Reach your Concierge team in one tap.
Utilize the Oscar application to inquire about invoices, perks, medications, and healthcare providers. Each time you message or call, you will engage with one of the consistent quartet. Avoid the inconvenience of navigating through a bothersome automated phone system for assistance.
See all of your stuff in one place.
Your ID card, invoices, medical background, medication orders, laboratory results, and plan specifics are all accessible on the application. It should not be necessary for you to navigate a cumbersome website in order to locate your personal health information.
Get a diagnosis and prescription in two taps.
Rather than going to the emergency room or urgent care, the typical user of Doctor on Call saves $600-$900 by utilizing the complimentary service. In just 15 minutes, a certified doctor will contact you upon sending a request at any time, day or night. There are no waiting areas, no after-hours visits, and no need to make appointments in advance.
Oscar Texas Perks
Dedicated Health Concierge Team
An individual who works as a nurse and three care guides form your exclusive Concierge team alongside Oscar. Whenever you make a phone call or send a message, you have the opportunity to converse with these exact individuals. Moreover, you are provided with specialized attention from individuals who acknowledge your identity beyond merely being associated with a member identification number.
Innovative Mobile App
Oscar Texas – Texas Health Plans
Plan Overviews
All Texas residents have access to dedicated concierge health care management and doctors who are available 24/7. With Oscar’s great experience and commitment to excellent care, you can enjoy free calls and exceptional health plans.
In Texas, Oscar is the top choice because they offer the most affordable prices for 2018 in their coverage region. By utilizing technology to minimize expenses, Oscar is an innovative health insurance company that provides exceptional service.
You can schedule an appointment with any doctor within your network, including specialists, without needing a referral. Referrals are not necessary at any time. However, please note that out-of-network healthcare services will not be covered unless it is an emergency situation. Oscar has collaborated with hospitals in Austin and San Antonio to ensure the provision of excellent care, but they only offer Exclusive Provider Organizations (EPOs).
The area where they provide their services in San Antonio includes Bexar and Comal Counties, whereas their service area in Austin, which has been recently extended, includes Travis, Williamson, and Hays Counties.
2022 Oscar Plan Information
Resembling conventional health plans to a greater extent, Classic plans provide increased levels of coverage and additional copays compared to 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. |
Silver tier plans, which can be found on the government exchange, have increased premiums as a result of the uncertainty surrounding the federal government’s funding of cost share reduction (CSR) subsidies. This lack of certainty has led to the creation of a specific plan that includes a lower copay of $10 for generic drugs, which is the only variation when compared to the Classic Silver plan. Unlike other silver tier plans, this particular plan is only accessible outside of the 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
2021/2022 Participating Hospital List..
Check the Provider Finder to see if it’s in-network!
HCA Healthcare has announced partnerships with Oscar to seamlessly offer connected health insurance and care across Texas, including the cities of Dallas-Fort Worth, Houston, Austin, San Antonio, and El Paso. These facilities are locally referred to as Healthcare’s HCA markets.
Other Hospitals below by county. Don’t see your preferred hospital? Check the Provider Finder to see if it’s in-network!
Bexar County
Comal County
Travis
Williamson
Hays
“Simple, useful, and actually gives me money!” – App Store review
Here’s what most members love about it. It’s easy on the eyes. And it makes it easy to manage your health, find great care, and see everything in one place. The Oscar app is like health insurance that doesn’t look or act like one. It’s snazzy, smart, and simple.
Get Money For Walking.
The app effortlessly synchronizes your steps from either Apple Health or Google Fit. It’s a convenient feature. You can earn $1 towards an Amazon® Gift Card for each day you achieve your step target.
Dual Networks
In Texas, Oscar is proud to offer two comprehensive network options, which allow you to choose from a network of high-quality health providers and systems, so you and your family can select the right doctors. Oscar works diligently to renew and provide even more options for both new and existing members, aiming to offer additional choices for families and individuals in 2022.
If you reside in Harris, Fort Bend, Montgomery, Galveston, or Brazoria counties, you have the option to select from two provider networks.
Oscar Choice Network
St. Joseph’s, HCA Gulf Coast, and Hermann have formed a partnership with this network. The network provides a wide range of hospitals, medical facilities, experts, and skilled physicians, and the Choice network is extensive.
Oscar Select Network
This network Select The provides locally curated clinical facilities and hospitals where doctors and specialists work together without sacrificing the quality of care, at a cost-effective medical offer that members can expect. This work network is a partnership between St. Joseph’s and HCA.
*In Texas, the Choice network and the Select network are available in Harris, Fort Bend, Montgomery, Galvest on and Brazoria counties.** Provider listings are not all-inclusive and are as of Sept ember 2021; subject to change. For a list ing of doctors and facilities that participate in the Select and Choice networks, contact your local broker or visit hioscar.com.
Coming Soon for Diabetic Members
Oscar plans to launch a new innovative plan to better serve diabetic members, including cost-saving benefits that members who enroll in the diabetes plan will enjoy. The plan will be available to both Family and Individual members.