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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 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
23552TN0020001
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
$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 0-14 241.59
Premium Child Age 18 288.33
Premium Adult Individual Age 21 315.8
Premium Adult Individual Age 27 330.96
Premium Adult Individual Age 30 358.44
Premium Adult Individual Age 40 403.6
Premium Adult Individual Age 50 564.03
Premium Adult Individual Age 60 857.09
Premium Couple 21 631.6
Premium Couple 30 716.88
Premium Couple 40 807.2
Premium Couple 50 1,128.06
Premium Couple 60 1,714.18
Couple+1 child, Age 21 873.19
Couple+1 child, Age 30 958.47
Couple+1 child, Age 40 1,048.79
Couple+1 child, Age 50 1,369.65
Couple+2 children, Age 21 1,114.78
Couple+2 children, Age 30 1,200.06
Couple+2 children, Age 40 1,290.38
Couple+2 children, Age 50 1,611.24
Couple+3 or more Children, Age 21 1,356.37
Couple+3 or more Children, Age 30 1,441.65
Couple+3 or more Children, Age 40 1,531.97
Couple+3 or more Children, Age 50 1,852.83
Individual+1 child, Age 21 557.39
Individual+1 child, Age 30 600.03
Individual+1 child, Age 40 645.19
Individual+1 child, Age 50 805.62
Individual+2 children, Age 21 798.98
Individual+2 children, Age 30 841.62
Individual+2 children, Age 40 886.78
Individual+2 children, Age 50 1,047.21
Individual+3 or more children, Age 21 1,040.57
Individual+3 or more children, Age 30 1,083.21
Individual+3 or more children, Age 40 1,128.37
Individual+3 or more children, Age 50 1,288.8
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