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Oscar Health Announces New Health Insurance Options in Ohio in 2025

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Oscar Health (NYSE: OSCR) announced its expansion of health insurance offerings in Ohio for 2025, covering 32 counties starting January 1. The company will provide Bronze, Silver, and Gold HMO plans through the ACA marketplace, featuring $3 medications and specialized care options. New offerings include an employer-sponsored program and a multi-condition plan for diabetes, pulmonary, and cardiovascular disease management, promising 25% or more in savings. The plans include access to Cleveland Clinic networks and the Spanish-language Hola Oscar experience with an NPS of 87.

Oscar Health (NYSE: OSCR) ha annunciato l'espansione delle sue offerte di assicurazione sanitaria in Ohio per il 2025, coprendo 32 contee a partire dal 1 gennaio. L'azienda offrirà piani HMO Bronze, Silver e Gold attraverso il mercato ACA, con la possibilità di medicinali a $3 e opzioni di assistenza specializzata. Le nuove offerte includono un programma sponsorizzato dal datore di lavoro e un piano multi-condizione per la gestione del diabete, delle malattie polmonari e cardiovascolari, con la promessa di un risparmio del 25% o più. I piani includono l'accesso alle reti della Cleveland Clinic e l'esperienza in lingua spagnola Hola Oscar con un NPS di 87.

Oscar Health (NYSE: OSCR) anunció la expansión de sus ofertas de seguros de salud en Ohio para 2025, cubriendo 32 condados a partir del 1 de enero. La compañía proporcionará planes HMO de bronce, plata y oro a través del mercado ACA, ofreciendo medicamentos a $3 y opciones de atención especializada. Las nuevas ofertas incluyen un programa patrocinado por el empleador y un plan de múltiples condiciones para la gestión de la diabetes, enfermedades pulmonares y cardiovasculares, prometiendo ahorros del 25% o más. Los planes incluyen acceso a las redes de la Cleveland Clinic y la experiencia en español Hola Oscar con un NPS de 87.

오스카 헬스 (NYSE: OSCR)는 2025년부터 오하이오에서 건강 보험 상품을 확장한다고 발표했습니다. 1월 1일부터 시작하여 32개 카운티를 커버합니다. 이 회사는 ACA 마켓플레이스를 통해 브론즈, 실버 및 골드 HMO 플랜을 제공하며, $3의 약품과 전문 치료 옵션을 특징으로 합니다. 새로운 상품에는 고용주 후원 프로그램과 당뇨병, 호흡기 및 심혈관 질환 관리를 위한 다중 조건 프로그램이 포함되며, 25% 이상의 절약을 약속합니다. 이 플랜에는 클리블랜드 클리닉 네트워크에 대한 접근과 NPS가 87인 스페인어 Hola Oscar 경험이 포함됩니다.

Oscar Health (NYSE: OSCR) a annoncé son expansion de l'offre d'assurance maladie dans l'Ohio pour 2025, couvrant 32 comtés à partir du 1er janvier. L'entreprise proposera des plans HMO Bronze, Argent et Or via le marché ACA, avec des médicaments à 3 $ et des options de soins spécialisés. Les nouvelles offres comprennent un programme sponsorisé par l'employeur et un plan multi-conditions pour la gestion du diabète, des maladies pulmonaires et cardiovasculaires, promettant une économie de 25 % ou plus. Les plans comprennent l'accès aux réseaux de la Cleveland Clinic et l'expérience en espagnol Hola Oscar avec un NPS de 87.

Oscar Health (NYSE: OSCR) hat die Expansion seiner Krankenversicherungsangebote in Ohio für 2025 angekündigt, die ab dem 1. Januar 32 Bezirke abdecken werden. Das Unternehmen wird Bronze-, Silber- und Gold-HMO-Pläne über den ACA-Marktplatz anbieten, die Medikamente für $3 und spezialisierte Behandlungsoptionen beinhalten. Zu den neuen Angeboten gehören ein arbeitgebergesponsertes Programm und ein Multi-Condition-Plan zur Verwaltung von Diabetes, Atemwegserkrankungen und Herz-Kreislauf-Erkrankungen, der eine Ersparnis von 25 % oder mehr verspricht. Die Pläne beinhalten den Zugang zu den Netzwerken der Cleveland Clinic und das spanischsprachige Hola Oscar-Erlebnis mit einem NPS von 87.

Positive
  • Expanding market presence to 32 counties in Ohio
  • Introduction of new employer-sponsored program
  • Launch of cost-saving multi-condition plan with potential 25% savings
  • High member satisfaction with industry-leading NPS of 87 for Spanish-language service
Negative
  • None.

Insights

The expansion into Ohio represents a strategic growth move for Oscar Health, targeting a significant market opportunity. The 32-county expansion builds on their seven-year presence in the state, demonstrating market validation and operational maturity. The introduction of employer-focused solutions and multi-condition plans shows product diversification aimed at capturing both B2B and specialized consumer segments.

The partnership with Cleveland Clinic and the Hola Oscar Spanish-language service (with 87.5% NPS) positions them well in the competitive healthcare market. The $3 medication offerings and zero-cost specialist visits for chronic condition management could drive member acquisition and retention, particularly among cost-sensitive consumers managing multiple health conditions.

However, the 2025 implementation timeline means revenue impact won't materialize until future periods and success will depend on execution and market reception in a highly competitive insurance landscape.

NEW YORK--(BUSINESS WIRE)-- Oscar Health, Inc. (“Oscar”) (NYSE: OSCR), a leading healthcare technology company, today announced it will bring the Oscar experience to more individuals, families, and businesses through the ACA marketplace in Ohio in 2025. Oscar is introducing affordable health insurance products1 that empower everyone to pursue a healthy life on their terms with:

  • Services built around personal health needs and cultural preferences.
  • High-quality networks that align with their schedules, neighborhoods, and more.
  • Technology solutions to help members make informed choices about their health.

The Oscar experience will be available in 32 counties in Ohio starting January 1, 2025.

Oscar has been a proud health plan of choice in Ohio for more than seven years and ranks high in member satisfaction. Friends and family are more likely to recommend Oscar than any other health plan.2

Individuals can go to healthcare.gov during the 2025 Open Enrollment Period to select from Oscar’s full suite of easy, affordable plans, including:

  • Bronze, Silver, and Gold HMO plans that work within any budget.
  • $3 medications3 and even lower cost access for people managing specific conditions.
  • A dedicated concierge care team and healthcare app worth using.

Oscar is also introducing the following new solution for Ohio residents:

  • Oscar for Employers and Employees: An offering that gives employees access to Oscar’s plans using tax-free contributions from their employer to buy individual health insurance. Businesses with fewer than 50 employees can instantly offer these benefits through stretchdollar.com/oscar.4
  • Multi-condition plan: A plan that helps members manage diabetes, pulmonary, and cardiovascular disease together, which can save 25% or more. Benefits include: $0 cardiologist, pulmonologist, endocrinologist visits; $0 screenings and labs; $0 primary and behavioral care; $0 medications.

Oscar’s networks include Cleveland Clinic and regional and independent facilities. Members can access all Oscar plans in Spanish through the Hola Oscar experience, which has an industry-leading NPS of 87.5

About Oscar Health

Oscar Health, Inc. (“Oscar”) is a leading healthcare technology company built around a full stack technology platform and a relentless focus on serving our members. We have been challenging the status quo in the healthcare system since our founding in 2012, and are dedicated to making a healthier life accessible and affordable for all. Oscar offers Individual & Family plans and health technology solutions that power the healthcare industry through +Oscar. Our technology drives superior experiences, deep engagement, and high-value clinical care, earning us the trust of approximately 1.6 million members, as of June 30, 2024.

Cautionary Note Regarding Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements other than statements of historical fact contained herein are forward-looking statements. These statements include, but are not limited to, statements about our business prospects, and our management’s plans and objectives for future operations, expectations and business strategy. In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “could,” “intends,” “targets,” “projects,” “contemplates,” “believes,” “estimates,” “predicts,” “potential,” or “continue” or the negative of these terms or other similar expressions. Accordingly, we caution you that any such forward-looking statements are not guarantees of future performance and are subject to risks, assumptions, and uncertainties that are difficult to predict and generally beyond our control. Although management believes that the expectations reflected in these forward-looking statements are reasonable as of the date made, there are or will be important factors that could cause our actual results to differ materially from those indicated in these forward-looking statements, including, but not limited to, the factors set forth under the caption “Risk Factors” in our Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2024, filed with the Securities and Exchange Commission (“SEC”), and our other filings with the SEC. You are cautioned not to place undue reliance on any forward-looking statements made in this press release. Any forward-looking statement speaks only as of the date as of which it is made, and, except as otherwise required by law, we do not undertake any obligation to publicly update or review any forward-looking statement, whether as a result of new information, future developments or otherwise. New factors emerge from time to time, and it is not possible for us to predict which will arise.

____________________________________
1 HMO products are offered by Oscar Buckeye State Insurance Corporation in Ohio. Administrative Services provided by Oscar Management Corporation.
2 Net promoter score (NPS) for Oscar members as of 1Q24.
3 Except for standard plans and is not available on all off exchange plans.
4 Applicable for employers with less than 50 employees, especially those that are new-to-insurance.
5 Spanish-speaking net promoter score (NPS) for Oscar members as of 1Q24.

Media Contact:

Kristen Prestano

VP, Communications

press@hioscar.com

Source: Oscar Health, Inc.

FAQ

When will Oscar Health (OSCR) launch its new insurance plans in Ohio?

Oscar Health will launch its new insurance plans in Ohio starting January 1, 2025.

How many counties will Oscar Health (OSCR) cover in Ohio in 2025?

Oscar Health will cover 32 counties in Ohio in 2025.

What types of health insurance plans will Oscar Health (OSCR) offer in Ohio?

Oscar Health will offer Bronze, Silver, and Gold HMO plans, along with a new multi-condition plan and employer-sponsored program.

What is the cost savings potential for Oscar Health's (OSCR) multi-condition plan in Ohio?

The multi-condition plan for diabetes, pulmonary, and cardiovascular disease management can save members 25% or more.

Oscar Health, Inc.

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