Oscar Well being, Inc. a number one healthcare know-how firm, is introducing a set of easy-to-use well being plans and AI options for thousands and thousands of individuals for 2026 open enrollment.
“Selection is energy,” stated Mark Bertolini, CEO of Oscar Well being. “Oscar’s lineup of recent merchandise carry stunning new experiences and rewards to assist members handle their well being and get probably the most out of their plan. Everybody ought to have the ability to purchase well being protection on their phrases. We name it medical health insurance for actual life.”
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The Oscar expertise might be obtainable in 573 counties in 20 states in 2026, together with new expansions into Alabama and Mississippi. Oscar is likely one of the largest carriers within the particular person market.1 Greater than 3 in 5 members advocate Oscar to their household and mates as a result of Oscar treats them like their household and mates.2
Oscar is launching new AI instruments to spice up the shopper expertise and put next-level intelligence in member fingers:
First-of-its-Form Well being AI Agent for All Oscar Members
Meet Oswell, a private AI agent powered by OpenAI. Oswell empowers members with on-demand help and offers docs with information to enhance care paths. Oswell pulls from medical data, interactions with Oscar care guides, and plan profit paperwork to assist members: perceive their medicines, clarify frequent take a look at outcomes, verify drug interactions, get prescriptions refills, assessment signs, present inquiries to ask their docs, and extra.
Oswell solutions frequent questions like: “I forgot the title of my diabetes med. Are you able to assist me refill it?” or “My physician stated one thing about excessive ldl cholesterol. Are my latest lab outcomes thought-about excessive? What can I do to decrease my ldl cholesterol?” Plus Oswell connects members to stay chats and $0 digital care with Oscar clinicians3 – and recommends docs within the Oscar community. Oswell’s trusted help is backed by main AI medical and behavioral security analysis.4
Digital Rewards Program to Get the Most Out of Oscar Membership
Members now get unique entry to Oscar Unlocks.5 Unlocks rewards members for wholesome actions and digital duties like organising autopay or going paperless. The extra members do, the extra they unlock. Assume precedence entry to a VIP Care Workforce and different perks.
Oscar can be introducing revolutionary new plans:
First-Ever Menopause Plan within the Particular person Market
Say hey to HelloMeno, a daring new program serving to girls in every single place take management of their perimenopause and menopause expertise. The plan presents $06 main care, gynecologist, and behavioral well being visits – plus no-cost labs, hormone remedy, insomnia medicines, and bone density scans. Members can speak to a trusted community of consultants at Elektra Well being 24/77, obtain unique wellness rewards, and save ~$900 per 12 months.8
Expanded Scientific Plans to Higher Handle Power Circumstances
Members with diabetes, COPD, bronchial asthma, and cardiovascular-kidney-metabolic syndrome can save ~$800 a 12 months8 via condition-focused plans constructed by Oscar clinicians.9 Members take pleasure in tailor-made experiences with $0 main and specialist care, $0 screenings, low-cost medicines, free well being teaching, wellness apps, and medical gadgets.10
All Oscar plans can be found within the Hola Oscar expertise. Hola Oscar connects Hispanic and Latino members to a care staff and healthcare neighborhood that share their cultural background. Employers and staff in Des Moines, IA can also join the brand new Hy-Vee Well being with Oscar plan that includes concierge care at an inexpensive mounted value.
People, households, and staff with employer-funded protection via ICHRA can enroll beginning Nov. 1, 2025:
- Shoppers can go to Healthcare.gov, name 1-855-672-2788, or communicate to an insurance coverage agent.
- Companies with lower than 50 staff can signal as much as provide well being advantages at StretchDollar.
- Employers with greater than 50 staff can go to hioscar.com/ICHRA or communicate with their dealer.
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