Oscar Health Plans in Texas, Tennessee and More: Answers on Networks, Costs and Plan Designs
These answers cover Oscar health plans in Texas, Tennessee, South Carolina and Virginia. Licensed Vivna agents wrote each one in plain English. Because plans change by state, every answer shows where it applies. Call 888-730-6001 anytime for free help.
Vivna Insurance is an appointed, authorized broker for Oscar Health. We are an independent agency, not Oscar. Plans, costs and availability vary by state and county. Plan details come from Oscarβs current brochures and can change at renewal.
- 1What kind of networks do Oscar plans use in Texas?
- 2What kind of network do Oscar plans use in Tennessee?
- 3How does the Oscar Bronze 8500 HSA Off Exchange plan work in South Carolina, Tennessee, Texas or Virginia?
- 4Does Oscar sell health insurance in South Carolina?
- 5What kind of network do Oscar plans use in Virginia?
Oscar Plans in Texas
These answers cover Oscar networks, plan suites and costs in Texas. Texas has both EPO and HMO plans, so check which network fits your doctors.
β What kind of networks do Oscar plans use in Texas?
Oscar offers both EPO and HMO plans in Texas.
Both cover in-network care only. In addition, neither requires a referral to see an in-network specialist.
π Where this applies: Texas
β What are Oscar Guided Care plans in Texas?
Guided Care is the name on Oscar's Texas HMO plans.
They come in Silver and Gold, with CSR versions of the silver plans. Also, HMO plans need in-network care, but they don't require referrals.
π Where this applies: Texas
β What metal levels does Oscar offer in Texas?
Oscar's Texas EPO plans come in Bronze, Silver and Gold.
However, the Guided Care HMO grid lists Silver and Gold plans only.
π Where this applies: Texas
β What Oscar plans are available in Texas?
Oscar's Texas EPO plans include Simple, Classic Standard, Elite, Core, HSA and off-exchange plans.
Condition plans include Diabetes, Chronic Care CKM, Breathe Easy COPD and Women's Health. There are also RetireEase and Buena Salud options.
π Where this applies: Texas
β What is the deductible range for Oscar plans in Texas?
Oscar's Texas EPO plans have individual deductibles from $0 to $9,000.
Guided Care HMO deductibles also run from $0 to $9,000. Silver Core Plan and Bronze Simple Breathe Easy carry the $9,000 deductible.
π Where this applies: Texas
β What is the out-of-pocket maximum on Oscar plans in Texas?
Oscar's standard Texas EPO plans have individual out-of-pocket maximums from $6,000 to $12,000.
Guided Care HMO plans range from $8,600 to $11,750 before CSR. However, silver CSR versions can be as low as $2,950.
π Where this applies: Texas
β Does Oscar have $0 deductible plans in Texas?
Yes, Bronze Elite + PCP Saver Plus and Gold Elite Saver Plus have a $0 medical deductible.
However, each has a separate drug deductible. Gold 0 Guided Care Off Exchange also has a $0 deductible. CSR 150 silver versions do too.
π Where this applies: Texas
β What services cost $0 on Oscar plans in Texas?
Oscar Virtual Care is $0 on most Texas plans, or $0 after the deductible on HSA plans.
In addition, Diabetes, CKM, COPD and Women's Health silver plans list $0 PCP visits. RetireEase plans list $0 preferred generics.
π Where this applies: Texas
β Does Oscar offer cost-sharing reduction (CSR) silver plans in Texas?
Yes, Oscar offers CSR versions of several Texas silver plans.
EPO CSR versions exist for Silver Core, Silver Classic Standard and Silver Simple PCP Saver. In addition, every silver Guided Care HMO plan has CSR 150, 200 and 250 versions.
π Where this applies: Texas
β How low can costs go on an Oscar CSR silver plan in Texas?
Oscar's CSR 150 versions in Texas have a $0 deductible.
For example, Silver Simple PCP Saver CSR 150 has a $2,950 out-of-pocket max and $5 PCP visits. Your CSR level depends on your Marketplace eligibility.
π Where this applies: Texas
β Is Oscar's integrated behavioral health through virtual care available in Texas?
Yes, Oscar says Integrated Behavioral Health through Oscar Virtual Care is available in Texas.
Oscar also offers it in Florida, Georgia and Arizona.
π Where this applies: Texas
β How much is a mental health office visit on Oscar plans in Texas?
Oscar's Texas mental health office visits vary by plan, from $0 to $125 or coinsurance.
On clinical plans, the mental health visit costs the same as a PCP visit. For example, Silver Classic Standard is $40.
π Where this applies: Texas
β Does Oscar have a diabetes plan in Texas?
Yes, Oscar offers diabetes plans in Texas on both EPO and Guided Care HMO networks.
Bronze Simple Diabetes is an EPO plan. By contrast, Silver and Gold Simple Diabetes are Guided Care HMO plans. Oscar highlights $0 routine diabetes care, $0 testing supplies and $0 insulin.
π Where this applies: Texas
β What is Oscar Gold Simple Diabetes Guided Care in Texas?
Gold Simple Diabetes Guided Care is a Gold HMO plan with a $2,000 deductible.
It also has a $10,600 out-of-pocket max. PCP visits are $0 and specialists are $40. Plus, preferred generics are $4.
π Where this applies: Texas
β Does Oscar have a COPD plan in Texas?
Yes, Oscar offers Breathe Easy COPD plans in Texas.
Bronze Simple Breathe Easy is an EPO plan with a $9,000 deductible. By contrast, Silver Simple Breathe Easy is a Guided Care HMO plan with $0 PCP visits and CSR versions.
π Where this applies: Texas
β Does Oscar have a Chronic Care CKM plan in Texas?
Yes, Bronze Simple Chronic Care CKM and Silver 3750 CKM Off Exchange are Oscar EPO plans in Texas.
Silver Simple Chronic Care CKM is a Guided Care HMO plan. In addition, Oscar says it covers COPD, diabetes and heart conditions together.
π Where this applies: Texas
β Does Oscar have a menopause plan in Texas?
Yes, Gold 3000 Women's Health with Menopause Benefits is an off-exchange EPO plan in Texas.
Silver Simple Women's Health is a Guided Care HMO plan with CSR versions. Also, both list $0 PCP visits.
π Where this applies: Texas
β Does Oscar have an early retirement (RetireEase) plan in Texas?
Yes, Oscar sells Bronze RetireEase and Gold RetireEase off exchange in Texas.
Bronze RetireEase has an $8,500 deductible and $35 PCP visits. By contrast, Gold RetireEase has a $3,000 deductible and $0 PCP visits.
π Where this applies: Texas
β What is the Oscar Buena Salud Plateado 3500 plan in Texas?
Buena Salud Plateado 3500 is an Oscar silver plan sold off exchange ("fuera del mercado").
It has a $3,500 deductible, $10,500 out-of-pocket max and $40 PCP visits. In addition, a version with adult dental and vision is available.
π Where this applies: Texas
β Which Oscar plans in Texas are sold off exchange only?
Oscar's off-exchange plans in Texas are mostly EPO plans, plus one Guided Care HMO.
These include Bronze 8500 HSA, Bronze and Gold RetireEase, Bronze 3000 and Silver 6000 HSA. Also, Silver 4500, Silver 3750 CKM, Buena Salud, Silver 3000 and Silver 1500 are off exchange. So are Gold 3000 Women's Health, Gold 2000 HSA, Gold 2000 and Gold 1500. The off-exchange HMO is Gold 0 Guided Care.
π Where this applies: Texas
β What is Oscar Gold 0 Guided Care Off Exchange in Texas?
Gold 0 Guided Care Off Exchange is a Gold HMO plan with a $0 deductible.
It has a $9,500 out-of-pocket max. PCP visits are $25, specialists are $50, and the ER is $750. However, inpatient stays are 50%.
π Where this applies: Texas
β Does Oscar offer HSA-compatible plans in Texas?
Yes, most Oscar EPO bronze plans in Texas are HSA compatible.
Silver 6000 HSA and Gold 2000 HSA also qualify. However, Bronze 3000 Off Exchange is not HSA compatible. The Guided Care HMO plans are not HSA compatible either.
π Where this applies: Texas
β How do I find Oscar doctors and hospitals in Texas?
You can search Oscar's networks at hioscar.com/search/networks.
Then, check whether a provider is in the EPO or HMO network for the plan you pick.
π Where this applies: Texas
Oscar Plans in Tennessee
These answers cover Oscar networks, plan suites and costs in Tennessee. Also, check the plan grid for your county before you enroll.
β What kind of network do Oscar plans use in Tennessee?
Oscar offers EPO plans in Tennessee.
Coverage applies to in-network providers that Oscar has partnered with. Plus, you can book in-network specialists directly without a referral.
π Where this applies: Tennessee
β What metal levels does Oscar offer in Tennessee?
Oscar offers Bronze, Silver and Gold plans in Tennessee.
Within each tier, you can find Simple, Classic, Elite and Simple Clinical style plans. In addition, cost-sharing reductions are available for eligible people.
π Where this applies: Tennessee
β What Oscar plans are available in Tennessee?
Tennessee has Oscar Simple, Classic Standard, Elite, Core, HSA and off-exchange plans.
Condition-focused plans include Diabetes, Chronic Care CKM, Breathe Easy COPD and Women's Health with Menopause Benefits. Also, many plans come with adult dental and vision.
π Where this applies: Tennessee
β What is the deductible range for Oscar plans in Tennessee?
Individual deductibles on Oscar Tennessee plans run from $0 to $9,150 ($18,300 family).
Bronze Simple has the highest deductible. By contrast, Bronze Elite + PCP Saver Plus, Gold 0 and Gold Elite Saver Plus have no medical deductible.
π Where this applies: Tennessee
β What is the out-of-pocket maximum on Oscar plans in Tennessee?
Individual out-of-pocket maximums on Oscar Tennessee plans range from $6,000 to $12,000.
Gold 2000 HSA Off Exchange has the lowest maximum. Also, family limits are double.
π Where this applies: Tennessee
β What services cost $0 on Oscar plans in Tennessee?
Oscar Virtual Care is $0 on most Tennessee plans, or $0 after the deductible on HSA plans.
In addition, several silver condition plans list $0 PCP visits. Gold Women's Health plans list $0 PCP visits and $0 preferred generics.
π Where this applies: Tennessee
β Does Oscar offer cost-sharing reduction (CSR) plans in Tennessee?
Oscar says cost-sharing reductions are available for eligible clients in Tennessee.
However, the Tennessee plan grid lists only the base silver plans, not CSR versions. A licensed agent can show your CSR plan options when you apply.
π Where this applies: Tennessee
β Does Oscar have a COPD plan in Tennessee?
Yes, Breathe Easy with Enhanced COPD Benefits comes in Bronze Simple and Silver Simple versions.
The silver version has a $6,200 deductible and $0 PCP visits.
π Where this applies: Tennessee
β Does Oscar have a Chronic Care CKM plan in Tennessee?
Yes, Tennessee options are Bronze Simple CKM, Silver Simple CKM and Silver 3750 Chronic Care CKM Off Exchange.
In addition, Oscar says the plan covers COPD, diabetes and heart conditions together.
π Where this applies: Tennessee
β What does the Oscar Chronic Care CKM plan offer in Tennessee?
Oscar's brochure highlights $0 specialist visits, $0 labs and up to 25% annual savings.
However, the grid shows standard copays for general visits. So, confirm which services are $0 in the plan documents.
π Where this applies: Tennessee
β Does Oscar have a diabetes plan in Tennessee?
Yes, Oscar offers Bronze Simple Diabetes and Silver Simple Diabetes in Tennessee.
Each comes with or without adult dental and vision. In addition, Oscar highlights $0 routine diabetes care, $0 testing supplies and $0 insulin.
π Where this applies: Tennessee
β Does Oscar have a menopause plan in Tennessee?
Yes, Tennessee options are Silver Simple Women's Health with Menopause Benefits and Gold 3000 Women's Health Off Exchange.
Both list $0 PCP visits. In addition, Oscar's HelloMeno offers specialized menopause care.
π Where this applies: Tennessee
β Which Oscar plans in Tennessee are sold off exchange only?
Oscar sells several Tennessee bronze, silver and gold plans off exchange.
These include Bronze 8500 HSA, Bronze 3000, Silver 6000 HSA and Silver 4500. Silver 3750 CKM, Silver 3000 and Silver 1500 are off exchange as well. In addition, Gold 3000 Women's Health, Gold 2000 HSA, Gold 2000, Gold 1500 and Gold 0 are off exchange.
π Where this applies: Tennessee
β Can I get adult dental and vision with an Oscar plan in Tennessee?
Yes, many Oscar plans in Tennessee have a version with adult dental and vision.
Also, its medical cost-sharing matches the version without dental and vision.
π Where this applies: Tennessee
β Is Oscar's integrated behavioral health through virtual care available in Tennessee?
No, Oscar's integrated behavioral health through virtual care is not currently available in Tennessee.
Oscar says Integrated Behavioral Health through Oscar Virtual Care is only in Florida, Georgia, Texas and Arizona. Even so, your plan still covers behavioral health visits at its cost-sharing.
π Where this applies: Tennessee
β How do I find Oscar doctors and hospitals in Tennessee?
You can search Oscar's networks at hioscar.com/search/networks.
Tennessee plans are EPOs, so they cover care only from in-network providers.
π Where this applies: Tennessee
β What is the Oscar Gold Elite Saver Plus plan in Tennessee?
Gold Elite Saver Plus in Tennessee has a $0 medical deductible and a $4,500 pharmacy deductible.
The out-of-pocket max is $11,400. Also, PCP visits are $30 and specialists are $60.
π Where this applies: Tennessee
Oscar Plan Designs in These States
These answers explain how key Oscar plan designs work. In addition, see the extras Oscar highlights for members.
β How does the Oscar Bronze 8500 HSA Off Exchange plan work in South Carolina, Tennessee, Texas or Virginia?
This plan's $8,500 deductible equals its $8,500 out-of-pocket max.
After you meet it, listed services are $0. However, virtual care is $0 only after the deductible as well.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β How does the Oscar Silver 6000 HSA Off Exchange plan work in South Carolina, Tennessee, Texas or Virginia?
This plan has a $6,000 deductible and an $8,500 out-of-pocket max.
After the deductible, medical services are $0. Plus, preferred generics are $4 after the deductible.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β How does the Oscar Gold 2000 HSA Off Exchange plan work?
This plan has a $2,000 deductible and a $6,000 out-of-pocket max.
After the deductible, most services, including drugs, are 20%. However, virtual care is $0 after the deductible.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β What is the Oscar Bronze Elite + PCP Saver Plus plan in South Carolina, Tennessee, Texas or Virginia?
This plan has a $0 medical deductible and a $7,500 pharmacy deductible.
PCP visits are $50, specialists $125 and the ER $2,500. In addition, inpatient stays are $3,000 per day for up to 2 days.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β Is the Oscar Bronze Elite + PCP Saver Plus plan HSA compatible?
Yes, Oscar's grids list it as HSA compatible in South Carolina, Tennessee, Texas and Virginia.
Also, its out-of-pocket max is $12,000.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β What is the Oscar Silver Simple PCP Saver plan in South Carolina, Tennessee, Texas or Virginia?
This plan has a $5,750 deductible and a $10,000 out-of-pocket max.
PCP visits are $20 and specialists $80. In addition, labs are $45 and preferred generics $4.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β How does the Oscar Bronze Simple Diabetes plan work?
This plan has a $5,500 deductible and a $12,000 out-of-pocket max.
Your first 3 PCP visits are $0, then PCP visits are $50. Meanwhile, specialists are $150 and labs $75.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β How does the Oscar Silver Simple Diabetes plan work?
This plan has a $6,500 deductible and a $10,600 out-of-pocket max.
PCP visits are $0 and specialists $40. Also, in Texas, Oscar sells it as a Guided Care HMO plan.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β What is the Oscar Silver Core Plan in South Carolina, Tennessee, Texas or Virginia?
The Silver Core Plan has a $9,000 deductible and a $10,300 out-of-pocket max.
PCP visits are $50, specialists $90 and labs $45. Also, preferred brand drugs are $150.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β What is the Oscar Bronze 3000 Off Exchange plan?
This plan has a $3,000 medical deductible plus a separate $3,000 drug deductible.
The out-of-pocket max is $12,000. In addition, PCP visits are $75 and labs $15.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β What is the Oscar Bronze Simple plan in South Carolina, Tennessee or Virginia?
This plan has a $9,150 deductible and a $12,000 out-of-pocket max.
Most care is 10% after the deductible. Plus, virtual care is $0 and preferred generics are $4.
π Where this applies: South Carolina, Tennessee and Virginia
β What is the Oscar Gold 0 Off Exchange plan in South Carolina or Tennessee?
This plan has a $0 deductible and a $9,500 out-of-pocket max.
PCP visits are $25 and specialists $50. However, ER visits and hospital stays use coinsurance.
π Where this applies: South Carolina and Tennessee
β What is the Oscar Gold Elite Saver Plus plan in Tennessee, Texas or Virginia?
This plan has a $0 medical deductible and a separate pharmacy deductible.
The drug deductible is $4,500 in Tennessee and $2,750 in Texas and Virginia. Meanwhile, PCP visits are $20 to $30.
π Where this applies: Tennessee, Texas and Virginia
β What is the Oscar Gold 1500 Off Exchange plan?
This plan has a $1,500 deductible and a $6,500 out-of-pocket max.
PCP visits are $25, specialists $50 and labs $15. Plus, preferred generics are $4.
π Where this applies: South Carolina, Tennessee and Texas
β What is the Oscar Silver 3000 Off Exchange plan?
This plan has a $3,000 deductible and a $10,000 out-of-pocket max.
PCP visits are $60 and specialists $95. Meanwhile, the ER is $500 after the deductible.
π Where this applies: Tennessee, Texas and Virginia
β What is the Oscar Gold 3000 Women's Health with Menopause Benefits plan?
It is a Gold off-exchange plan with a $3,000 deductible and $8,500 out-of-pocket max.
PCP visits are $0 and specialists $35. Plus, preferred generics are $0.
π Where this applies: South Carolina, Tennessee and Texas
β What do Oscar Classic Standard plans cost for office visits?
On Bronze Classic Standard plans, PCP and specialist visits are $50 and $100.
Silver Classic Standard visits are $40 and $80. By contrast, Gold Classic Standard visits are $30 and $60.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β Are Oscar plan grid details final?
No, Oscar's grids are for advance planning and are not final yet.
They remain subject to CMS review and certification. As a result, benefits, networks and costs may change before enrollment.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β How do I sign up for an Oscar plan in South Carolina, Tennessee, Texas or Virginia?
You can enroll through a broker like Vivna or at hioscar.com/get-coverage.
HealthCare.gov or your state's marketplace also work. After that, pay your first premium to start coverage.
π Where this applies: South Carolina, Tennessee, Texas and Virginia
β What extras do Oscar's comparison sheets highlight?
Oscar's comparison sheets highlight $0 Oscar Virtual Care around the clock and support by phone, AI or chat.
They also list rewards and the Oscar app with Oswell. However, virtual care may not be $0 before the deductible on some HSA plans.
π Where this applies: AZ, FL, MS, NC, TN, TX
Oscar Plans in South Carolina
These answers cover Oscar networks, plan suites and costs in South Carolina. Also, check the plan grid for your county before you enroll.
β Does Oscar sell health insurance in South Carolina?
Yes, Oscar has individual and family plans in South Carolina for the upcoming plan year.
In fact, Oscar is new to the South Carolina market.
π Where this applies: South Carolina
β What kind of network do Oscar plans use in South Carolina?
Oscar offers HMO plans in South Carolina.
So, you must use in-network doctors and specialists to get coverage. Otherwise, the plans do not cover out-of-network visits.
π Where this applies: South Carolina
β Do I need a referral to see a specialist with an Oscar HMO in South Carolina?
No, with an Oscar HMO you can book any in-network provider directly, with no referral.
For example, you can book an in-network gastroenterologist yourself.
π Where this applies: South Carolina
β What metal levels does Oscar offer in South Carolina?
Oscar offers Bronze, Silver and Gold plans in South Carolina.
Bronze has lower premiums and higher costs when you get care. By contrast, Gold has higher premiums and lower out-of-pocket costs.
π Where this applies: South Carolina
β What Oscar plans are available in South Carolina?
Oscar's South Carolina lineup includes Simple, Classic Standard, Elite, Core, HSA and off-exchange plans.
There are also Diabetes, Women's Health with Menopause Benefits, and Early Retirement Benefits plans. In addition, many come in a version with adult dental and vision.
π Where this applies: South Carolina
β What is the deductible range for Oscar plans in South Carolina?
Individual deductibles on Oscar South Carolina plans run from $0 to $9,150 ($18,300 family).
Bronze Simple carries the $9,150 deductible. By contrast, $0 medical deductible plans include Bronze Elite + PCP Saver Plus and Gold 0 Off Exchange.
π Where this applies: South Carolina
β What is the out-of-pocket maximum on Oscar plans in South Carolina?
On standard Oscar plans in South Carolina, individual out-of-pocket maximums range from $6,000 to $12,000.
Family limits are double. However, Silver CSR versions can go as low as $2,950.
π Where this applies: South Carolina
β Does Oscar have $0 deductible plans in South Carolina?
Yes, Gold 0 Off Exchange has a $0 deductible and a $9,500 out-of-pocket max.
Bronze Elite + PCP Saver Plus also has a $0 medical deductible, but a $7,500 pharmacy deductible. In addition, some silver CSR versions have a $0 deductible.
π Where this applies: South Carolina
β What services cost $0 on Oscar plans in South Carolina?
Oscar Virtual Care is $0 on most South Carolina plans.
On HSA plans, however, it is $0 after the deductible. Also, diabetes silver plans list $0 PCP visits and $0 preferred generics.
π Where this applies: South Carolina
β Does Oscar offer HSA-compatible plans in South Carolina?
Yes, Oscar offers several HSA-compatible plans in South Carolina.
These include Bronze Simple, Bronze Classic Standard, Bronze Simple Diabetes, and Bronze Elite + PCP Saver Plus. In addition, the Bronze 8500, Silver 6000 and Gold 2000 HSA Off Exchange plans qualify.
π Where this applies: South Carolina
β Does Oscar offer cost-sharing reduction (CSR) silver plans in South Carolina?
Yes, several Oscar silver plans in South Carolina have CSR versions.
These are Silver Core, Silver Simple Diabetes, Silver Classic Standard and Silver Simple PCP Saver. Also, each comes as CSR 150, 200 and 250. If you qualify, CSR versions lower your deductible and out-of-pocket max.
π Where this applies: South Carolina
β How low can costs go on an Oscar CSR silver plan in South Carolina?
Oscar's CSR 150 versions in South Carolina have a $0 deductible.
For example, Silver Simple PCP Saver CSR 150 has a $2,950 out-of-pocket max and $5 PCP visits. Your eligibility is set when you apply through the Marketplace.
π Where this applies: South Carolina
β Which Oscar plans in South Carolina are sold off exchange only?
In South Carolina, Oscar plans labeled "Off Exchange" are sold outside the Marketplace.
These include Bronze 8500 HSA, Bronze 3000, Silver 6000 HSA, Silver 4500 and Silver 1500. In addition, Gold 3000 Women's Health, Gold 2000 HSA, Gold 2000, Gold 1500 and Gold 0 are off exchange.
π Where this applies: South Carolina
β Can I get adult dental and vision with an Oscar plan in South Carolina?
Yes, many Oscar plans in South Carolina have a version with adult dental and vision.
Also, its medical costs match the plan without dental and vision. A licensed agent can tell you which versions are available to you.
π Where this applies: South Carolina
β Does Oscar have a plan with chiropractic coverage in South Carolina?
Yes, Bronze, Silver and Gold Classic Standard each have a "+ Chiro" version in South Carolina.
However, the grid does not list the chiropractic cost-sharing. So, check the plan documents for those details.
π Where this applies: South Carolina
β Does Oscar have a diabetes plan in South Carolina?
Yes, Oscar offers Bronze Simple Diabetes and Silver Simple Diabetes in South Carolina, including CSR versions.
Oscar's Diabetes Care Plan also highlights $0 routine diabetes care, $0 testing supplies and $0 insulin.
π Where this applies: South Carolina
β Does Oscar have a menopause plan in South Carolina?
Yes, Oscar sells Gold 3000 Women's Health with Menopause Benefits off exchange in South Carolina.
It has a $3,000 deductible and an $8,500 out-of-pocket max. Plus, PCP visits are $0 and specialist visits are $35.
π Where this applies: South Carolina
β Does Oscar have an early retirement plan in South Carolina?
Yes, Gold Simple with Early Retirement Benefits is Oscar's RetireEase option in South Carolina.
It has a $3,000 deductible, $0 PCP visits and $0 preferred generics. In addition, RetireEase offers fixed copays for doctor visits, PT and meds until Medicare at 65.
π Where this applies: South Carolina
β Is Oscar's integrated behavioral health through virtual care available in South Carolina?
No, Oscar's integrated behavioral health through virtual care is not currently available in South Carolina.
Oscar says Integrated Behavioral Health through Oscar Virtual Care is only available in Florida, Georgia, Texas and Arizona. Even so, your plan still covers behavioral health office visits at its cost-sharing.
π Where this applies: South Carolina
β How do I check if my doctor is in Oscar's South Carolina network?
You can search Oscar's networks at hioscar.com/search/networks.
Because South Carolina plans are HMOs, confirm every doctor and hospital is in network before you enroll.
π Where this applies: South Carolina
β What does Oscar Silver Classic Standard cost when I use care in South Carolina?
Silver Classic Standard in South Carolina has a $6,400 deductible and $10,300 out-of-pocket max.
PCP visits are $40, specialists are $80 and urgent care is $60. Also, preferred generics are $20.
π Where this applies: South Carolina
Oscar Plans in Virginia
These answers cover Oscar networks, plan suites and costs in Virginia. Also, check the plan grid for your county before you enroll.
β What kind of network do Oscar plans use in Virginia?
Oscar offers EPO plans in Virginia.
Coverage applies when you use in-network providers. Plus, you can book in-network specialists directly without a referral.
π Where this applies: Virginia
β What Oscar plans are available in Virginia?
Oscar's Virginia grid lists 19 plans across Bronze, Silver and Gold.
They include Simple, Classic Standard, Elite, Core, HSA and off-exchange plans. In addition, Oscar offers Diabetes and Women's Health with Menopause Benefits plans.
π Where this applies: Virginia
β What is the deductible range for Oscar plans in Virginia?
Individual deductibles on Oscar Virginia plans run from $0 to $9,150 ($18,300 family).
Bronze Elite + PCP Saver Plus and Gold Elite Saver Plus have a $0 medical deductible. However, each has a separate pharmacy deductible.
π Where this applies: Virginia
β What is the out-of-pocket maximum on Oscar plans in Virginia?
Individual out-of-pocket maximums on Oscar Virginia plans range from $6,000 to $12,000.
Gold 2000 HSA Off Exchange has the lowest maximum. Also, family limits are double.
π Where this applies: Virginia
β What services cost $0 on Oscar plans in Virginia?
Oscar Virtual Care is $0 on most Virginia plans, or $0 after the deductible on HSA plans.
In addition, Silver Simple Diabetes and Silver Simple Women's Health list $0 PCP visits.
π Where this applies: Virginia
β Does Oscar offer cost-sharing reduction (CSR) plans in Virginia?
Oscar says cost-sharing reductions are available for eligible clients in Virginia.
However, the Virginia grid lists only the base silver plans, not CSR versions. A licensed agent can show your CSR options when you apply.
π Where this applies: Virginia
β How are Oscar Classic Standard plans different in Virginia?
Virginia's Classic Standard plans differ from those in South Carolina, Tennessee and Texas.
For example, Silver Classic Standard has a $6,000 deductible and $8,900 out-of-pocket max. Gold Classic Standard has a $2,000 deductible and an $8,200 max.
π Where this applies: Virginia
β What does Oscar Bronze Classic Standard cost in Virginia?
Bronze Classic Standard in Virginia has a $7,500 deductible and $10,500 out-of-pocket max.
PCP visits are $50 and specialists are $100. It is also HSA compatible.
π Where this applies: Virginia
β Does Oscar have a diabetes plan in Virginia?
Yes, Oscar offers Bronze Simple Diabetes and Silver Simple Diabetes in Virginia.
In addition, Oscar highlights $0 routine diabetes care, $0 testing supplies and $0 insulin.
π Where this applies: Virginia
β Does Oscar have a menopause plan in Virginia?
Yes, Oscar offers Silver Simple Women's Health with Menopause Benefits in Virginia.
It has a $6,000 deductible and $0 PCP visits. In addition, Oscar's HelloMeno offers specialized menopause care, with coverage for the whole family.
π Where this applies: Virginia
β Do Oscar plans in Virginia include adult dental and vision?
Oscar's Virginia grid does not list any "with Adult Dental & Vision" plan versions.
Instead, ask a licensed agent about separate dental and vision coverage.
π Where this applies: Virginia
β Which Oscar plans in Virginia are sold off exchange only?
Oscar sells six Virginia plans off exchange only.
They are Bronze 8500 HSA, Bronze 3000, Silver 6000 HSA, Silver 3000, Gold 2000 HSA and Gold 2000. By contrast, Oscar's grid does not label other Virginia plans as off exchange.
π Where this applies: Virginia
β Is Oscar's integrated behavioral health through virtual care available in Virginia?
No, Oscar's integrated behavioral health through virtual care is not currently available in Virginia.
Oscar lists it only in Florida, Georgia, Texas and Arizona. Still, your plan covers behavioral health visits at the plan's cost-sharing.
π Where this applies: Virginia
β How do I find Oscar doctors and plans in Virginia?
You can search Oscar doctors and hospitals at hioscar.com/search/networks.
Then, to see plans, Oscar's Virginia brochure points to hioscar.com/brokers/plans.
π Where this applies: Virginia
π More Oscar and ACA Plan Guides
These answers cover Oscar plans state by state. When you want more depth, these guides from our licensed agents explain networks, metal tiers and subsidies. Then, if a question comes up, call 888-730-6001 anytime.
π Oscar and ACA Guides
𧩠More Oscar FAQ Libraries
π Questions About Oscar Health Plans in Your State?
These answers cover the most common Oscar questions, but every county and family is different. Therefore, our licensed agents compare Oscar and other ACA plans for free.
Best of all, our help costs you nothing. Request a free quote online, or call 888-730-6001 to speak with an agent today. You can also reach us through our contact page.
- π 888-730-6001
- βοΈ memberservices@vivna.net
- π Deerfield Beach, Florida
Official resources: the Oscar Health website, HealthCare.gov, and the National Association of Insurance Commissioners.
Vivna Insurance is an appointed, authorized broker for Oscar Health. We are an independent agency, not Oscar. Plans, costs and availability vary by state and county. Plan details come from Oscarβs current brochures and can change at renewal.