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Oscar Simple Secure
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Oscar Simple Secure

Overview
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Oscar Simple Secure 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
23552TN0010001
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
$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 99.91%
Premium Child Age 0-14 196
Premium Child Age 18 234
Premium Adult Individual Age 21 256
Premium Adult Individual Age 27 268
Premium Adult Individual Age 30 291
Premium Adult Individual Age 40 327
Premium Adult Individual Age 50 458
Premium Adult Individual Age 60 696
Premium Couple 21 512
Premium Couple 30 582
Premium Couple 40 655
Premium Couple 50 916
Premium Couple 60 1,392
Couple+1 child, Age 21 709
Couple+1 child, Age 30 778
Couple+1 child, Age 40 851
Couple+1 child, Age 50 1,112
Couple+2 children, Age 21 905
Couple+2 children, Age 30 974
Couple+2 children, Age 40 1,047
Couple+2 children, Age 50 1,308
Couple+3 or more Children, Age 21 1,101
Couple+3 or more Children, Age 30 1,170
Couple+3 or more Children, Age 40 1,244
Couple+3 or more Children, Age 50 1,504
Individual+1 child, Age 21 452
Individual+1 child, Age 30 487
Individual+1 child, Age 40 523
Individual+1 child, Age 50 654
Individual+2 children, Age 21 648
Individual+2 children, Age 30 683
Individual+2 children, Age 40 720
Individual+2 children, Age 50 850
Individual+3 or more children, Age 21 845
Individual+3 or more children, Age 30 879
Individual+3 or more children, Age 40 916
Individual+3 or more children, Age 50 1,046
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