Oscar Bronze Classic PCP Copay

Plan Type: HMO
Plan Tier: Expanded Bronze
Individual Deductible $6,000
Family Deductible $12,000
Individual Out of Pocket Max $8,550
Family Out of Pocket Max $17,100
Primary Care Visit: $50
Specialist Visit: $90 Copay after deductible
Emergency Room: 50% Coinsurance after deductible
Hospital - Physician: 50% Coinsurance after deductible
Hospital - Facility: 50% Coinsurance after deductible
Link to Full SBC: Summary of Benefits
Plan Brochure: https://www.hioscar.com/individuals/planbrochure

Other Coverage:

Child Dental: Yes
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $3
Non-Preferred Brand Drugs: 50% Coinsurance after deductible
Preferred Brand Drugs: 50% Coinsurance after deductible
Specialty Drugs: 50% Coinsurance after deductible
Summary of Benefits https://www.hioscar.com/search/?networkId=025&year=2021
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