Oscar - Oscar Classic Gold

Texas, 2019

  • Plan Type

    EPO

  • Metal Tier

    Gold

  • Out of Pocket Maximum

    $7,900

  • Deductible

    $1,500

Enroll Now
{"state":{"code":"TX","name":"Texas","fips":48,"exchangeName":["Healthcare.gov"],"exchangeUrl":["http:\/\/www.healthcare.gov"],"exchangeType":["Federal"]},"year":"2019","plan":{"name":"Oscar - Oscar Classic Gold","planType":"EPO","tier":"Gold","oopm":"7900.00","deductible":"1500.00","redirectUrl":"https:\/\/www.healthcare.gov"},"phoneNum":"8558665590"}

Call (855) 866-5590 to speak with a licensed agent about a new health plan.

{"onCurrent":true}

Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $1,500
Deductible (Family) $3,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services 20% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 20% Coinsurance after deductible
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging 20% Coinsurance after deductible

Health Management Programs

Asthma Not available
Depression Not available
Diabetes Not available
Heart Disease Not available
High Blood Pressure / High Cholesterol Not available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Not available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient 20% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx 20% Coinsurance after deductible
Specialty Drugs 20% Coinsurance after deductible

Other Plans in Texas

Plan Oscar Classic Bronze Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Oscar Simple Bronze Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Oscar Simple Silver Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Oscar Classic Silver Deductible $4,400 Coinsurance Not applicable Out of Pocket $7,900
Plan Oscar Saver Bronze HSA Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,650
Plan Oscar Simple Secure Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Oscar Saver Silver HSA Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,650
{"onCurrent":true,"type":"tools"}

Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $1,500
Deductible (Family) $3,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services 20% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 20% Coinsurance after deductible
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging 20% Coinsurance after deductible

Health Management Programs

Asthma Not available
Depression Not available
Diabetes Not available
Heart Disease Not available
High Blood Pressure / High Cholesterol Not available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Not available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient 20% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx 20% Coinsurance after deductible
Specialty Drugs 20% Coinsurance after deductible

Other Plans in Texas

Plan Oscar Classic Bronze Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Oscar Simple Bronze Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Oscar Simple Silver Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Oscar Classic Silver Deductible $4,400 Coinsurance Not applicable Out of Pocket $7,900
Plan Oscar Saver Bronze HSA Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,650
Plan Oscar Simple Secure Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Oscar Saver Silver HSA Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,650