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Oscar Simple Bronze
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Oscar Simple Bronze

Overview
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Oscar Simple Bronze is an individual health health plan issued by Oscar Insurance Company of Florida 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 Osceola county, Florida.

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 of Florida
Plan ID
40572FL0070001
Coverage area
Osceola County, Florida
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
$7,900
Out-of-pocket maximum
$7,900
Generic drug co-pay
No Charge after Deductible
Preferred brand drug co-pay
No Charge after Deductible
Primary care physician visit cost
No Charge after Deductible
Specialist doctor visit cost
No Charge after Deductible
Doctor Visits
Primary Care Visit No Charge after Deductible
Specialist Visit No Charge after Deductible
Emergency Room Visit No Charge after Deductible
Inpatient Facility Visit No Charge after Deductible
Inpatient Physician Visit No Charge after Deductible
Prescription Drugs
Generic Drugs No Charge after Deductible
Preferred Brand Drugs No Charge after Deductible
Non-preferred Brand Drugs No Charge after Deductible
Specialty Drugs No Charge after Deductible
Medical Deductible
Medical Deductible (Individual) $7,900
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $15,800
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 100.00%
Premium Child Age 0-14 199
Premium Child Age 18 237
Premium Adult Individual Age 21 260
Premium Adult Individual Age 27 273
Premium Adult Individual Age 30 295
Premium Adult Individual Age 40 333
Premium Adult Individual Age 50 465
Premium Adult Individual Age 60 707
Premium Couple 21 521
Premium Couple 30 591
Premium Couple 40 666
Premium Couple 50 930
Premium Couple 60 1,414
Couple+1 child, Age 21 720
Couple+1 child, Age 30 790
Couple+1 child, Age 40 865
Couple+1 child, Age 50 1,130
Couple+2 children, Age 21 919
Couple+2 children, Age 30 990
Couple+2 children, Age 40 1,064
Couple+2 children, Age 50 1,329
Couple+3 or more Children, Age 21 1,119
Couple+3 or more Children, Age 30 1,189
Couple+3 or more Children, Age 40 1,264
Couple+3 or more Children, Age 50 1,528
Individual+1 child, Age 21 459
Individual+1 child, Age 30 495
Individual+1 child, Age 40 532
Individual+1 child, Age 50 664
Individual+2 children, Age 21 659
Individual+2 children, Age 30 694
Individual+2 children, Age 40 731
Individual+2 children, Age 50 864
Individual+3 or more children, Age 21 858
Individual+3 or more children, Age 30 893
Individual+3 or more children, Age 40 931
Individual+3 or more children, Age 50 1,063
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