Oscar Texas

Our Rating:

★★★★★

Currently serving the areas around Austin and San Antonio, Oscar’s plans offer low premiums in exchange for technology based care 24/7.

Oscar Texas – Texas Health Plans

Plan Overviews

All of Oscar Texas health plans come with access to great care and the Oscar experience, with free 24/7 calls with doctors and a dedicated health concierge to help manage your care.

A new type of health insurance company, Oscar is focused on using technology to keep costs low. They appear to have the lowest rates available in their coverage area for 2018, and the extraordinary level of service offered makes them the best value in Texas. 

Oscar has partnered with hospitals in Austin and San Antonio to provide the best possible care, but only offers EPOs. Out of network care will not be covered except in the case of an emergency. No referrals needed – ever. Make an appointment with any in-network doctor, including specialists, without a referral. 

Their San Antonio service area includes Bexar and Comal Counties; their new Austin service area includes Travis, Williamson, and Hays Counties.

 

Shaped more like traditional health plans, Classic plans offer higher levels of coverage and more copays than Simple plans.

 

Classic Bronze Classic Silver Classic Gold
The Basics
Free 24/7 calls with doctors ✔️ ✔️ ✔️
Up to $100/year in step tracking rewards ✔️ ✔️ ✔️
Free preventive care ✔️ ✔️ ✔️
Dedicated Concierge ✔️ ✔️ ✔️
Individual Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim.* $3,500 $4,500 $1,500
Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services* $7,350 $7,350 $7,350
HSA-Compatible? No No No
Prices before you meet your deductible
Primary Care / OBGYN visits Full Price $50 $25
Specialist visits Full Price $75 $50
Mental health office visits Full Price $75 $50
Physical, Occupational, and Speech Therapy Full Price $75 $50
Urgent Care $100 $100 $100
Labs Full Price Full Price $25
Generic Drugs Full Price $15 $10
Preferred Brand Drugs Full Price $100 $50
Non-Preferred Brand Drugs Full Price Full Price Full Price
Prices after you meet your deductible
Primary Care / OBGYN visits 50% $50 $25
Mental health office visits 50% $75 $50
Urgent Care $100 $100 $100
Xrays & Diagnostic Imaging 50% 50% 20%
Emergency Room 50% 50% 20%
Outpatient Facility 50% 50% 20%
Generic Drugs 50% $15 $10
Non-Preferred Brand Drugs 50% 50% 20%
Simple Secure Simple Bronze Simple Silver
The Basics 
Free 24/7 calls with doctors ✔️ ✔️ ✔️
Up to $100/year in step tracking rewards ✔️ ✔️ ✔️
Free preventive care ✔️ ✔️ ✔️
Dedicated Concierge ✔️ ✔️ ✔️
Individual Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim.* $7,350 $7,350 $7,000
Individual Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services* $7,350 $7,350 $7,000
HSA-Compatible? No No No
Prices before you meet your deductible
Primary Care / OBGYN visits 3 for $0 Full Price $25
Specialist visits Full Price Full Price $50
Mental health office visits 3 for $0 Full Price $50
Physical, Occupational, and Speech Therapy Full Price Full Price $50
Urgent Care Full Price $100 $100
Labs Full Price Full Price $50
Generic Drugs Full Price Full Price $20
Preferred Brand Drugs Full Price Full Price $100
Non-Preferred Brand Drugs Full Price Full Price Full Price
Prices after you meet your deductible
Primary Care / OBGYN visits
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 all covered services.

No more copays. No coinsurance.

Mental health office visits
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 all covered services.

No more copays. No coinsurance.

Urgent Care
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 all covered services.

No more copays. No coinsurance.

Xrays & Diagnostic Imaging
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 all covered services.

No more copays. No coinsurance.

Emergency Room
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 all covered services.

No more copays. No coinsurance.

Outpatient Facility
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 all covered services.

No more copays. No coinsurance.

Generic Drugs
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 all covered services.

No more copays. No coinsurance.

Non-Preferred Brand Drugs
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 all covered services.

No more copays. No coinsurance.

This silver tier plan is only available off-exchange

• It has lower premiums than other silver tier plans

• Only difference vs. Classic Silver plan is copay on

generic drugs lowered to $10

• Plan created in response to uncertainty around the

federal government’s funding of cost share reduction

(CSR) subsidies. This uncertainty has driven up

premiums on silver tier plans available on the

government exchange

 

Silver $10 Generic Rx

The Basics

Free 24/7 calls with doctors

✔️

Up to $100/year in step tracking rewards

✔️

Free preventive care

✔️

Dedicated Concierge

✔️

Individual Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim.*

$4,500

Individual Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services*

$7,350

HSA-Compatible?

No

Prices before you meet your deductible

Primary Care visits

$50

Specialist visits

$75

Mental Health visits

$75

Physical, Occupational, and Speech Therapy

$75

Urgent Care

$100

Labs

Full Price

Generic Drugs

$10

Preferred Brand Drugs

$100

Prices after you meet your deductible

Primary Care visits

$50

Specialist visits

$75

Mental Health visits

$75

Physical, Occupational, and Speech Therapy

$75

Urgent Care

$100

Labs

50%

Xrays & Diagnostic Imaging

50%

MRIs & Advanced Imaging

50%

Emergency Room

50%

Inpatient Facility & Skilled Nursing Facility

50%

Outpatient Facility

50%

Outpatient Professional

50%

Generic Drugs

$10

Preferred Brand Drugs

$100

Non-Preferred Brand Drugs

50%

Specialty Drugs

50%

Saver Bronze Saver Silver
The Basics 
Free 24/7 calls with doctors ✔️ ✔️
Up to $100/year in step tracking rewards ✔️ ✔️
Free preventive care ✔️ ✔️
Dedicated Concierge ✔️ ✔️
Individual Deductiblea specified amount of money that the insured must pay before an insurance company will pay a claim.* $6,500 $5,000
Individual Out-of-Pocket MaximumAn out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services* $6,500 $5,000
HSA-Compatible? Yes Yes
Prices before you meet your deductible
Primary Care / OBGYN visits Full Price Full Price
Specialist visits Full Price Full Price
Mental health office visits Full Price Full Price
Physical, Occupational, and Speech Therapy Full Price Full Price
Urgent Care Full Price Full Price
Labs Full Price Full Price
Generic Drugs Full Price Full Price
Preferred Brand Drugs Full Price Full Price
Non-Preferred Brand Drugs Full Price Full Price

 

Prices after you meet your deductible
Primary Care / OBGYN visits
Why aren’t there copays or coinsurance amounts here?

With our plans, you pay for covered services up to your deductible.

After that, Oscar pays for all covered services.

No more copays. No coinsurance.

Mental health office visits
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 all covered services.

No more copays. No coinsurance.

Urgent Care
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 all covered services.

No more copays. No coinsurance.

Xrays & Diagnostic Imaging
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 all covered services.

No more copays. No coinsurance.

Emergency Room
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 all covered services.

No more copays. No coinsurance.

Outpatient Facility
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 all covered services.

No more copays. No coinsurance.

Generic Drugs
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 all covered services.

No more copays. No coinsurance.

Non-Preferred Brand Drugs
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 all covered services.

No more copays. No coinsurance.

Coverage Map

Austin

San Antonio

Oscar’s San Antonio Service Area includes Bexar and Comal Counties

2018 Participating Hospital List

Bexar County

  • Baptist Medical Center
  • Mission Trail Baptist Hospital
  • North Central Baptist Hospital
  • Northeast Baptist Hospital
  • St. Luke’s Baptist Hospital Comal
  • Resolute Health Hospital

Comal County

  • Resolute Health Hospital

Travis

  • Dell Children’s Medical Center
  • Dell Seton Medical Center at The University of Texas
  • Seton Medical Center Austin
  • Seton Northwest Hospital
  • Seton Shoal Creek Hospital
  • Seton Southwest Hospital
  • Baylor Scott & White Medical Center – Lakeway

Williamson

  • Cedar Park Regional Medical Center
  • Seton Medical Center Williamson
  • Baylor Scott & White
  • Medical Center – Round Rock
  • Baylor Scott & White
  • Medical Center – Taylor
  • Baylor Scott & White Emergency
  • Medical Center – Cedar Park

Hays

    • Seton Medical Center Hays

Apply Online Now

Oscar Texas Perks

Dedicated Health Concierge Team

Oscar Texas Concierge Team

With Oscar, you get your own Concierge team – three care guides and
a nurse. You talk to the same people every time you call or message.
And you get personalized care from people who know you as more
than just a member ID number.

Oscar Customer Service Info

Innovative Mobile App

“Simple, useful, and actually gives me money!” – App Store review

apply and google play icon

Simple. Smart. Snazzy. It’s a health insurance app that doesn’t look or act like one. The Oscar app makes it easy to manage your health, find great care, and see everything in one place. And it’s easy on the eyes. Here’s what members love most about it.

Reach your Concierge team in one tap.

oscar texas person

Don’t go through an annoying automated phone system to get help. Ask your dedicated Concierge team about bills, benefits, prescriptions, and doctors right from the Oscar app. You’ll talk to one of the same four people every time you message or call.

Get a diagnosis and prescription in two taps.

Oscar Texas Doctor

The average Doctor on Call user saves $600-$900 by using the free service instead of visiting the ER or urgent care. Send a request 24/7, and a board-certified Doctor will call you within 15 minutes. No booking ahead, no waiting rooms, no off-hours.

 

See all of your stuff in one place.

You shouldn’t have to navigate a clunky website just to find your own health info. Your plan details, labs, prescriptions, health history, bills, and ID card are on the app.

 

Get Money For Walking.

Earn $1 toward an Amazon® Gift Card for every day that you hit your step goal. It’s hassle-free – the app automatically syncs your steps from Apple Health or Google Fit.

Contact Us

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

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Oscar Texas

Contact Us

(312) 726-6565