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Oscar Classic Silver
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Oscar Classic Silver

Overview
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Oscar Classic Silver 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 Fayette 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
23552TN0050001
Coverage area
Fayette 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
$4,400
Out-of-pocket maximum
$7,900
Generic drug co-pay
$15
Preferred brand drug co-pay
50% Coinsurance after deductible
Primary care physician visit cost
$50
Specialist doctor visit cost
$75
Doctor Visits
Primary Care Visit $50
Specialist Visit $75
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 $15
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) $4,400
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $8,800
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 0-14 321
Premium Child Age 18 384
Premium Adult Individual Age 21 420
Premium Adult Individual Age 27 441
Premium Adult Individual Age 30 477
Premium Adult Individual Age 40 537
Premium Adult Individual Age 50 751
Premium Adult Individual Age 60 1,142
Premium Couple 21 841
Premium Couple 30 955
Premium Couple 40 1,075
Premium Couple 50 1,503
Premium Couple 60 2,284
Couple+1 child, Age 21 1,163
Couple+1 child, Age 30 1,277
Couple+1 child, Age 40 1,397
Couple+1 child, Age 50 1,825
Couple+2 children, Age 21 1,485
Couple+2 children, Age 30 1,599
Couple+2 children, Age 40 1,719
Couple+2 children, Age 50 2,147
Couple+3 or more Children, Age 21 1,807
Couple+3 or more Children, Age 30 1,921
Couple+3 or more Children, Age 40 2,041
Couple+3 or more Children, Age 50 2,469
Individual+1 child, Age 21 742
Individual+1 child, Age 30 799
Individual+1 child, Age 40 859
Individual+1 child, Age 50 1,073
Individual+2 children, Age 21 1,064
Individual+2 children, Age 30 1,121
Individual+2 children, Age 40 1,181
Individual+2 children, Age 50 1,395
Individual+3 or more children, Age 21 1,386
Individual+3 or more children, Age 30 1,443
Individual+3 or more children, Age 40 1,503
Individual+3 or more children, Age 50 1,717
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