Oscar

Secure

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Major Dental Care

Links

Plan Overview

Combined Medical and Drug Deductible	Individual: $9,200.00 Family: $18400.0 Per Person: $9200.0
Combined Medical and Drug Out of Pocket Maximum	Individual: $9,200.00 Family: $18400.0 Per Person: $9200.0

Office Visit

Primary Doctor	CoPay: No Charge after deductible CoInsurance: Not Applicable Covered: Covered Benefit Explanation: First three (3) non-preventive visits are $0 and not subject to the deductible. Cost share applies to both in-person and telemedicine services from in-network providers.
Specialist	CoPay: No Charge after deductible CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Cost share applies to both in-person and telemedicine services from in-network providers.

Prescription Drug Information

Preferred Brand Drugs	CoPay: No Charge after deductible CoInsurance: Not Applicable Covered: Covered Exclusions: Excludes infertility services including medications.
Non Preferred Brand Drugs	CoPay: No Charge after deductible CoInsurance: Not Applicable Covered: Covered Exclusions: Excludes infertility services including medications.
Generic Drugs	CoPay: No Charge after deductible CoInsurance: Not Applicable Covered: Covered Exclusions: Excludes infertility services including medications.
Specialty Drugs	CoPay: No Charge after deductible CoInsurance: Not Applicable Covered: Covered Exclusions: Excludes infertility services including medications.

Inpatient Coverage

Hospital Services	CoPay: No Charge after deductible CoInsurance: Not Applicable Covered: Covered
Inpatient Services	CoPay: No Charge after deductible CoInsurance: Not Applicable Covered: Covered

Emergency and Urgent Care

Emergency Room

CoPay: No Charge after deductible
CoInsurance: Not Applicable
Covered: Covered

Maternity

Labor and Delivery Hospital Stay	CoPay: No Charge after deductible CoInsurance: Not Applicable Covered: Covered
Pre and Postnatal Office Visit	CoPay: Not Applicable CoInsurance: 0.00% Covered: Covered

Vision

Routine Eye Exams for Children

CoPay: No Charge after deductible
CoInsurance: Not Applicable
Covered: Covered
Limit Quantity: 1
Limit Unit : Exam(s) per Year

Major Dental Care

Routine Dental Checkups for Children	Covered: Not Covered
Routine Dental Checkups for Adults	Covered: Not Covered