Oscar covers out-of-network ER, Hosp, etc as long as it's coded as an Emergency
Auto-pay can only be done with checking account - you need that when applying online
If under 18, you need age of adult, how many member in household, then click "child only" in your portal
BRONZE Rx: $500 p/p ded ($1000/family). After ded, you get negotiated rate only. If drug is really expensive, the negotiated rate only applies to the 1st $500 of each script. Oscar sez disc can be 30% - 70%
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NETWORK RULES 2020 - All clients mapped into Select Network! Network changes must be done during OE !! I CAN CHANGE NETWORK FOR CLIENT SELECT NETWORK: AVAILABLE ON & OFF EXCHANGE: (No Hoag or UCLA) CIRCLE NETWORK: ONLY AVAILABLE OFF EXCHANGE: (Select Includes Hoag or UCLA).
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NETWORKS SELECT NETWORK (No Hoag or UCLA) Available for all Plans On & Off Exchange CIRCLE NETWORK (Includes Hoag or UCLA) Only Available off Exch Circle Not Available for: *Min Coverage *Simple Plans *Gold *Platinum : |
NOTES An out-of-network doctor can prescribe a lab test and it will be covered at an in-network lab.
When
the member has been enrolled successfully, please encourage them to visit
hioscar.com/member/register to set up their profile, access their digital ID
card immediately, and set up autopay. |
RESOURCES
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CONTACT Commissions: |
Writing #BR10934
Neil's Client Link https://www.hioscar.com/brokers/referral/1231
SEP documents: sepdocuments@hioscar.com
- 6
BROKER HELP DESK
855-672-2788 x 2, 1
brokers@hioscar.com
Customer Service: 855-672-2755
Rachel Jones (CA Sales Exec) * 714-305-0953 * rachael@hioscar.com
When the member has been enrolled, encourage them to set up their profile at www.hioscar.com/member/register Access their digital ID card & pay bill.
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