Oscar Insurance – Find Doctors & Drugs

Oscar Explanation of Coverage for Rx 

Holistic alternative for erectile dysfunction to Viagra? 

See our FAQ section for more details on how Rx Coverage works. 

 

Enroll and get quotes with Oscar - No extra charge for broker support
Enroll and get quotes with Oscar - No extra charge for broker support

EPO vs HMO vs PPO?

 

Choice of Physicians and Providers

This is an Exclusive Provider Organization (“EPO”) plan.

Services must be performed or supplies furnished by an In-Network Provider in order for benefits to be payable. Typically, there are no Benefits provided when using an Out-of-Network Provider and You may be responsible for the total amount billed by an Out-of-Network Provider. The only exceptions are:

● Services received by an Out-of-Network Provider as a result of a medical Emergency, Urgent Care Visit, or an Authorized Referral as defined in the
DEFINITIONS section; and
● Covered Services received at an In-Network Facility, at which, or as a result of which, the Member receives Covered Services from and Out-of-Network Provider. Authorized Referrals and Covered Services received under the second exception are provided at In-Network Cost Sharing.

To maximize Your benefits, be sure to confirm that the Provider (e.g. a Physician or Hospital) You wish to see is an In-Network Hospital or an In-Network Provider (for Providers other than Hospitals) under Your Plan. Services must be performed or supplies furnished by an In-Network Provider in order for benefits to be payable, unless one of the exceptions listed above apply.  2020 EOC *

 

Health Net Definitions of HMO, PPO, EPO, etc. 

Blue Cross Definition EPO

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