Oscar

Oscar | Oscar Simple+ Platinum Dep29

  • Oscar Simple+ Platinum Dep29 is an Obamacare health insurance plan offered by Oscar that is available for individuals and families.

  • This plan is a EPO, meaning you will have some of the flexibility to manage more of your health care without a primary care physician, however, you will need to stay within the provider’s network. (Read more about EPOs.)

  • This plan is a Platinum metal level plan, which has the highest monthly cost, and for that cost provides the highest coverage (in terms of lowest deductibles and co-pays). Platinum plans are best for those who expect to use their health care benefits a lot throughout the year.

  • Deductible amount of $1,000. A deductible is the amount of healthcare costs you will pay on your own each year before the insurance company.

  • Max out-of-pocket of $1,000, which is the most you will pay in a plan year outside of premiums, out-of-network providers and non-essential health benefits.


Ways to Enroll or Learn More

SPEAK WITH A LICENSED AGENT

Plan Summary

Monthly Cost

Plan Name:
Oscar Simple+ Platinum Dep29

Plan ID:
74289NY0660002

Plan Type:
EPO

Deductible:
$1,000

Maximum Out-of-Pocket:
$1,000

Summary of Benefits:

Provider Information:

Who is this plan for?

This plan with a higher monthly cost is great for individuals and families who have multiple, serious, or chronic health needs, regularly visit the doctor, and regularly use multiple prescription drugs. The low deductible on this plan means you won't have to pay as much money out of pocket for medical care and prescriptions before your insurance kicks in. The low out-of-pocket maximum on this plan protects you from having to pay a large medical bill if an emergency happens.

HealthCare.com is a privately-held internet start-up for healthcare consumers. We’re not the government website.

Highlights


Dental Coverage:
Child

Emergency Room:
No Charge after deductible

Retail Drugs:
$50 then No Charge after deductible

Generic Drugs:
No Charge

Overview


Plan Type:
EPO

Metal Level:
Platinum

Health Spending Account:
No

Primary Care Office Visit:
No Charge

Specialist Office Visit:
$50 then No Charge after deductible

Out of Network Coverage:
No

Out of Country Coverage:
No

Coverage Details

Preventive Care

Periodic Health Exam
In Network:
No Charge

Out of Network:
Not Covered
Well Baby Care
In Network:
No Charge

Out of Network:
Not Covered

Inpatient

Hospital Services
In Network:
No Charge after deductible

Out of Network:
Not Covered
Physician Fee
In Network:
No Charge after deductible

Out of Network:
Not Covered
Skilled Nursing Facility
In Network:
No Charge after deductible

Out of Network:
Not Covered
Mental Health
In Network:
No Charge after deductible

Out of Network:
Not Covered
Substance Abuse
In Network:
No Charge after deductible

Out of Network:
Not Covered
Home Healthcare
In Network:
No Charge after deductible

Out of Network:
Not Covered

Outpatient

Surgery
In Network:
No Charge after deductible

Out of Network:
Not Covered
X-ray and Diagnostics
In Network:
No Charge after deductible

Out of Network:
Not Covered
Labs
In Network:
No Charge after deductible

Out of Network:
Not Covered
Facility Fee
In Network:
No Charge after deductible

Out of Network:
Not Covered
Mental Health
In Network:
No Charge

Out of Network:
Not Covered
Substance Abuse
In Network:
No Charge

Out of Network:
Not Covered
Rehabilitation Services
In Network:
No Charge after deductible

Out of Network:
Not Covered

Maternity/Pregnancy

Pre & Postnatal Care
In Network:
No Charge

Out of Network:
Not Covered
Infertility Treatment
In Network:
$50 then No Charge after deductible

Out of Network:
Not Covered
Labor and Delivery Inpatient Services
In Network:
No Charge after deductible

Out of Network:
Not Covered

Dental

Accidental Care
In Network:
$50 then No Charge after deductible

Out of Network:
Not Covered
Dental Checkup (Child)
In Network:
Not Covered

Out of Network:
Not Covered

Vision

Eye Exam (Child)
In Network:
No Charge after deductible

Out of Network:
Not Covered
Glasses (Child)
In Network:
No Charge after deductible

Out of Network:
Not Covered

Additional Coverage

Chiropractic Care
In Network:
No Charge after deductible

Out of Network:
Not Covered
Habilitation Services
In Network:
No Charge after deductible

Out of Network:
Not Covered
Rehabilitation Services (Speech)
In Network:
No Charge after deductible

Out of Network:
Not Covered
Rehabilitation Services (Occupational Therapy)
In Network:
No Charge after deductible

Out of Network:
Not Covered
Hospice Service
In Network:
No Charge after deductible

Out of Network:
Not Covered
Diabetes Care Management
In Network:
$50 then No Charge after deductible

Out of Network:
Not Covered
Durable Medical Equipment
In Network:
No Charge after deductible

Out of Network:
Not Covered
Hearing Aids
In Network:
No Charge after deductible

Out of Network:
Not Covered
Nutritional Consuleling
In Network:
No Charge after deductible

Out of Network:
Not Covered
Reconstructive Surgery
In Network:
No Charge after deductible

Out of Network:
Not Covered

Doctor Visits

Primary Care Visit
In Network:
No Charge

Out of Network:
Not Covered
Specialist Visit
In Network:
$50 then No Charge after deductible

Out of Network:
Not Covered
Other Practitioner Office Visit
In Network:
No Charge after deductible

Out of Network:
Not Covered
Preventative Care / Screening / Immunization
In Network:
No Charge

Out of Network:
Not Covered

Emergency Room and Urgent Care

Emergency Room Services
In Network:
No Charge after deductible

Out of Network:
Not Covered
Urgent Care Services
In Network:
$50 then No Charge after deductible

Out of Network:
Not Covered
Ambulance/Transportation Services
In Network:
No Charge after deductible

Out of Network:
Not Covered

Drugs

Generic Prescription
In Network:
No Charge

Out of Network:
Not Covered
Retail Brand Drugs
In Network:
$50 then No Charge after deductible

Out of Network:
Not Covered
Non Retail Brand Drugs
In Network:
No Charge after deductible

Out of Network:
Not Covered
Specialty Drugs
In Network:
No Charge after deductible

Out of Network:
Not Covered

Additional Plan Information

Summary Of Benefits:

Provider Information:

HealthCare.com is a privately owned website, and monthly costs shown above are estimates only. Your monthly premium may change based on the data provided, outside fees, optional benefits or if other factors take effect before your coverage start date. Note that insurance companies reserve the right to change your premium rate and the policy terms at any time. Effective date, benefit amounts and other conditions may apply at the discretion of the insurance carrier you select. Depending on your state of residence, this website may not display all plans available by state. The Obamacare Tax Subsidy Calculator amounts are estimates only and the actual amount of subsidy eligibility may differ. Access to your physician depends on network selected, and networks can change without notice. Contact your health insurance company to confirm your healthcare provider is still available in the network you select.

Oscar To cover dependents up to age 29 is available at an additional cost. Please contact your agent or the phone number at the top of the screen if you’re interested in this coverage.

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