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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 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
23552TN0010001
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 99.91%
Premium Child Age 0-14 208.27
Premium Child Age 18 248.56
Premium Adult Individual Age 21 272.25
Premium Adult Individual Age 27 285.31
Premium Adult Individual Age 30 309
Premium Adult Individual Age 40 347.93
Premium Adult Individual Age 50 486.23
Premium Adult Individual Age 60 738.88
Premium Couple 21 544.5
Premium Couple 30 618
Premium Couple 40 695.86
Premium Couple 50 972.46
Premium Couple 60 1,477.76
Couple+1 child, Age 21 752.77
Couple+1 child, Age 30 826.27
Couple+1 child, Age 40 904.13
Couple+1 child, Age 50 1,180.73
Couple+2 children, Age 21 961.04
Couple+2 children, Age 30 1,034.54
Couple+2 children, Age 40 1,112.4
Couple+2 children, Age 50 1389
Couple+3 or more Children, Age 21 1,169.31
Couple+3 or more Children, Age 30 1,242.81
Couple+3 or more Children, Age 40 1,320.67
Couple+3 or more Children, Age 50 1,597.27
Individual+1 child, Age 21 480.52
Individual+1 child, Age 30 517.27
Individual+1 child, Age 40 556.2
Individual+1 child, Age 50 694.5
Individual+2 children, Age 21 688.79
Individual+2 children, Age 30 725.54
Individual+2 children, Age 40 764.47
Individual+2 children, Age 50 902.77
Individual+3 or more children, Age 21 897.06
Individual+3 or more children, Age 30 933.81
Individual+3 or more children, Age 40 972.74
Individual+3 or more children, Age 50 1,111.04
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