Oscar Texas

Plan Overviews

Oscar’s Plans. Health insurance without the headache. All of Oscar’s plans come with access to great care and the Oscar experience. 

Currently only offering coverage in Bexar county, Oscar offers a new and exciting approach to healthcare. 

Oscar is proud to partner with Baptist Health to provide access to some of the best providers and hospitals in Texas in 2017. Oscar’s plans cover care received with doctors and hospitals in the network, and you never need a referral. Out of network care will not be covered except in the case of an emergency.

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Secure Bronze Silver Gold
The Basics
Free 24/7 calls with doctors
Up to $100/year in step tracking rewards
Free preventive care
Individual Deductible $7,150 $7,150 $7,150 $3,000
Individual Out-of-Pocket Max $7,150 $7,150 $7,150 $3,000
Prices before you meet your deductible
Primary Care visits 3 for $0 Full Price $10 $10
Specialist visits Full Price Full Price $50 $50
Mental Health visits Full Price Full Price $50 $50
Physical, Occupational, and Speech Therapy Full Price Full Price $50 $50
Urgent Care Full Price Full Price $100 $100
Labs Full Price Full Price $25 $25
Generic Drugs Full Price $5 $0 $0
Preferred Brand Drugs Full Price Full Price $50 $50
Non-Preferred Brand Drugs Full Price Full Price Full Price Full Price
Specialty Drugs Full Price Full Price Full Price Full Price
Prices after you meet your deductible*
Primary Care visits
Specialist visits
Mental Health visits
Physical, Occupational, and Speech Therapy
*Why aren’t there copays or coinsurance amounts here?
With our Simple plans, you pay
for covered services up to your deductible. After that, Oscar pays for everything.
No more copays. No coinsurance.
Urgent Care
Labs
Xrays & Diagnostic Imaging
MRIs & Advanced Imaging
Emergency Room
Inpatient Facility & Skilled Nursing Facility
Outpatient Facility
Outpatient Professional
Generic Drugs
Preferred Brand Drugs
Non-Preferred Brand Drugs
Specialty Drugs
Bronze Silver Gold
The Basics
Free 24/7 calls with doctors
Up to $100/year in step tracking rewards
Free preventive care
Individual Deductible* $6,650 $3,500 $1,250
Individual Out-of-Pocket Max* $7,150 $7,150 $4,750
Prices before you meet your deductible
Primary Care visits 3 for $45 $30 $20
Specialist visits Full Price $65 $50
Mental Health visits 3 for $45 Full Price Full Price
Physical, Occupational, and Speech Therapy Full Price Full Price Full Price
Urgent Care Full Price $75 $65
Labs Full Price Full Price Full Price
Generic Drugs $35 $15 $10
Preferred Brand Drugs Full Price $50 $30
Non-Preferred Brand Drugs Full Price $100 $75
Specialty Drugs Full Price 40% 30%
Prices after you meet your deductible
Primary Care visits 50% $30 $20
Specialist visits 50% $65 $50
Mental Health visits 50% 20% 20%
Physical, Occupational, and Speech Therapy 50% 20% 20%
Urgent Care 50% $75 $65
Labs 50% 20% 20%
Xrays & Diagnostic Imaging 50% 20% 20%
MRIs & Advanced Imaging 50% 20% 20%
Emergency Room 50% $400 $250
Inpatient Facility & Skilled Nursing Facility 50% 20% 20%
Outpatient Facility 50% 20% 20%
Outpatient Professional 50% 20% 20%
Generic Drugs $35 $15 $10
Preferred Brand Drugs 35% $50 $30
Non-Preferred Brand Drugs 40% $100 $75
Specialty Drugs 45% 40% 30%
2017 Participating Hospital List

San Antonio

• Baptist Medical Center

• Mission Trail Baptist Hospital

• North Central Baptist Hospital

• Northeast Baptist Hospital

• St Luke’s Baptist Hospital

• Baptist Emergency Hospital Hausman

• Baptist Emergency Hospital Overlook

• Baptist Emergency Hospital Westover Hills

• Baptist Emergency Hospital Thousand Oaks

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Contact Us

Phone: (312) 726-6565
Email: [email protected]

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