
Oscar Health Inc. is a healthcare technology company that offers health insurance plans in 18 states, including Florida. Oscar's plans include essential health benefits such as ambulatory services, emergency services, hospitalization, pregnancy and maternity care, mental health services, and prescription drugs. The company has recently expanded its offerings in Florida for 2025, introducing new plans such as the Bronze plan, Silver plan, and Gold EPO plans. These plans offer $0 virtual primary and urgent care, low-cost medications, and a dedicated concierge care team. While Oscar does not disclose whether specific hospitals accept their plans, they provide a network of providers that members can choose from, including well-known facilities like AdventHealth and Jackson Memorial Hospital. Individuals interested in Oscar's plans can visit healthcare.gov or contact a licensed agent or Oscar sales representative for more information.
Characteristics | Values |
---|---|
Oscar Insurance Company of Florida | Oscar Insurance Company of Florida underwrites Oscar Medical coverage. |
Oscar Primary Care | Oscar Primary Care is available in Florida, excluding HSA and Secure plans. |
Virtual Urgent Care | Virtual Urgent Care is not available in US territories or internationally. |
Multi-condition plan | A plan that helps members manage diabetes, pulmonary, and cardiovascular disease together. |
Networks | AdventHealth, Memorial Healthcare System, Holy Cross Hospital, Orlando Health Network, and more. |
Language | Members can access all Oscar plans in Spanish through the Hola Oscar experience. |
Individual & Family plans | Oscar offers Individual & Family plans and health technology solutions. |
Customer support | The customer support team helps find and enrol in a plan. |
Annual checkup | The plan fully covers preventive care, including annual checkups, vaccines, and screenings. |
What You'll Learn
Oscar Insurance Company of Florida
Oscar's Virtual Urgent Care offerings are not available in US territories or internationally. Oscar Primary Care is available in Florida, excluding HSA and Secure plans. Prescriptions, visits, and services may be limited at the provider's discretion, and Oscar Primary Care cannot be used in conjunction with another primary care consultation. Oscar Primary Care is also only available to members 18 years of age and older.
Overall, Oscar Insurance Company of Florida provides a range of health insurance options for its customers, with plans tailored to meet individual needs and budgets.
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Oscar Bronze Plan benefits
Oscar offers health insurance plans for individuals, families, and employers, with plans available in 18 states, including Florida. The Oscar Bronze Plan is one of the four types of Market Plans offered by Oscar, with the others being Silver, Gold, and Platinum. The Oscar Bronze Plan provides essential health benefits, including:
- Ambulatory or outpatient services: Medical care that does not require hospital admission.
- Emergency services: Coverage for emergency room visits, regardless of the nature of the medical issue.
- Hospitalization: Coverage for any reason you are admitted to a hospital, including surgery or overnight observation.
- Pregnancy, maternity, and newborn care: Practitioner provider visits during pregnancy, childbirth, and newborn care are all covered.
- Mental health and substance use services: Access to psychiatrists, counselors, and mental health clinics is included in the plan.
- Prescription drugs: Antibiotics, blood pressure medications, antidepressants, and other prescribed drugs are covered, with many common prescriptions costing as little as $3 for a 30-day supply.
Oscar's Virtual Urgent Care offerings are not available in US territories or internationally. Additionally, certain plans, such as HSA-compatible high-deductible health plans or Secure plans, are not eligible for $0 visits. Prescriptions, visits, and services may be limited at the provider's discretion. It is important to note that plan details can vary by state, so it is recommended to consult a licensed agent or Oscar sales representative for specific information about the Oscar Bronze Plan in Florida.
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Virtual Urgent Care
Oscar Health offers virtual urgent care services to its members, allowing them to access healthcare from the comfort of their homes, work, or on the go. This service is provided through $0 Virtual Urgent Care and, in some areas, $0 Oscar Primary Care. Oscar's virtual care offerings are available across the United States but are not accessible in US territories or internationally.
Oscar's Virtual Urgent Care provides members with 24/7 access to healthcare providers, enabling them to receive medical assistance within as little as 15 minutes. This service is included in all Oscar plans and ensures that members can connect with providers who meet their specific needs, understand their language, race, ethnicity, and health history.
In Florida, Oscar Health has been offering health plans for over six years and has a high ranking in member satisfaction. Starting in 2025, Oscar expanded its presence in Florida by introducing its services in 30 counties. The plans available in Florida include Bronze, Silver, and Gold EPO plans, with $0 virtual primary and urgent care through the Oscar Medical Group on most plans.
It is important to note that Oscar's $0 virtual primary care in Florida is only available in South Florida and may exclude certain standard plans and off-exchange plans. Additionally, individuals with an HSA-compatible high-deductible health plan or a Secure plan are not eligible for $0 visits.
Oscar Health's virtual urgent care services provide members with convenient and accessible healthcare options, allowing them to receive medical assistance remotely without incurring additional costs. This offering is particularly useful for individuals who may have difficulty accessing in-person healthcare services or prefer the convenience of virtual care.
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Oscar Primary Care
It is important to note that Oscar Primary Care is not meant to replace an existing primary care provider, as having multiple providers may lead to gaps in care and misaligned treatment plans. However, if an individual is looking for a new primary care provider, Oscar Primary Care can be a convenient option, and Oscar will coordinate with the previous provider to obtain medical records.
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Oscar's Multi-condition plan
Oscar Health Inc. is a leading healthcare technology company that offers health insurance plans for individuals and families. In 2025, Oscar will offer health insurance plans in 18 states, including select counties in Arizona, Florida, Georgia, Iowa, Illinois, Kansas, Michigan, Missouri, North Carolina, Nebraska, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, and Virginia.
The Multi-Condition plan is eligible to all members in the included states and is not limited to those with specific chronic conditions. However, it is specifically designed to help members with cardiovascular-kidney-metabolic (CKM) syndrome save money and manage their condition. Members can earn up to $25 for reaching step goals in the Oscar app and can access gyms and on-demand fitness programs by completing routine health services.
Oscar's health insurance plans provide essential health benefits, including ambulatory or outpatient services, emergency services, hospitalization, pregnancy and maternity care, mental health services, and prescription drug coverage. Oscar also offers virtual urgent care and primary care services in certain states, as well as $0 preventive care services such as annual check-ups, vaccines, and screenings.
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Frequently asked questions
Yes, Oscar Insurance offers plans in 30 counties in Florida.
Oscar Insurance offers Bronze, Silver, and Gold EPO plans in Florida.
Yes, Oscar Insurance's Florida Bronze plan covers hospital visits. All qualified health plans offered on the ACA marketplace offer coverage for basic benefits, including hospitalization.