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Oscar Classic Bronze
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Oscar Classic Bronze

Overview
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Oscar Classic Bronze is an individual health health plan issued by Oscar Insurance Company and is available for the year 2019. This health plan is offered by the federal government through HealthCare.gov and the Affordable Care Act (ACA).

Where Do I Need to Live to Quality for this Plan?

This plan is available for qualifying individuals who live in Davidson county, Tennessee.

What Type of Health Plan Is This?

This plan is an EPO plan, which is also known as an "Exclusive Provider Organization." An EPO is a managed care plan where services are covered so long as the the hospitals, dentists, and other health providers in the plan's network are used.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Oscar Insurance Company
Plan ID
23552TN0040001
Coverage area
Davidson County, Tennessee
Phone
Local Phone: 1-855-672-2755
Toll-Free: 1-855-672-2755
TTY: 1-855-672-2755
Plan type
EPO
Coverage type
Medical deductible
$4,500
Out-of-pocket maximum
$7,900
Generic drug co-pay
50% Coinsurance after deductible
Preferred brand drug co-pay
50% Coinsurance after deductible
Primary care physician visit cost
50% Coinsurance after deductible
Specialist doctor visit cost
50% Coinsurance after deductible
Doctor Visits
Primary Care Visit 50% Coinsurance after deductible
Specialist Visit 50% Coinsurance after deductible
Emergency Room Visit 50% Coinsurance after deductible
Inpatient Facility Visit 50% Coinsurance after deductible
Inpatient Physician Visit 50% Coinsurance after deductible
Prescription Drugs
Generic Drugs 50% Coinsurance after deductible
Preferred Brand Drugs 50% Coinsurance after deductible
Non-preferred Brand Drugs 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $4,500
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $9,000
Medical Maximum Out Of Pocket (Family) $15,800
Drug Deductible
Drug Deductible (Individual) Included in Medical
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) Included in Medical
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 99.92%
Premium Child Age 0-14 248
Premium Child Age 18 296
Premium Adult Individual Age 21 324
Premium Adult Individual Age 27 340
Premium Adult Individual Age 30 368
Premium Adult Individual Age 40 415
Premium Adult Individual Age 50 580
Premium Adult Individual Age 60 881
Premium Couple 21 649
Premium Couple 30 737
Premium Couple 40 830
Premium Couple 50 1,160
Premium Couple 60 1,763
Couple+1 child, Age 21 898
Couple+1 child, Age 30 985
Couple+1 child, Age 40 1,078
Couple+1 child, Age 50 1,408
Couple+2 children, Age 21 1,146
Couple+2 children, Age 30 1,234
Couple+2 children, Age 40 1,327
Couple+2 children, Age 50 1,657
Couple+3 or more Children, Age 21 1,395
Couple+3 or more Children, Age 30 1,482
Couple+3 or more Children, Age 40 1,575
Couple+3 or more Children, Age 50 1,905
Individual+1 child, Age 21 573
Individual+1 child, Age 30 617
Individual+1 child, Age 40 663
Individual+1 child, Age 50 828
Individual+2 children, Age 21 821
Individual+2 children, Age 30 865
Individual+2 children, Age 40 912
Individual+2 children, Age 50 1,077
Individual+3 or more children, Age 21 1,070
Individual+3 or more children, Age 30 1,114
Individual+3 or more children, Age 40 1,160
Individual+3 or more children, Age 50 1,325
Reference
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  • HealthCare.gov. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov
  • The 'metal' categories: Bronze, Silver, Gold & Platinum. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plans-categories
  • Health insurance plan & network types: HMOs, PPOs, and more. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plan-types