2019 New Oscar Circle Plus
Background:
The Google of health insurance? Oscar entered the NY market on Jan 1, 2014 and had around 16,000 members. In 2015, it expanded coverage to New Jersey and grew to about 40,000 members. In 2016, Oscar had 145,000 members in New York, New Jersey, California, and Texas. Oscar’s cutting edge technology and pioneering benefits have simplified the consumer health insurance experience propelled easier access and understanding of health plans. Examples of success have been ease of physician locator, online appointment setting and no cost telemedicine 24/7. Additionally, some plans have $0 Copay generics and annual 3 free office visits
The Numbers:
- NY based with 900+ employees
- 260,000 members across 6 states
- $890M raised from top investors (Fidelity, Goldman Sachs, Google, etc.)
- $375M investment from Alphabet Inc. (Google parent company)
- For more details, check out our CEO Mario’s interview in the Wired story: Health Care is Broken. Google Thinks Oscar Health Can Fix It)
- Delivered an underwriting profit in 2017
- Expecting $1B in revenues in 2018
- After doubling footprint for 2018, Oscar is on-track for 3x growth
Oscar Member Engagement:
- 27% of Oscar members utilize DocOnCall vs. industry average of 3%
- 35% of first time doctor appointments start with Oscar
- 3x customer satisfaction score vs. the industry average
- 48% of all Oscar members use the Oscar app, compared to 7% of other health insurance carriers
- Doctor on Call has led to approximately $600 in savings per member
- Concierge Team has led to an approx. $3,600 in savings in member OON claims
- Pre-medicare population almost 2x Concierge Team utilization vs. the “younger” demographic
The Oscar Member Experience
- Concierge Service: Every member is placed on a team of 5 care guides and 1 nurse that help members achieve better health outcomes and lower costs.
- Doctor on Call: 24/7, free and unlimited telemedicine that works nationwide. This is a great way to care of basic primary care at the member’s convenience
New Oscar 2019
- Oscar’s current network will be rebranded as Circle Network
- 15 plans across 4 metal tiers
- NEW Circle Plus Network include:
- Northwell (formerly North Shore LIJ)
- Memorial Sloan-Kettering
- Multiplan National Network for out of state
- Westchester Expansion – Northern Westchester Hospital (Mt. Kisko), Phelps Hospital (Tarrytown) and the Westmed Medical Gorup added.
- NEW: Only $0 deductible required Silver Plans!
- Transitioning before 2019. Groups enrolling 11/1/19 can upgrade 1/1/19 to Circle Plus Network
Doctor Search: click here
Hospital Map click here
2019 Rates & Benefits Summary: click here
Group App (editable PDF): click here
Employee App (editable PDF): clik here
Group Sample Rates:
Contact us TODAY for a customized analysis for your group-specific needs at [email protected] or Call (855) 667-4621.
I am looking for an individual health insurance specifically Oscar circle plus, my gastric specialist accepts this insurance through Northwell Health. I wanted to know if my remicade infusion would be covered fully or not and how much would I need to pay out of pocket.
How about individual plans? Small business owner with only my family to insure… All employees are covered by their spouses..
Does your coverage extend to a small business with one participant?