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)

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
 
Oscar Concierge Usage by Age Group

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 2019Northwell Health, MSK, WestMed

  • Oscar’s current network will be rebranded as Circle Network
  • 15 plans accross 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 Wetchester Hospital (Mt. Kisko), Phelps Hospital (Tarrytown) and the Westmed Medical Gorup added. New Oscar Circle Plus
  • NEW:  Only $0 decuctible required Silver Plans!
  • Transitioing 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):  clcik here

Group Sample Rates:

New Oscar 2019 Rates

 

 

 

 

Contact us TODAY for a customized analysis for your group-specific needs at info@medicalsolutionscorp.com or Call (855) 667-4621.