Silver Core Plan
Oscar Insurance Company · 2027 plan year
- Ind. deductible
- $0
- Family deductible
- $0
- Ind. OOP max
- $3,200
- Family OOP max
- $6,400
Other cost-sharing reduction variants for this plan:
More Oscar Insurance Company plans in MI
Your price after subsidy
An estimate of the premium tax credit for your household and what this plan would cost you after it.
Prices and the benchmark plan depend on where you live.
You, your spouse if you file jointly, and anyone you claim as a dependent — even if they don't need coverage.
Your whole household's modified adjusted gross income (MAGI): roughly adjusted gross income plus untaxed Social Security, tax-exempt interest and foreign income.
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Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $5.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $15.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | 30.00% |
| Inpatient Hospital Services (e.g., Hospital Stay) | 10.00% |
| Outpatient Surgery Physician/Surgical Services | 10.00% |
| Urgent Care Centers or Facilities | $5.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | No charge |
| Non-Preferred Brand Drugs | 10.00% |
| Preferred Brand Drugs | $20.00 |
| Specialty Drugs | 30.00% |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | 10.00% |
| Mental/Behavioral Health Outpatient Services | $5.00 |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | Not covered |
| Acupuncture | Not covered |
| Allergy Testing | $15.00 |
| Bariatric Surgery | 10.00% |
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | Not covered |
| Chemotherapy | 10.00% |
| Chiropractic Care | $5.00 |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | 10.00% |
| Dental Check-Up for Children | Not covered |
| Diabetes Education | No charge |
| Dialysis | 10.00% |
| Durable Medical Equipment | 10.00% |
| Emergency Transportation/Ambulance | 30.00% |
| Eye Glasses for Children | No charge |
| Habilitation Services | 10.00% |
| Hearing Aids | Not covered |
| Home Health Care Services | 10.00% |
| Hospice Services | 10.00% |
| Imaging (CT/PET Scans, MRIs) | 10.00% |
| Infertility Treatment | 10.00% |
| Infusion Therapy | 10.00% |
| Inpatient Physician and Surgical Services | 10.00% |
| Laboratory Outpatient and Professional Services | $15.00 |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | Not covered |
| Nutritional Counseling | No charge |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $5.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 10.00% |
| Outpatient Rehabilitation Services | 10.00% |
| Prenatal and Postnatal Care | No charge |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | 10.00% |
| Radiation | 10.00% |
| Reconstructive Surgery | 10.00% |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | 10.00% |
| Rehabilitative Speech Therapy | 10.00% |
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | Not covered |
| Skilled Nursing Facility | 10.00% |
| Specified Sex-trait Modification Procedures (SSTMP) | 10.00% |
| Substance Abuse Disorder Inpatient Services | 10.00% |
| Substance Abuse Disorder Outpatient Services | $5.00 |
| Transplant | 10.00% |
| Treatment for Temporomandibular Joint Disorders | 10.00% |
| Weight Loss Programs | $5.00 |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 10.00% |
Check your doctors and drugs before you enroll
We don't check this plan's provider network or drug list. Search its directory and drug list on HealthCare.gov, your state's marketplace, or the insurer's site, then call your doctor's office to confirm they take this exact plan. How to check
Open enrollment for 2027 is open now
On HealthCare.gov, enroll by December 15 for coverage that starts January 1; the deadline is January 15. State-run exchanges set their own dates. Leave your email and we may write with updates. No schedule, no spam.