Oscar Health, Inc., the first health insurance company built on a full-stack digital platform, has announced ambitions to expand into the Individual & Family market in 2022. The company expects to offer health insurance to individuals and families in three new states and 146 new counties during the forthcoming Open Enrollment period. Oscar’s Individual & Family, Medicare Advantage, and Small-Group plans will now be available in a total of 22 states and 607 counties because of this expansion.
- Expansion: Alongside the expansion will be a development of programs, including a Culturally Competent Care program that focuses on specific access for “members with diverse values, beliefs, and behaviors,” according to the announcement.
- Tailored plans: Oscar Health also announced a new health plan tailored toward members with diabetes. The plan features $0 diabetic eye and foot exams, lab visits to manage diabetes, primary care visits and capped out-of-pocket insulin costs. Oscar will leverage its insights and platform to build upon its Culturally Competent Care program, which was designed to provide tailored care access for members with diverse values, beliefs, and behaviors.
- High quality: “Our focus at Oscar has always been to expand access to high quality, low-cost health care that meets the individual needs of our members,” said Oscar Co-Founder and CEO Mario Schlosser. “In light of the COVID-19 pandemic, this has never been more important. With this latest market expansion, we’re doubling down on our efforts to bring our members the most innovative and personalized care possible.”
- New launch: The expansion will also include the launch of new programs and plan designs built on Oscar’s full-stack, consumer-focused technology, which allows for rapid response and adaptation to members’ needs. Oscar will be expanding its Virtual Primary Care program offering to members on select plans in San Antonio and El Paso. Oscar’s Virtual Primary Care program is powered by Oscar’s technology platform, which is designed to help drive improved efficiency and superior engagement with members.
- Quality care: “Our clinical philosophy centers around a belief that people will live a happier and healthier life if they have access to quality high-value care at an affordable price” said Sameer Amin, Oscar’s Chief Medical Officer. “By empowering patients with diabetes and helping them engage with the health care system early and often, we hope to create a differentiated experience for our members.”