctor arduous and stressful.
This wasn't the case when I signed up five years ago. They really were a different kind of company. I felt protected and empowered with them. Now they've fallen to the bottom. It's possible all insurance companies behave this way... I have no way of knowing. All I can say is that Oscar has turned into a chaotic mess.
1 year ago
Reply from Oscar
Hi Jake, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Oct. 19th, 2022
Beth Moothart Ormond Beach, FL
Do NOT go with Oscar Insurance! Billing is horrible and "customer service" even worse!! Routine bloodwork that I had done in February 2022 Still NOT paid October 2022 - and it is basic that should be covered. Quest has sent me to collections and ruining my credit. I refuse to pay for what should be covered - and not have my credit destroyed. Then they deny authorization for a Hysterectomy that 2 physicians said was medically necessary. Oscar does not have active physicians who know anything about a patients history - nor do they want to know. Flat out denial with "should have tried other alternatives" - No alternatives even given. Will be taking this to the state insurance commissioner's office - completely unacceptable. To top it off when I called to file an appeal was told that "there was no record of me or my physician even requesting approval for the surgery". Complete BS and would not transfer me to a supervisor.
Stay AWAY from Oscar - they should not be in business any longer!!
1 year ago
Reply from Oscar
Hi Beth, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Oct. 18th, 2022
Bonnie Visnius Round Rock, TX
Their billing department is extremely bad in keeping accurate records hence why the invoices are never accurate and never get paid. Sometimes they tell you that something is covered prior to your visit, then change their mind leaving you with a huge bill. Other times, they refuse to update their records so they can tell you that you "have not met the deductible" which still leaves you paying a large bill. I am told that I met my deductible of $4,500 already but they refuse to look into my account as to why I am getting a $500 bill from the hospital. You are lucky if you even get someone who understands enough english to understand your issue as well. Sometimes I can literally hear a rooster crowing in the background of my calls to representatives. Take your shot with another company and do NOT use OSCAR.
1 year ago
Reply from Oscar
Hi Bonnie, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Oct. 17th, 2022
Yash B patel Fairburn, GA
Oscar is one of the worst insurance comp out there. I strogly recamend not to buy coverage from Oscar because their customer care have no basic knowledge of what is call "CUSTOMER CARE". This is the only compeney in the market will denied payment to provider after given prior authorizathin, wait the best part is thier copay changes after you paid your copay at the time of the service , they are very fast to collect monthly premium
if you really love your self and your family DO NOT BUY OSCAR insurance even if you have to pay few dollars more for better insurance comps outh there
funny when you provide the review they ask you queation down below
" DID YOU RECIVE A SPECITINVITAION FROM OSCAR TO LEAVE THIS REVIEW?
1 year ago
Reply from Oscar
Hi Yash, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Oct. 13th, 2022
Nicholas Yepes
I am horribly upset with the service I got from Oscar. I signed up in August for coverage starting in September. After paying my first couple months of premiums, I got a welcome kit in the mail and thought everything was good. A few weeks later, in October, I received a notification from my bank that my premiums were refunded. I tried to log into my Oscar account and got a message that I was no longer a member. They gave me no explanation. I then spent two hours on the phone and on online chats with customer service. The customer service reps did not seem like they cared much about helping. I am particularly upset because this situation left me without coverage unexpectedly after I paid my premiums and provided documentation to them. They wasted my time and then put me in an uncomfortable situation. Avoid Oscar.
1 year ago
Reply from Oscar
Hi Nicholas, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Oct. 6th, 2022
Ken Newberry, FL
I was told ALL my medications were covered by Oscar just to find out i needed prior authorization for almost all of them just for Oscar to say no to the prior authorization for medications I have been taking for years. I was also told I would not have to switch pharmacies and that was also a lie, Oscar only works with one pharmacy CVS which i didn't use and CVS won't fill one of my medications. Went to get my COVID19 booster from Walgreens because CVS didn't have it and also wanted my flu shot Oscar paid for the COVID shot but would not pay for the flu shot because it was Walgreens so now I have to make a appointment at CVS to get my flu shot. Also the doctors Oscar shows on their list of approved doctors when you call the doctors they say they don't accept Oscar and not only that the closest doctors to me are several hours away. Can't even go to my local hospital UF because Oscar doesn't work with them. Also had to stop going to my heart doctor because he is at UF health. I definitely will be switching away from Oscar in fact the company I have to go through to get health insurance is already working with me on getting away from Oscar and getting a new health insurance company was on the phone with them yesterday.
1 year ago
Reply from Oscar
Hi Ken, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Oct. 3rd, 2022
Cathy Dore Los Angeles, CA
I would give no stars. I was diagnosed with breast cancer 7/28. Referred to a doctor. 8/3 they approved and confirmed coverage for doctor and hospital. Had the consultation and Scheduled surgery 8/10. On 8/11 was called and told it was mistake they should not have approved coverage. Have been in a health insurance nightmare with them since. Calling, on hold, attempting to communicate via their portal. They have been incompetent and negligent. I still have no doctor, no hospital and no surgery. They don’t return calls. They don’t help. I have paid $650-750 monthly for years and now they have made a mess and induced high stress. What is supposed to be a lumpectomy may be. Mastectomy by the time they approve a doctor for me to see. And it was their mistake to begin with! It is outrageous. I’m now seeking legal counsel on what to do.
1 year ago
Reply from Oscar
Hi Cathy, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Aug. 17th, 2022
Colby S Brooklyn, NY
Oscar is already overcharging me for insurance, it's outrageous that they might raise my premium further. They have failed me in several ways.
- I cannot get regular STD swabs done which are a standard part of care for people taking PrEP. I cannot do this because they no longer have a physical location, which prevents them from collecting or disbursing swabs. Additionally, when I went to see their partner (Quest Diagnostics), I was told that the swabs I did have were not covered.
- I then had to seek care outside of Quest, so I went to an urgent care for help getting swabbed, I was charged $75. I should not have to seek out-of-network care because my provider is not doing its job!
- I was prescribed ADD medication by my in-network psychiatrist, yet Oscar cannot cover my ADD medication because they're fully remote and they can't cover controlled substances.
- The website is difficult to navigate and in order to send my PCP a message, I need to request an appointment. This leads to a delay in care. Whether it's me seeking help with mental health, dealing with a rough COVID infection, or a cold, I often have to wait a few extra days to get a response. This leads to me simply forgoing care. For example, when I had covid a month ago I just took care of myself at home.
Oscar is already overpriced, its online services are slow and difficult to use, and its lack of a physical presence hinders its ability to provide proper care. The idea that they might be trying to raise my premium 20.32% is ridiculous. If anything, they should be lowering it.
1 year ago
Reply from Oscar
Hi Colby, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Aug. 10th, 2022
Tom Winter Park, FL
Oscar is the absolute worse health insurance coverage I have ever had. The deductibles and out-of-pocket are high. God help you if you ever have to use the policy -- it only covers 40% of surgery-related costs AFTER meeting $7,000 out-of-pocket costs. This is to say that I pay $18,000 in premiums, yet my wife's knee surgery will cost my family a minimum $8000 out of our pocket, and we have already spent $7000 out-of-pocket. So, that's $33,000 in medical costs this year. Some plan. Why do I even have health insurance?
Never again will I use Oscar. Oscar seems like a scam. Sure, the premiums are lower, but the coverages make it exceedingly more expensive if you ever need it.
And this is to say nothing of the sparse network of care. God help you if you have a problem out-of-network (unless you are a couch potato), you are very likely to have an issue out-of-network. I had an emergency skiing incident in Utah for which I had to be assisted off the mountain by ski patrol to the base clinic. Oscar would not cover it, and claimed it was not an emergency, so I had to pay in full out-of-pocket. So far, it has taken me 5 months to get them to agree that it was an emergency. Still, they insist on reimbursing the clinic, that I paid in full, rather than me, their customer.
So, in summary, any savings in premiums quickly go up in smoke if you ever have to actually use the $18,000 plan coverage. As far as their customer service, I do not understand why they get high reviews for customer service -- customer service seems only designed to find a way to tell you "no" quickly. Stay away from Oscar.
1 year ago
Reply from Oscar
Hi Tom, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Aug. 10th, 2022
Ketchfraze Westerville, OH
The only thing Oscar has to do with insurance is that it has the word 'insurance' in the name. Before we got married, my wife paid $80 per month to have insurance that didn't even cover basic doctor visits. She had one visit with a family doctor and was charged $300 because they only covered 'non-diagnostic' visits. This means that if the doctor asks you "Do you have any problems at all?" and you answer yes to anything, be it aches and pains, a cold/flu, or literally any other symptom, this will then not be covered. This is totally pointless and a scam. For comparison, the insurance I get through my job is $100 per month and I pay only a $25 co-pay, regardless of the type of visit. Please consider other options and do not buy into this company's lies.
1 year ago
Reply from Oscar
Ketchfraze, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Jul. 26th, 2022
Aryan Mashayekhi Malibu, CA
Absolutely horrible service. They will take your premium but fight to provide you care. I am a healthy male in his mid 30s and have been with them for 7 years and never had a claim. I got injured and tore my labrum. My orthopedic surgeon requested an MRI so we could figure out which tendon had torn. After 2 weeks (a ridiculous amount of time when injured) of runaround trying to get a preauthorization for an MRI, Oscar decided to decline it and recommend I get physical therapy and cortisone shots. So diagnostic testing on the recommendation of a specialist was just a bridge too far for them. Their bean counter in New York had the better solution having not examined me. I paid cash for this MRI because I am in pain and was desperate, and low and behold I had ripped half of my labrum off my shoulder socket and require surgery. Oscar won't reimburse me, and still is giving me the run around. I cancelled my policy to get added onto my wife's insurance so I can actually get the care I need. They can't even do that properly, I am now getting a run around trying to get my termination letter so I can get put on my wife's insurance and get the freaking surgery I NEED! If this is how they treat someone who is healthy with no medical claims history, I can't imagine how they will treat someone who actually has health concerns. You deserve to go out of business.
1 year ago
Reply from Oscar
Aryan, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Jul. 26th, 2022
Mathew Watt Los Angeles, CA
I’ve had Oscar health insurance for about 5 years now. It used to be a great company with excellent customer service. Those days are now over. The cost of the insurance has risen dramatically, like most insurance, and the coverage has been significantly reduced. The service used to be great. I’m not sure what happened but poor would be an upgrade. I have Oscar insurance now but I’m going to cancel the policy this month. The penalty for not having health insurance is probably less than what I’m paying Oscar. I don’t get anything with the premium payments in the way of coverage. DO NOT USE THIS COMPANY! I’d be more than happy to explain the negatives in more detail. But that probably won’t be with a supervisor from Oscar, they are too busy to care about their customers.
1 year ago
Reply from Oscar
Matthew, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Jul. 13th, 2022
Terry L. Duve
Oscar Health Care is worse then BCBS,
First my doctor wants me on a specific medication, and they denied it over and over. They have the balls to submit an off brand to my pharmacy and still charge 1/2 the cost to me. I have to use more of the product to get close to where I was when I was on the drug my doctor requested.
Now I had bicep surgery in April and did my first 4 weeks of PT, on my first follow up, my doctor set up the last 8 weeks of PT. Now I am 2 weeks without completing any of that and only have a 3rd of the use of my arm. I can’t do a whole lot with that. I call every 2 days and I am being told it will take a mother 2 days.???? The PT will cost me 300 a week out of pocket I will have to pay it to get 100% use of my arm.
I am shopping my company’s health care this week. And contacting NY Insurance Commissioner to file a formal complaint. On behalf of my company and employees.
1 year ago
Reply from Oscar
Terry, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Jun. 27th, 2022
Dara Wilson Chicago, IL
Do not use this scam of an insurance company. I have been lied to over and over and now have over 15k in medical bills that I blame on them. I am a medical provider and did my job of contacting this insurance prior to medical appointments, verbally got told they covered certain procedures, used their online system and saw my doctor was in network and then I ended up with multiple bills. I have contacted them so many times and they just keep submitting appeals and then come back months later to say oh sorry but it is denied still. They outright lie! I hope they get shut down by the BBB. It is horrific how they lie to you and cause you to go into debt and think nothing of it.
1 year ago
Reply from Oscar
Dara, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Jun. 21st, 2022
Michael VanderMeer Clermont, FL
My family recently moved to Florida and we decided to try out the Oscar Insurance Company Of Florida. I was attracted to their claims of simplified policies and minimalist approach to cut down costs to make health insurance easier and more efficient. I made a huge mistake.
I've dealt with a number of different health insurance companies in Wisconsin and Texas and I've never experienced the level of gross incompetence and neglect shown by Oscar, its policies, and its staff. I doubt that I can actually blame the staff themselves for their incompetence as it is likely the companies fault by providing the minimal amount of training to get them to answer phones and man other aspects of the company. Consequently, they are not equipped to handle any problem brought up by a customer outside of taking our payment information, resulting in delayed or denied care or treatments and a lengthy and complicated appeals program.
We have been members for two and a half months at this point, and it has taken this entire time to get a simple continuation of care for medical devices that my wife has been using for years, resulting in her running out of the supplies weeks ago and running the daily risk of having to be hospitalized. It took one month to have them deny a simple request, given by a family medicine doctor instead of an endocrinologist. Then it took another three weeks to get the appeal approved (which we got today) and now we are forced to use a company that is going to take another two weeks to get her the medical equipment we desperately need.
And that was just one example of many. I received a common script for a generic medicine that cost $7.50 at a local pharmacy, but came to find out that I cannot pick up the medication until Oscar gives their approval that I can have it. This is happening time and time again. We are regularly being required to get approvals for just about every new or existing medication, which results in significant delays in treatment.
Naturally, any attempt that I make to get ahold of a supervisor or manager is stonewalled with silence. The incompetence would not be believable had I not personally experienced it first hand. I cannot wait until Dec 31st, when I can drop this company that has made the last two and a half months a misery filled with medical mishaps, missing/delayed treatments, and refusals to provide common meditations and equipment.
Please, unless you have absolutely no need of anything from an insurance company, DO NOT join Oscar. If you have questions, please feel free to ask. I am so concerned about their practices that I'll gladly spend my free time to ensure that everyone who is thinking about joining "Oscar's family" knows what they will be getting into.
1 year ago
Reply from Oscar
Michael, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Jun. 21st, 2022
Cassandra Workman Gilbert, AZ
Absolutely the worst insurance plan I have ever had, their coverage is confusing and their service is not up to par with the prices they charge. I am still trying to understand 2 claims that I have from over a year ago, and each time I call I get a different answer and no resolution. Still have no idea what I owe, keep being told that I am not liable for the bill while it’s being processed but then get tons of letters in the mail threatening that the bill will be going to collections. On top of that, going to a “mental health visit” cost me $200, even though it was a 5 min visitation with my doctor regarding new medications I was put on. I was unaware of this extra cost, I thought my copay was all I needed but Oscar is sneaky and their wording for things is so hard to understand for normal people. I terminated my plan today, and having no insurance is feeling much better than having Oscar. Avoid this company!
1 year ago
Reply from Oscar
Cassandra, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Jun. 15th, 2022
Sterling M Austin, TX
Worst customer service. I am always on the phone asking the simplest question and it takes an hour for a 5 minute question/answer. The assistants are absolutely poorly trained. I spend my lunch hour calling and go without eating due to such poor assistance. They repeat themselves saying things that have nothing to do with the conversation or question asked. They do not know how to look up information regarding pricing of certain claims like hormone blood test. They even admitted they don't know who to spell the words. It's as if they are hired specifically just to drive you insane, and that it. If that's the case, I want to present them with an award. :(((
P.S. it's also fun paying more than cash prices when you process through Oscar. What's the point of insurance??
1 year ago
Reply from Oscar
Sterling, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
Jun. 7th, 2022
Alycia Shapiro Woodland Hills, CA
My experience with Oscar has been terrible. They deny everything the first time and make you wait for approvals for medications, treatments, and testing despite obvious need for the care. In some cases, medications were denied that we had been on for years prior to the new insurance plan - even medications they had approved the previous year after a renewal leaving gaps in care that were detrimental to our health and wellbeing. Despite ample evidence of the medical neccessity they have denied a service again despite having debilitating pain that could easily be remedied by injections they want me to be on at least 3 different pharmaceuticals for 60 days each before they will cover it. I have tried several samples of medicine all of which make me very ill or my blood pressure dangerously drop. I have never been so unhappy with any insurance company and that is saying a lot. I feel completely helpless. We pay almost $2900 a month for a family of 5 That is alomst $35,000 a year and cannot get care when I need it. They are terrible.
1 year ago
Reply from Oscar
Alycia, we are sorry to hear that you are frustrated and our team would like to learn more about what may have occurred. Please check your inbox for a followup message.
May. 19th, 2022
