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Oscar Simple Silver
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Oscar Simple Silver

Overview
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Oscar Simple Silver 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
40572FL0090001
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
$15
Preferred brand drug co-pay
$75
Primary care physician visit cost
$25
Specialist doctor visit cost
$50
Doctor Visits
Primary Care Visit $25
Specialist Visit $50
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 $15
Preferred Brand Drugs $75
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 99.87%
Premium Child Age 0-14 310
Premium Child Age 18 370
Premium Adult Individual Age 21 405
Premium Adult Individual Age 27 425
Premium Adult Individual Age 30 460
Premium Adult Individual Age 40 518
Premium Adult Individual Age 50 725
Premium Adult Individual Age 60 1,101
Premium Couple 21 811
Premium Couple 30 921
Premium Couple 40 1,037
Premium Couple 50 1,450
Premium Couple 60 2,203
Couple+1 child, Age 21 1,122
Couple+1 child, Age 30 1,232
Couple+1 child, Age 40 1,348
Couple+1 child, Age 50 1,760
Couple+2 children, Age 21 1,432
Couple+2 children, Age 30 1,542
Couple+2 children, Age 40 1,658
Couple+2 children, Age 50 2,071
Couple+3 or more Children, Age 21 1,743
Couple+3 or more Children, Age 30 1,853
Couple+3 or more Children, Age 40 1,969
Couple+3 or more Children, Age 50 2,381
Individual+1 child, Age 21 716
Individual+1 child, Age 30 771
Individual+1 child, Age 40 829
Individual+1 child, Age 50 1,035
Individual+2 children, Age 21 1,027
Individual+2 children, Age 30 1,081
Individual+2 children, Age 40 1,139
Individual+2 children, Age 50 1,346
Individual+3 or more children, Age 21 1,337
Individual+3 or more children, Age 30 1,392
Individual+3 or more children, Age 40 1,450
Individual+3 or more children, Age 50 1,656
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