Oscar Insurance Corporation Reviews (15)
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Oscar Insurance Corporation Rating
Description: INSURANCE-HEALTH
Address: 295 Lafayette Street, 6th Floor, New York, New York, United States, 10012
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[redacted] *** [redacted] Dear [redacted] , Thank you for contacting us in regard to complaint ID # [redacted] I am writing to confirm we have reviewed this case and responded to the member directly via mailWe will not include the response here as it contains protected personal health informationIf you have additional questions, you can contact Member Services at [redacted] or [redacted] Best, Bridget A Grievance Associate, Member Services
I will amend this in the next few days if it's resolved Oscar insurance gold plan clearly indicates that preferred drugs cost $period with no deductibles, etc Novolog flex pen insulin, as well as Levemir flex pen insulin are both noted on their website as preferred tier drugs, yet the Texas Walgreens I use notes charged me $for a month supply of Levemir flex pen and $for a month of Novolog Their response was "we don't know what formula they use, only what they'll cover You can either pay or reject it and return once settled." Isn't America great? Affordable healthcare to assist those in need, yet these great startups are helping how? Oh I've also resorted to using Oscar's site to find doctors, calling said doctors to verify Oscar acceptance, calling Oscar to verify as well and documenting who I spoke to and when Why? New to Texas they are, and they're not as covered as they'd like you to think I've gone to gastric emptying studies scheduled by my PCP and referred via oscars info just to find out at time of appointment "sorry it's private pay, no longer taking Oscar" end appointment got same response, and nerve conductivity study
I first want to say that for the last three years, despite all the problems, I have received excellent healthcare at a reasonable price with OSCAR's simple gold plus plan and its predecessorsHOWEVER, things have changed so much for next year, I do not know what to expect1) One problem is that they have doctors on their list who are no longer practicing in Manhattan where I liveEven after I reported several doctors on the list who should not be there, months later they are still on the listThe company said they cannot keep up with the changes because doctors do not report the changes and they have a huge backlog of changes to be vetted and changes to be made2) They have trumpeted very loudly their hospital system in New York City, but when you see a specialist in a hospital, the charge may not be the $copay that is independent of the deductible and the major reason for choosing the plan I have, but it the exam may be charged as an outpatient hospital visit with a facilities fee , the total of which can run to dollars or more for the visit that one expected to cost $ The company had not made this clear nor has asked the hospitals to make this clear in advance, but leaves it to the patient to check for each visit in advanceIn my opinion, this is their job and should have been made clear when the contract with the hospital was signed and then made clear in the statement of benefitsThese are both issues that I am sure the powers that be know about and could have clarified so that it is easier for patients to know what the costs will beI would say, that when I have a problem outside of these concerns it is generally addressed in a reasonable time, either on their app or over the phone I am disappointed that given the strengths , they have not solved these important problems Finally, given such a decimation of their networks and the problems with using a hospital network , I do not know what to expect for next yearIn particular, I know with another ACA company, which has a very impressive list of doctors in the network, on calling the hospital which participates in the latter insurance plan, I was disappointed to find out that I would be seen in a clinic supervised by the attending physicians but only seen by a resident
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*** *** ** *** Complainant: *** *** Complaint ID: *** Dear
Revdex.com, Thank you for contacting Oscar with *** ***’s grievanceWe appreciate you bringing this issue to our attentionWe apologize to *** *** for any confusion she may have experienced with respect to enrollment and billing options related to her monthly premiumIn order to resolve any miscommunication, I am writing to confirm the relevant dates for open enrollment as well as explain Oscar’s billing policy*** *** enrolled in health insurance ‘Off-Exchange’ or off the New York State of Health Exchange for the month of December due to the discontinuance of her plan provided by Health RepublicBecause *** *** is already enrolled in Oscar Off-Exchange, she will be auto-enrolled in the version of her current (2015) planHowever, if ** *** would like to modify or change her plan, she is also eligible to choose a new health plan for until December *** for a January *, effective coverage dateDue to the disruption in coverage by the discontinuance of her plan under Health Republic and needing to obtain one month of coverage under a new plan for the year, this may have caused confusion for *** ***Since this complaint was opened with the Bureau, *** *** has taken the steps to enroll in a new plan for the yearWe also understand *** *** is frustrated by the options we offer to members to submit recurring paymentsAlthough Oscar does not accept debit cards for recurring payments, she can set up her checking account (linked to her debit card) to automatically withdraw her monthly premium each monthShe can do this online by logging into *** or calling our Member Services Department at ***Alternatively, she can mail in a check or call our Member Services Department each month their premium is due to provide payment informationIf you have additional questions, you can contact me at: Kristina N*** *** *** Best, Kristina NGrievance Associate, Member Services
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[redacted] Dear Better Business...
Bureau, Thank you for contacting Oscar with [redacted]’s grievance. We appreciate you bringing this issue to our attention. We apologize to [redacted] for any delay in the delivery of her Oscar Welcome Kit, which includes her member identification card. Oscar has confirmed that [redacted]’s Welcome Kit and ID were delivered to her home address on file on December **, 2015. In order to avoid further confusion, I am writing to explain how [redacted] can access her ID card online. If at anytime [redacted] does not have her physical member ID card she can find a printable version online at hioscar.com. She can simply login to her online account and on the member portal home page choose the option to ‘Explore Your Plan’. There will be a button that reads ‘Print’, which will lead her to a PDF version of the ID card. Providers and pharmacies are able to take this form of ID as proof of insurance, so [redacted] should have no issues accessing care. If [redacted] has any questions about this information she can contact our Member Services Department at [redacted] or [redacted]. Best, Kristina Grievance Associate, Member Services
I signed up for this insurance plan through healthcare.gov. (In Janurary.) I believed there were several doctors in my area with Oscar because that's what showed on Oscar's website search for a doctor. After I started contacting doctors on the list I discovered none of the doctors listed for San Antonio, TX area actually take Oscar. I had to cancel my insurance because there's no doctor here that takes it. I used University Hospital and they don't take Oscar either. Oscar claimed one doctor here will take it, but I called that office and they said it's an error, they don't take Oscar either. I would advise anybody in the San Antonio area not to buy this insurance at this time. Change to a different insurance provider instead.
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[redacted] Dear [redacted], Thank you for contacting us in regard to complaint ID #[redacted]. I am writing to confirm we have reviewed this case and responded to the member directly via mail. We will not include the response here as it contains protected personal health information. If you have additional questions, you can contact Member Services at [redacted] or [redacted]. Best, Bridget A Grievance Associate, Member Services
I will amend this in the next few days if it's resolved.
Oscar insurance gold plan clearly indicates that preferred drugs cost $35 period with no deductibles, etc. Novolog flex pen insulin, as well as Levemir flex pen insulin are both noted on their website as preferred tier 2 drugs, yet the Texas Walgreens I use notes charged me $105.00 for a 1 month supply of Levemir flex pen and $70.00 for a month of Novolog. Their response was "we don't know what formula they use, only what they'll cover. You can either pay or reject it and return once settled."
Isn't America great? Affordable healthcare to assist those in need, yet these great startups are helping how?
Oh I've also resorted to using Oscar's site to find doctors, calling said doctors to verify Oscar acceptance, calling Oscar to verify as well and documenting who I spoke to and when. Why? New to Texas they are, and they're not as covered as they'd like you to think. I've gone to 2 gastric emptying studies scheduled by my PCP and referred via oscars info just to find out at time of appointment "sorry it's private pay, no longer taking Oscar". 1 end appointment got same response, and 1 nerve conductivity study.
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[redacted] December **, 2015 [redacted]...
[redacted] Complainant: [redacted] Complaint ID: [redacted] Dear Revdex.com, Thank you for contacting Oscar with [redacted] grievance. We appreciate you bringing this issue to our attention. We apologize to [redacted] for the error made during her enrollment. Oscar corrected this mistake and [redacted] has successfully enrolled in the Platinum Edge Plan, effective December *, 2015. The change was made in Oscar’s system on December *, 2015. We understand [redacted] had concerns about obtaining prescriptions while Oscar made modifications to her enrollment. [redacted] was enrolled in the Platinum Edge Plan for the full month of December, meaning she is eligible for prescription coverage beginning the 1st of the month. If [redacted] spent any money out-of-pocket on covered prescriptions she can be reimbursed the lesser of the appropriate copayment. The same logic applies to other covered health expenses. If you have additional questions, you can contact me at: Kristina N[redacted] Best, Kristina N. Grievance Associate, Member Services
I would like to have my $199.66 bill waived, since I was told that the annual physical would be free before agreeing to join their program. Thanks.
Review: I enrolled in a Platinum Edge Plan with Kevin and made my payment. Oscar enrolled me in a completely different program with different benefits. I called and spoke to Steve and he told me it will take a week to resolve. I explained that I have Lupus and need to fill my prescriptions by tomorrow. I was told that even though it was their error, they could not do anythingDesired Settlement: I want the plan I originally enrolled for immediately. I need to fill prescriptions for my health and my medication can not be interrupted. This was there mistake, it should not take a week to resolve
Business
Response:
[redacted] December **, 2015 [redacted] Complainant: [redacted] Complaint ID: [redacted] Dear Revdex.com, Thank you for contacting Oscar with [redacted] grievance. We appreciate you bringing this issue to our attention. We apologize to [redacted] for the error made during her enrollment. Oscar corrected this mistake and [redacted] has successfully enrolled in the Platinum Edge Plan, effective December *, 2015. The change was made in Oscar’s system on December *, 2015. We understand [redacted] had concerns about obtaining prescriptions while Oscar made modifications to her enrollment. [redacted] was enrolled in the Platinum Edge Plan for the full month of December, meaning she is eligible for prescription coverage beginning the 1st of the month. If [redacted] spent any money out-of-pocket on covered prescriptions she can be reimbursed the lesser of the appropriate copayment. The same logic applies to other covered health expenses. If you have additional questions, you can contact me at: Kristina N[redacted] Best, Kristina N. Grievance Associate, Member Services
Review: This is a complaint about 2 reps in the customer service office of Oscar. I misfit was shipped to me and shows that it was delivered to doorstep on June [redacted], and on the [redacted] I was told it was been delivered today and then the rep (clinton) said the item was delivered but wait a day or so.
I emailed the customer service dept on June [redacted] and stated that I did not get a unit. After I received no response, I rang and spoke to a customer service rep by the name of virginia. This woman was dismissive of my concerns and actually seemed to be annoyed. As she was speaking to me and I asked her to hold on as I wanted to reference something, she began tut-tutting. I asked to cancel my policy when she would not escalate my call to a supervisor and actually advised her that I found her tone, offensive.Desired Settlement: I have a Oscar shine that I just bought, and I have a [redacted] watch and it is not the point that I need one, but if I did not receive one or one was lost, a customer should not have to spend 2 phone calls and email and still not have this issue rectified. I want an apology and this unit be reshipped. I pay close to 600 per month and this service is dreadful and I am very close to changing my insurance. I am abhorred at the behaviors of these individuals.
Review: My health insurance company, Health Republic, is going out of business in 2 weeks, and I had to find new insurance in NYC Manhattan. I chose Oscar because it seemed easy and relatively affordable.They are proving to be not so easy and either down right unknowledgeable about policy or deceptive.I was told, when I joined two days ago, I had to choose a plan for one month that did not cover my medication but that I could after a 48 hour application processing time, call back and enroll for the upgraded coverage which is being offered for January 2016 which does cover, with a co-pay, my prescription drug. I asked for a confirming email. I never received that email. I called tonight to enroll for the upgrade and was told I have to call back after December [redacted] to enroll in the upgraded health policy for 2016. That is alarming. What will I be told on December [redacted]. I fear that I will be locked into an inadequate policy.In addition, I was told before I enrolled I would be able to have my monthly bill automatically taken from my debit card. What they did not tell me is that I would have to call in every month with my debit card to pay my bill. And I apparently clicked on so many options trying to set up a monthly debit card payment I apparently paid my December bill without so much as an email confirmation! When I called back for the fourth time I was told by the way, I paid my bill and thank you!This last event, is either deceptive adverting or just ignorance. Both of which are, when your are dealing with a family's health insurance, unacceptable.After all this I want them to at least set up an automatic payment option for debit cards. Especially after all this, I do not feel comfortable giving them my bank account information given I have spoken to so many "customer service" people who do not know what they are talking about.Also there is not a clear customer service complaint email listed on their web site or I would have emailed them first. Thank youDesired Settlement: After all this I want them to at least set up an automatic payment option for debit cards.
Business
Response:
[redacted] Complainant: [redacted] Complaint ID: [redacted] Dear Revdex.com, Thank you for contacting Oscar with [redacted]’s grievance. We appreciate you bringing this issue to our attention. We apologize to [redacted] for any confusion she may have experienced with respect to enrollment and billing options related to her monthly premium. In order to resolve any miscommunication, I am writing to confirm the relevant dates for open enrollment as well as explain Oscar’s billing policy. [redacted] enrolled in health insurance ‘Off-Exchange’ or off the New York State of Health Exchange for the month of December due to the discontinuance of her plan provided by Health Republic. Because [redacted] is already enrolled in Oscar Off-Exchange, she will be auto-enrolled in the 2016 version of her current (2015) plan. However, if [redacted] would like to modify or change her plan, she is also eligible to choose a new health plan for 2016 until December [redacted] for a January *, 2016 effective coverage date. Due to the disruption in coverage by the discontinuance of her plan under Health Republic and needing to obtain one month of coverage under a new plan for the 2015 year, this may have caused confusion for [redacted]. Since this complaint was opened with the Bureau, [redacted] has taken the steps to enroll in a new plan for the 2016 year. We also understand [redacted] is frustrated by the options we offer to members to submit recurring payments. Although Oscar does not accept debit cards for recurring payments, she can set up her checking account (linked to her debit card) to automatically withdraw her monthly premium each month. She can do this online by logging into [redacted] or calling our Member Services Department at [redacted]. Alternatively, she can mail in a check or call our Member Services Department each month their premium is due to provide payment information.If you have additional questions, you can contact me at: Kristina N[redacted] Best, Kristina N. Grievance Associate, Member Services
Review: I enrolled their insurance service on December [redacted], but I haven't get ID card yet.
I called them several times and tried to log in online site as well, but never succeed to solve my problem.They said reissue ID card and send e mail to my mail address but they
never sent e mail back to me. I can't go to doctor's office and refill prescription without ID card.
I need to get my ID card ASAP.Desired Settlement: I need to get ID cards right away.
Business
Response:
[redacted] Dear Revdex.com, Thank you for contacting Oscar with [redacted]’s grievance. We appreciate you bringing this issue to our attention. We apologize to [redacted] for any delay in the delivery of her Oscar Welcome Kit, which includes her member identification card. Oscar has confirmed that [redacted]’s Welcome Kit and ID were delivered to her home address on file on December **, 2015. In order to avoid further confusion, I am writing to explain how [redacted] can access her ID card online. If at anytime [redacted] does not have her physical member ID card she can find a printable version online at hioscar.com. She can simply login to her online account and on the member portal home page choose the option to ‘Explore Your Plan’. There will be a button that reads ‘Print’, which will lead her to a PDF version of the ID card. Providers and pharmacies are able to take this form of ID as proof of insurance, so [redacted] should have no issues accessing care. If [redacted] has any questions about this information she can contact our Member Services Department at [redacted] or [redacted]. Best, Kristina Grievance Associate, Member Services
Consumer
Response:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me and the matter has been resolved.
Sincerely,