Company Description
Oscar Health, Inc. (NYSE: OSCR) is described in its public disclosures as a healthcare technology company built around a full stack technology platform with a focus on serving its members. According to multiple company press releases, Oscar has been challenging the status quo in the healthcare system since its founding in 2012 and is dedicated to making a healthier life accessible and affordable for its members. It operates in the finance and insurance sector as a direct health and medical insurance carrier and is listed on the New York Stock Exchange under the symbol OSCR.
Oscar states that it offers Individual & Family plans and health technology solutions that power the healthcare industry through a platform referred to as +Oscar. Across its communications, the company emphasizes that its technology is used to drive member experiences, engagement, and clinical care. In several press releases, Oscar notes that its approach has earned the trust of approximately 2.0–2.1 million members as of various dates in 2025, reflecting the scale of its health plan membership.
Business focus and offerings
Based on the company’s own descriptions, Oscar combines health insurance offerings with technology-enabled services. It provides Individual & Family health insurance plans on the individual marketplace in multiple regions, and it also offers health technology solutions to other participants in the healthcare industry under the +Oscar brand. The company repeatedly characterizes its plans as affordable and tech-powered, and it highlights features such as digital tools, virtual care access, and guided support for members.
In several regional announcements, Oscar details specific plan designs made available on the individual marketplace for individuals, families, and, through employer-funded arrangements, for employees. These include Bronze, Silver, Gold, and "Redesigned Gold" plan tiers in certain markets, which are described as coverage options designed for different budgets, health needs, and cultural backgrounds. The plans described in these announcements include elements such as access to provider networks, $0 virtual urgent care and $0 primary care visits in many cases, dedicated Oscar Care Guides for one-on-one support, and prescription benefits with low-cost medications and options for refills and home delivery.
Technology and member support
Oscar’s public statements emphasize its use of a full stack technology platform to support members and partners. The company highlights several technology-enabled programs and tools within its health plans:
- Oswell: Described as a personal health AI agent that provides on-demand support about medications, common test results, symptoms, prescription refills, drug interactions, and more. According to the company, Oswell draws on medical records, interactions with Oscar care guides, and plan benefits to deliver personalized engagement and can connect members to $0 virtual care, live chats with Oscar clinicians, and in-network doctors.
- Oscar Care Guides: In multiple plan descriptions, Oscar references dedicated Care Guides who provide one-on-one support to help members find care and understand their benefits.
- Virtual care: The company repeatedly notes that many of its plans include $0 virtual urgent care and $0 primary care visits available 24/7, as well as telehealth and virtual-first specialty care in certain offerings.
Through these features, Oscar positions its technology as central to how members navigate their coverage, obtain care, and interact with clinicians and support teams.
Specialized plan designs and programs
In addition to standard Individual & Family plans, Oscar describes several specialized plan designs in its regional announcements:
- HelloMeno: Characterized by Oscar as a first-of-its-kind menopause plan in the individual market in certain regions. The plan is described as offering $0 primary care, gynecologist, and behavioral health visits, as well as no-cost labs, hormone therapy, insomnia medications, and bone density scans. Oscar notes that members can connect with experts at Elektra Health, access wellness rewards, and receive support designed to help women navigate midlife.
- Condition-focused plans: Oscar describes condition-focused coverage experiences for members with diabetes, COPD, asthma, and cardiovascular-kidney-metabolic syndrome. In its communications, the company states that these plans are designed to provide critical care at no cost for covered services, including $0 primary care, pulmonology, endocrinology, cardiology, and behavioral care; $0 labs; and $0 coverage for specific tests, rehabilitation services, and certain medications and devices.
- Guided Care HMO: In at least one regional announcement, Oscar mentions expanding a Guided Care HMO plan that uses its technology to link members to primary care providers and specialists with urgent, real-time referrals. The plan is described as offering lower premiums and benefits such as $0 virtual urgent care, $0 medications in certain categories, and low-cost labs and integrated virtual-first specialty care.
- Spanish-first diabetes plan: In Arizona, Oscar highlights a Spanish-first diabetes care plan called “Buena Salud Bronce Simple Para Diabetes,” described as connecting Hispanic and Latino members to a care team and healthcare community that shares their cultural background to help manage diabetes.
These descriptions indicate that Oscar uses targeted plan design to address specific health needs and populations within the Individual & Family market.
Employer-focused offerings
Oscar also describes an employer-funded individual market offering structured as an Individual Coverage Health Reimbursement Arrangement (ICHRA). In collaboration with Hy-Vee in the Des Moines area, the company presents a concierge-style plan called "Hy-Vee Health with Oscar" for the local business community. According to the joint announcement, this arrangement offers budget-focused coverage, free primary and urgent care at specified clinics, low-cost specialist access and prescriptions, and guidance from Oscar Care Guides, combined with Oswell support and certain lifestyle rewards.
In this context, Oscar characterizes its employer-funded individual market plan as providing an alternative to traditional group employer plans, with features such as predictable employer contributions and the use of an ICHRA administrator to handle enrollment and compliance processes. This example illustrates how Oscar applies its Individual & Family plan design and technology platform to employer-sponsored coverage structures.
Geographic presence and provider networks
While Oscar’s disclosures do not present a full geographic list in a single statement, multiple press releases describe its presence in specific U.S. markets. The company refers to itself as the health plan of choice in certain states for multiple years and details plan availability in regions such as Southern Florida, the Tampa Bay area, Orlando and Central Florida, Charlotte and surrounding areas in North Carolina, Columbus in Ohio, the Dallas/Fort Worth region in Texas, and multiple counties in Arizona.
In each of these markets, Oscar highlights relationships with local provider and hospital system partners. Examples mentioned in the company’s announcements include organizations such as Baptist Health, HCA Healthcare, Jackson Health System, Memorial Healthcare, the University of Miami Health, AdventHealth, Orlando Health, Atrium Health, Mount Carmel Health System, and others in the respective regions. These references indicate that Oscar’s health plans are built around networks that include major health systems in the areas where its Individual & Family plans are offered.
Capital markets and corporate structure
Oscar Health, Inc. files reports with the U.S. Securities and Exchange Commission and identifies its Class A common stock, with a par value of $0.00001 per share, as trading on the New York Stock Exchange under the symbol OSCR. The company has disclosed multiple financing activities through SEC filings, including the issuance of 2.25% Convertible Senior Subordinated Notes due 2030 and 7.25% Convertible Senior Notes due 2031, as well as related capped call transactions and exchange agreements. These filings describe the terms of the notes, interest rates, maturity dates, conversion features, and certain covenants and events of default.
In addition, Oscar has reported adjustments to its capital structure, such as an exchange agreement allowing a holder of its 2031 convertible notes to exchange a portion of those notes for shares of Class A common stock and cash, and the resulting extinguishment of certain debt covenants and changes in subordination relationships between different note issuances. The company has also disclosed its intention to terminate a revolving credit facility in connection with the proceeds from its convertible notes offering, subject to closing conditions.
Financial reporting and guidance
Oscar regularly reports its financial results and key operating metrics through press releases and Form 8-K filings. For example, the company has announced quarterly results for periods ended June 30 and September 30, 2025, and has provided full-year 2025 financial guidance, including metrics such as total revenue, medical loss ratio, selling, general, and administrative expense ratio, and loss from operations. It also reports membership by offering, distinguishing between Individual and Small Group membership and other arrangements such as its former co-branded partnership with Cigna.
In these communications, Oscar explains certain non-GAAP metrics such as Adjusted EBITDA and describes why it considers metrics like medical loss ratio and SG&A expense ratio important for understanding its cost structure and operating performance. The company also discusses factors affecting its results, such as changes in market morbidity, risk adjustment transfer accruals, fixed cost leverage, and cost management.
Member base and market positioning
Across its press releases, Oscar notes that its technology and plan design have earned it the trust of approximately 2.0 to 2.1 million members as of mid and late 2025. The company characterizes its offerings as affordable, tech-powered health plans with a focus on a simple, personal, and easy-to-use member experience. In commentary within its financial disclosures, Oscar describes the individual market as a key source of affordable health coverage for many working people and positions itself as shaping the future of individual healthcare through its plan designs and technology platform.
FAQs about Oscar Health, Inc. (OSCR)
- What does Oscar Health, Inc. do?
Oscar Health, Inc. describes itself as a healthcare technology company that offers Individual & Family health insurance plans and health technology solutions through its +Oscar platform. It combines health coverage with a full stack technology platform that supports member experiences, engagement, and clinical care. - In which industry and sector does Oscar operate?
Oscar operates as a direct health and medical insurance carrier within the broader finance and insurance sector, offering health insurance plans and related technology-enabled services. - What types of health plans does Oscar offer?
According to the company’s regional announcements, Oscar offers Individual & Family plans on the individual marketplace, including Bronze, Silver, Gold, and Redesigned Gold plan tiers in certain markets. It also offers specialized plans such as HelloMeno menopause plans, condition-focused plans for chronic conditions, and Guided Care HMO options in some regions. - What is +Oscar?
In its public descriptions, Oscar refers to +Oscar as its health technology solutions that power the healthcare industry. These solutions are built on the company’s full stack technology platform and are intended to support partners and stakeholders beyond its own health plans. - How does Oscar use technology in its health plans?
Oscar emphasizes technology-enabled features such as Oswell, a personal health AI agent, and Oscar Care Guides who provide one-on-one support. Many of its plans include $0 virtual urgent care and $0 primary care visits, digital tools for scheduling and guidance, and integration with virtual-first specialty care in certain offerings. - Who are some of Oscar’s healthcare partners?
In its regional press releases, Oscar lists provider and hospital system partners in various markets. Examples include Baptist Health, HCA Healthcare, Jackson Health System, Memorial Healthcare, the University of Miami Health, AdventHealth, Orlando Health, Atrium Health, Mount Carmel Health System, and others, depending on the region. - Does Oscar work with employers?
Yes. Oscar describes an employer-funded individual market arrangement using an Individual Coverage Health Reimbursement Arrangement (ICHRA), such as the Hy-Vee Health with Oscar plan in the Des Moines area. In this structure, employers fund contributions while employees enroll in Oscar plans on the individual marketplace. - On which exchange does Oscar Health trade and under what symbol?
Oscar Health, Inc. states in its SEC filings that its Class A common stock is listed on the New York Stock Exchange under the ticker symbol OSCR. - How large is Oscar’s member base?
Oscar reports in multiple press releases that its technology and health plans have earned the trust of approximately 2.0 to 2.1 million members as of various dates in 2025. These figures reflect the number of members covered under its health plans at those times. - What kinds of financial instruments has Oscar issued?
According to its SEC filings, Oscar has issued 2.25% Convertible Senior Subordinated Notes due 2030 and 7.25% Convertible Senior Notes due 2031, along with related capped call transactions. It has also entered into exchange agreements that allow certain noteholders to exchange notes for shares of Class A common stock and cash under specified terms.