Benefit Explanation: Virtual urgent care services from Oscar designated telemedicine providers are covered in full after the deductible has been met. First three (3) non-preventive visits are $0 and not subject to the deductible.
Specialist
CoPay: $0.00 Copay after deductible
CoInsurance: Not Applicable
Covered: Covered
Prescription Drug Information
Preferred Brand Drugs
CoPay: $0.00 Copay after deductible
CoInsurance: Not Applicable
Covered: Covered
Non Preferred Brand Drugs
CoPay: $0.00 Copay after deductible
CoInsurance: Not Applicable
Covered: Covered
Generic Drugs
CoPay: $0.00 Copay after deductible
CoInsurance: Not Applicable
Covered: Covered
Specialty Drugs
CoPay: $0.00 Copay after deductible
CoInsurance: Not Applicable
Covered: Covered
Inpatient Coverage
Hospital Services
CoPay: No Charge after deductible
CoInsurance: Not Applicable
Covered: Covered
Benefit Explanation: All usual Hospital services and supplies, including semiprivate room, intensive care, and coronary care units; Preauthorization is required.
Inpatient Services
CoPay: $0.00 Copay after deductible
CoInsurance: Not Applicable
Covered: Covered
Emergency and Urgent Care
Emergency Room
CoPay: $0.00 Copay after deductible
CoInsurance: Not Applicable
Covered: Covered
Urgent Care Facility
CoPay: $0.00 Copay after deductible
CoInsurance: Not Applicable
Covered: Covered
Maternity
Labor and Delivery Hospital Stay
CoPay: $0.00 Copay after deductible
CoInsurance: Not Applicable
Covered: Covered
Benefit Explanation: Will cover 48-hour hospital stay for uncomplicated vaginal delivery and 96-hour hospital stay for uncomplicated caesarean section.