Oscar Silver Classic Copay

Plan Type: EPO
Plan Tier: Silver
Individual Deductible $7,000.00
Family Deductible $14,000.00
Individual Out of Pocket Max $8,200.00
Family Out of Pocket Max $16,400.00
Primary Care Visit: $30.00
Specialist Visit: $75.00
Emergency Room: $650 Copay after deductible
Hospital - Physician: $150 Copay after deductible
Hospital - Facility: $500 Copay per Day after deductible
Link to Full SBC: https://www.hioscar.com/hx/sbc?year=2021&hios=77739MI0070016-01
Plan Brochure: https://www.hioscar.com/individuals/planbrochure

Other Coverage:

Child Dental: Yes
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $3.00
Non-Preferred Brand Drugs: 50% Coinsurance after deductible
Preferred Brand Drugs: $75.00
Specialty Drugs: 50% Coinsurance after deductible
Summary of Benefits https://www.hioscar.com/search/?networkId=017&year=2021

About The Carrier

Oscar does health insurance differently — with more coverage, less hassle, and perks that give you the most value for your premium. From its inception, Oscar has been focused on one mission – to be a health insurance company centered around the patient.

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