Oscar Health Vs Bright Health: Which is Best-2021?

Oscar Health is a US-based health insurance provider founded on November 1, 2012. It focuses on the health insurance industry through telemedicine, healthcare-focused technological interfaces, and transparent claims pricing systems. Founded by three classmates, Mario Schlosser, John Kushner, and Kevin Nazemi, the headquarter of Oscar Health is situated in New York City. In 2018, Oscar was listed among CNBC’s top 50 ‘disruptors’.

Bright Health is an American health insurance company situated in Minneapolis, Minnesota. The company was founded in 2016 by Bob Sheehy, Kyle Rolfing, and Tom Valdivia. Bright Health started offering plans in the state of Colorado in collaboration with Centura Health. Gradually it began to roll out plans in Arizona and Alabama. With over 1500 employees in their workplace, Bright Health raised revenue of about $440 million in 2019.

Oscar Health

In 2013, Oscar Health started selling insurance when the Affordable Care Act went into effect for the 2014 plan year. By 2014 Oscar managed to secure 16,000 members and by the end of 2015, the number raised to 40,000. In 2016, Oscar expanded its coverage to New York, New Jersey, California, Texas, and Arizona. It has raised capital from the funding of Thrive Capital, General Catalyst Partners, Khosla Ventures, CapitalG, and Fidelity Investments.

Types of Insurance Plans

Oscar offers a wide range of health insurance plans for its members. These plans focus mainly on individuals, families, and small group businesses. Here are the types of plans available at Oscar Health:

Individual & Family Health

Oscar Health currently offers health insurance plans in Arizona, Colorado, Florida, Georgia, Kansas, Missouri, Michigan, New York, Pennsylvania, Virginia, Ohio, Texas, New Jersey, Tennessee, and California. The following table will help you understand their plans:

Bronze Tier

  • Oscar Secure
  • Bronze Classic
  • Bronze Classic PCP Copay
  • Bronze Classic Next
  • Bronze HDHP

Silver Tier

  • Silver Classic Next
  • Silver Classic
  • Silver Classic Copay
  • Silver Classic $0 Ded
The Basics Bronze Classic Bronze Classic PCP Bronze Classic Bronze Classic PCP Bronze Classic Bronze Classic PCP Bronze Classic Bronze Classic PCP Bronze Classic Bronze Classic PCP Bronze Classic Bronze Classic PCP
Deductible (Individual / Family) $8,550 / $17,100 $7,000 / $14,000 $6,000 / $12,000 $0 / $0 $5,200 / $10,400 $6,200 / $12,400
Pharmacy Deductible (Individual / Family) N/A N/A N/A $5,500 / $11,000 N/A N/A
Out-of-Pocket Max (Individual / Family) $8,550 / $17,100 $8,550 / $17,100 $8,550 / $17,100 $8,550 / $17,100 $7,000 / $14,000 $8,550 / $17,100
$0 Preventive care

Dedicated Care Team

Dedicated Care Team
HSA-Compatible? No No No No Yes No

 

The Basics Silver Classic Next Silver Classic Silver Classic Copay Silver Classic $0 Ded Gold Classic
Deductible (Individual / Family) $6,000 / $12,000 $5,000 / $10,000 $7,000 / $14,000 $0 / $0 $2,500 / $5,000
Pharmacy Deductible (Individual / Family) N/A N/A N/A $4,000 / $8,000 N/A
Out-of-Pocket Max (Individual / Family) $8,000 / $16,000 $8,550 / $17,100 $8,200 / $16,400 $8,550 / $17,100 $6,000 / $12,000
$0 Preventive care
Dedicated Care Team
HSA-Compatible? No No No No No

 

Besides these, Oscar Health also offers some other health insurance plans which you can find in this PDF.

Medicare Advantage

Oscar Health offers Medicare Advantage plans to the residents of New York City and Houston, Texas. After enrolment, Oscar assigns each of its members to a “Care Team” consisting of three Care Guides and a registered nurse. They attend to traditional customer service questions as well as coordinate clinical care. Medicare Advantage plans are offered by the federal government to people older than 65 years old. They may fulfil the requirements of eligibility if they are natural residents of the United States or have certain physical or mental disabilities.

Cigna + Oscar

Oscar Health has partnered with Cigna to deliver small group health insurance to businesses. Their plans feature –

  • Affordable health plans
  • Nationwide network
  • 24/7 virtual urgent care
  • Easy administration
  • Personalized care team
  • Employee care navigation

They have a plan called the $0 plan that helps to manage your health care easier. The features include–

  • Get a refill without an appointment
  • Talk to a doctor for a $0 copay 24/7
  • Get personalized care
  • Find care fast

Business

Oscar Health offers customizable business plans in New York that are affordable and easy to understand. Here you do not need any referrals with any plan. You can book with a specialist without seeing a PCP first. Their features include:

  • Access to doctors nearby
  • Nationally ranked doctors across 100+ specialities
  • No referrals for appointments with specialists – ever
  • Top hospitals and urgent care centers
  • Top pharmacy partners for prescriptions
  • Unlimited Doctor on Call, free and available 24/7
  • All essential health benefits, like free annual physicals, most vaccinations, and more

Through Oscar business plans you will get the following benefits –

  • Personal Concierge team with a nurse who knows you by name
  • Geo-specialized care Guides and nurses who know your area
  • Step tracking that pays members just for walking
  • An easy-to-use app with appointment booking
  • Online tracking of labs and prescriptions
  • Real-time deductible tracking

Bright Health

Bright Health uses smart tools and technologies to simplify health insurance for its members. They provide health insurance plans at low rates so that members can stay happy and healthy. Bright Health has achieved recognition of its health plan with URAC accreditation which is recognized in all 50 states and the District of Columbia.

Type of Plans

Bright Health offers health insurance plans to 13 states. Their plans include Medicare Advantage, Individual & Family, and Small Business. All over it offers two main types of plans, namely –

  • Bright Advantage (HMO) H8280-001
  • Bright Advantage Plus (HMO) H8280-002

Bright Advantage (HMO)

Monthly Premium – $0
Annual Medical Deductible – $0
Maximum Out-of-Pocket Amount – $5,200

Here are some benefits of this plan –

Doctor visits

Primary Care Providers (PCP) – $0 copay
Specialists – $25 copay
Annual Routine Physical Exam – $0 copay
Preventive Care – $0 copay

Diagnostic Services/Labs/Imaging

Diagnostic Tests and Procedures – 20% coinsurance
Lab Services – $0 copay
Diagnostic Radiology Services (e.g. MRI, CAT Scan) – $75 copay
Outpatient X-rays – $15 copay

Bright Advantage Plus (HMO)

Monthly Premium – $39
Annual Medical Deductible – $0
Maximum Out-of-Pocket Amount – $3,200

Here are some benefits of this plan –

Doctor visits

Primary Care Providers (PCP) – $0 copay
Specialists – $20 copay
Annual Routine Physical Exam – $0 copay
Preventive Care – $0 copay

Diagnostic Services/Labs/Imaging

Diagnostic Tests and Procedures – 20% coinsurance
Lab Services – $0 copay
Diagnostic Radiology Services (e.g. MRI, CAT Scan) – $50 copay
Outpatient X-rays – $0 copay

Bright Health Benefits

Bright Advantage (HMO) Bright Advantage Plus (HMO)
Inpatient Hospital Coverage $250 per day for days 1-6

$0 per day for days 7+

$185 per day for days 1-5

$0 per day for days 6+

Outpatient Hospital Services and Observation $250 copay $215 copay

Hearing Services

  Bright Advantage (HMO) Bright Advantage Plus (HMO)
Exam to Diagnose and Treat Hearing and Balance Issues $0 copay $0 copay
Routine Hearing Exam $0 copay

Limited to 1 visit every year

$0 copay

Limited to 1 visit every year

Hearing Aids Up to a $2,000 allowance for both

ears combined every three years for

hearing aids.

Up to a $2,000 allowance for both ears combined every three years for hearing aids.
Fitting-Evaluation(s) for Hearing Aids $0 copay Limited to 1 visit every year $0 copay Limited to 1 visit every year

Dental Services

Bright Advantage (HMO) Bright Advantage Plus (HMO)
Medicare-covered Dental Services $0 copay $0 copay
Annual Dental Benefit Maximum No benefit maximum for preventive

dental services

No benefit maximum for preventive

dental services

Oral Exams $0 copay

Limited to 1 cleaning every year

$0 copay

Limited to 1 cleaning every year

Prophylaxis (Cleaning) $0 copay

Limited to 1 oral exam every year

$0 copay

Limited to 1 oral exam every year

Dental X-rays $0 copay

Limited to 2 x-rays every year

$0 copay

Limited to 2 x-rays every year

Optional

Comprehensive

Dental Services

Available for an additional $21

monthly premium.

 

Up to a $1,500 benefit maximum for

all plan covered dental services not

covered by Medicare every year.

 

Please see Evidence of Coverage for

details.

Available for an additional $21 monthly premium.

 

Up to a $1,500 benefit maximum for all plan covered dental services not

covered by Medicare every year.

 

Please see Evidence of Coverage for

details.

Vision Services

Bright Advantage (HMO) Bright Advantage Plus (HMO)
Exam to Diagnose and Treat Diseases and Conditions of the Eye $0 copay $0 copay
Eyewear After Cataract Surgery $0 copay $0 copay
Routine Eye Exam $0 copay

Limited to 1 visit every year

$0 copay

Limited to 1 visit every year

Contact Lenses $0-$60 copay

Up to a $130 allowance every two years for contact lenses or eyeglasses.

$0-$60 copay

Up to a $130 allowance every two years for contact lenses or

eyeglasses.

Eyeglasses (Lenses and Frames) $25 copay

Up to a $130 allowance every two years for contact lenses or eyeglasses.

$25 copay

Up to a $130 allowance every two years for contact lenses or

eyeglasses.

 

Besides these, Bright Health also offers other important health care services such as mental health, ambulance, foot care, medical supplies, and much more. You can find the details in this PDF.

Is Oscar an HMO or PPO?

Oscar Health is an EPO (Exclusive Provider Organization) that allows access to a full network of first-class hospitals and physicians to its members. An EPO offers you more flexibility like that of a PPO at the price of an HMO.

What kind of insurance does Bright Health offer?

Bright Health offers HMO (Home Maintenance Organization) and PPO (Preferred Provider Organization) plans with a Medicare contract. It also offers SNP plans that are connected with State Medicaid Programs. These plans are issued through Bright Health Insurance Company or one of its affiliates.

Both Oscar Health and Bright Health are two of the most popular healthcare insurance provider in the United States. They offer various healthcare services and programs at very low cost that helps people to live a healthy and happy life. For more information, you can visit www.hioscar.com and brighthealthcare.com.

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