Oscar Insurance Company

Gold Classic Standard

Plan Overview

Medical Deductible
  • Individual: $1,500
  • Family: $3,000
  • Per Person: $1,500
Prescription Drug Deductible
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical
Medical Out-of-Pocket Maximum
  • Individual: $7,800
  • Family: $15,600
  • Per Person: $7,800
Drug Out-of-Pocket Maximum
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical

Office Visit

Primary Doctor
  • Standard: $30 Copay
Specialist
  • Standard: $60 Copay

Prescription Drug Information

Preferred Brand Drugs
  • Standard: $30 Copay
Non Preferred Brand Drugs
  • Standard: $60 Copay
Generic Drugs
  • Standard: $15 Copay
Specialty Drugs
  • Standard: $250 Copay

Inpatient Coverage

Hospital Services
  • Standard: 25% Coinsurance after deductible
Inpatient Services
  • Standard: 25% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: 25% Coinsurance after deductible