Oscar Gold Classic
| Plan Type: | HMO |
| Plan Tier: | Gold |
| Individual Deductible | $2,500 |
| Family Deductible | $5,000 |
| Individual Out of Pocket Max | $6,000 |
| Family Out of Pocket Max | $12,000 |
| Primary Care Visit: | $30 |
| Specialist Visit: | $55 |
| Emergency Room: | 30% Coinsurance after deductible |
| Hospital - Physician: | 30% Coinsurance after deductible |
| Hospital - Facility: | 30% Coinsurance after deductible |
| Link to Full SBC: | https://www.hioscar.com/hx/sbc?year=2021&hios=58081GA0010013-01 |
| 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: | 30% Coinsurance after deductible |
| Preferred Brand Drugs: | $55 |
| Specialty Drugs: | 30% Coinsurance after deductible |
| Summary of Benefits | https://www.hioscar.com/search/?networkId=025&year=2021 |
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