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Oscar

Oscar was founded in 2012 to provide consumers with access to the affordable, high-quality health care they deserve.

Careington
Oscar Health

Find Your 2026 ACA Health Plan

Compare Oscar ACA plans available in your area. Enter your ZIP code to see plans and pricing - no contact info required.

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Oscar offers affordable, easy-to-use health coverage designed to make care accessible for every lifestyle. Members get $0 Virtual Urgent Care visits, help from a dedicated Care Team, and access to low-cost prescriptions for common medications. With flexible Bronze, Silver, and Gold plan options, including tailored Chronic Condition and Diabetes plans, Oscar makes it simple to choose coverage that fits your health and budget. Every plan comes with convenient online account access for managing claims, bills, and digital ID cards anytime, anywhere.

*Based on publicly reported membership figures for insurers serving the Individual market during plan year 2020.

2026 Oscar Plan Highlights

Download plan grid here

  • Low-cost prescriptions – savings on commonly prescribed medications
  • Dedicated Care Team – personalized help with claims, billing, and provider coordination
  • $0 Virtual Urgent Care – 24/7 access to providers from your phone or computer
  • Chronic Condition & Diabetes plans – tailored benefits like capped insulin costs and $0 PCP visits
  • Easy online account access – manage claims, digital ID cards, and payments anytime
  • HMO network plans – coordinated care through in-network doctors and hospitals across Illinois

CHOOSING YOUR METAL TIER

There are 3 different metal tiers when it comes to Oscar health plans: Bronze, Silver, and Gold. You’ll receive the same quality of care and the same benefit s for all tiers.

BRONZE PLAN

Lower premium, higher out -of-pocket expenses 60%of covered health costs paid by Oscar, 40%paid by you. Good choice if you don’t expect to use your plan often, but still want coverage to protect you from very high costs

SILVER PLAN

Moderate premium, moderate out -of-pocket expenses. 70%of covered health costs paid by Oscar, 30%paid by you.
Cost share reductions available if you’re eligible. Good choice if you’re willing to pay a slightly higher monthly premium and get more care covered 

GOLD PLAN

Higher premium, lower out -of-pocket expenses. 80%of covered health costs paid Oscar, 20%paid by you. Good choice if you need care often 

CHOOSING YOUR PLAN SUITE

Within each tier there are 3 plan suites you can choose from. The plan suites range from Simple to Elite. The difference between them is the breakout of coinsurance and copays.

SIMPLE

Lowest monthly premium. More coinsurance based cost- shares. Mostly available in Bronze and Silver metal tiers.

CLASSIC

Mid to high monthly premium. Out- of- pocket costs will be a mix of coinsurance & copays. For example, you may have a copay for labs and coinsurance for a hospital stay

ELITE

Highest monthly premium. More copay based cost- shares. $0 medical deductible. 

For members living with diabetes:

Designed to support individuals living with type 1 or type 2 diabetes, these plans make it easier and more affordable to manage your health every day. You’ll get predictable costs, enhanced coverage, and ongoing support tailored to your condition.

Highlights include:

  • $100 monthly insulin cap for affordable access to medication

  • $0 primary care and specialist visits related to diabetes management

  • $0 labs and diabetic eye/foot exams for routine monitoring

  • $0 testing supplies through the WellDia program (glucometer, test strips, lancets)

  • Personalized Care Team support plus 24/7 virtual visits at no cost

Virtual Care Offerings:

Oscar’s Virtual Urgent Care lets members connect with a provider anytime, from anywhere — usually within 15 minutes. Virtual visits are $0 on most plans and cover diagnosis, prescriptions, and refills, helping you get care without stepping foot in a clinic.

Highlights:

    • 24/7 access to virtual urgent care from your phone or computer

    • $0 visits for most plans (excludes HSA and Secure plan types)

    • Get treatment, prescriptions, or refills in minutes — no waiting rooms required

*Oscar’s Virtual Urgent Care offerings are not available in US territories or internationally. Prescriptions, visits and services may be limited per provider discretion.

Oscar’s Hospital Network

In Illinois, Oscar offers two networks, depending on the county – Oscar’s Choicenetwork and Oscar’s Select network.
Oscar’s Illinois Choice service area includes Cook, DuPage, Kane, Kendall, Lake, andWill counties.
Oscar’s Illinois Select service area includes Cook County

 

COUNTY Choice Select
BLACK HAWK
MercyOne Cedar Falls Medical Center
MercyOne Waterloo Medical Center
CERRO GORDO
MercyOne North Iowa Medical Center
COOK
Advocate Christ Medical Center
Advocate Illinois Masonic Medical Center
Advocate South Suburban Hospital
Advocate Trinity Hospital
Endeavor Health Evanston Hospital
Endeavor Health Northwest Community Hospital
Endeavor Health Skokie Hospital
Endeavor Health Swedish Hospital
Gottlieb Memorial Hospital
Holy Cross Hospital
Humboldt Park Health
Jackson Park Hospital & Medical Center
Loretto Hospital
Loyola University Medical Center
Macneal Hospital
Mount Sinai Hospital
South Shore Hospital
St. Bernard Hospital
Thorek Memorial Hospital
Uchicago Medicine
Uchicago Medicine Ingalls Memorial Hospital
West Suburban Medical Center
DALLAS
MercyOne West Des Moines Medical Center
DUBUQUE
MercyOne Dubuque Medical Center
DUPAGE
Advocate Good Samaritan Hospital
Endeavor Health Edward Hospital
Endeavor Health Elmhurst Hospital
JASPER
MercyOne Newton Medical Center
KANE
Advocate Sherman Hospital
LAKE
Advocate Condell Medical Center
Advocate Good Shepherd Hospital
Vista Medical Center East
POLK
MercyOne Des Moines Medical Center
ROCK ISLAND
MercyOne Genesis Silvis Medical Center
SCOTT
MercyOne Genesis Davenport Medical
MercyOne Genesis Davenport West Medical Center
WILL
Silver Cross Hospital
WOODBURY
MercyOne Siouxland Medical Center

 

2 Comments

  1. Gail Doonan

    Hoping you have added Duly Heslth Care to your approved agents in Tinley Park cook county, Illinois

    Reply
    • admin

      ↪ In reply to Gail Doonan
      Hi Gail,

      Oscar is not currently contracted with Duly Health and Care (formerly DuPage Medical Group) and is not engaged in active negotiations to add Duly to its provider network.

      Historically, Duly has been a challenging provider group to contract with, as they typically seek reimbursement rates that exceed what many carriers, including Oscar, are willing to offer. As a result, there is no indication at this time that Duly will be joining the Oscar network in the near future.

      Reply

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Top 2026 Oscar plans - details and ratings

Oscar pairs some of the cheapest gold premiums in Illinois with a genuinely good app and virtual care - and carries the lowest displayed quality rating on Get Covered Illinois (2 of 5 stars). Its Choice network is narrow: check your doctors first. Representative 2026 plans; single, in-network figures.

Star ratings are seeded from public ratings and complaint data and adjust as visitors rate each plan.

Oscar Bronze Simple (Choice)

High-deductible bronze where the deductible nearly meets the out-of-pocket cap.

Metal level
Expanded Bronze
Network
Oscar Choice
Plan type
EPO
Deductible (single)
$9,000
Out-of-pocket max (single)
$10,600
HSA-eligible
No

Rate this plan

Rate all four categories - Cost, Plan Value, Customer Service, and Network Size - to unlock the submit button. Comment optional. If you add a first name or county they are shown with your review - leave them blank to stay anonymous.

Baseline: 3.3 / 5 - seeded from public ratings and complaint data; updates as visitor ratings come in.

Cost4.0 baseline
Plan Value3.5 baseline
Customer Service3.0 baseline
Network Size2.5 baseline
Thanks - your review has been submitted.

Oscar Bronze Simple - $5,200 Ded (Choice)

The middle-deductible bronze variant.

Metal level
Bronze
Network
Oscar Choice
Plan type
EPO
Deductible (single)
$5,200
Out-of-pocket max (single)
Confirm at quote
HSA-eligible
No

Rate this plan

Rate all four categories - Cost, Plan Value, Customer Service, and Network Size - to unlock the submit button. Comment optional. If you add a first name or county they are shown with your review - leave them blank to stay anonymous.

Baseline: 3.3 / 5 - seeded from public ratings and complaint data; updates as visitor ratings come in.

Cost4.0 baseline
Plan Value3.5 baseline
Customer Service3.0 baseline
Network Size2.5 baseline
Thanks - your review has been submitted.

Oscar Bronze Classic Standard

The standardized bronze design.

Metal level
Expanded Bronze
Network
Oscar Choice
Plan type
EPO
Deductible (single)
Confirm at quote
Out-of-pocket max (single)
Confirm at quote
HSA-eligible
No

Rate this plan

Rate all four categories - Cost, Plan Value, Customer Service, and Network Size - to unlock the submit button. Comment optional. If you add a first name or county they are shown with your review - leave them blank to stay anonymous.

Baseline: 3.3 / 5 - seeded from public ratings and complaint data; updates as visitor ratings come in.

Cost4.0 baseline
Plan Value3.5 baseline
Customer Service3.0 baseline
Network Size2.5 baseline
Thanks - your review has been submitted.

Oscar Silver Classic

Mainstream silver - the CSR check belongs here.

Metal level
Silver
Network
Oscar Choice
Plan type
EPO
Deductible (single)
Confirm at quote
Out-of-pocket max (single)
Confirm at quote
HSA-eligible
No

Rate this plan

Rate all four categories - Cost, Plan Value, Customer Service, and Network Size - to unlock the submit button. Comment optional. If you add a first name or county they are shown with your review - leave them blank to stay anonymous.

Baseline: 3.3 / 5 - seeded from public ratings and complaint data; updates as visitor ratings come in.

Cost4.0 baseline
Plan Value3.5 baseline
Customer Service3.0 baseline
Network Size2.5 baseline
Thanks - your review has been submitted.

Oscar Secure Gold Classic StandardCheap Gold

Frequently among the lowest gold premiums in the state.

Metal level
Gold
Network
Oscar Choice
Plan type
EPO
Deductible (single)
Confirm at quote
Out-of-pocket max (single)
Confirm at quote
HSA-eligible
No

Rate this plan

Rate all four categories - Cost, Plan Value, Customer Service, and Network Size - to unlock the submit button. Comment optional. If you add a first name or county they are shown with your review - leave them blank to stay anonymous.

Baseline: 3.3 / 5 - seeded from public ratings and complaint data; updates as visitor ratings come in.

Cost4.0 baseline
Plan Value3.5 baseline
Customer Service3.0 baseline
Network Size2.5 baseline
Thanks - your review has been submitted.

We have not found enough verifiable public member commentary on Oscar’s Illinois plans to quote fairly - your rating above genuinely helps the next shopper.

Oscar rate filing history

Illinois redacts most carrier-level actuarial detail, so a complete requested-vs-approved table per carrier is not publicly available. Here is what the Illinois Department of Insurance and public filings do show - statewide averages plus this carrier’s known figures:

Plan yearRequestedApprovedNote
2024 (Oscar)+6.8%
2026 (Oscar)+0.2% → +10.4% revisedwithin statewide finalMildest 2026 revision
2027 (Oscar)+12.7%pendingProposed
2018 (statewide)~+30%~+30%CSR-defunding silver load year
2020 (statewide)-0.3%-0.3%
2024 (statewide)+4.9-5.7%Semi-weighted final
2025 (statewide)+4.6%Filings partially redacted
2026 (statewide)+23.4-29.4%+28.8%Final IDOI weighted avg; driven by enhanced-subsidy expiration
2027 (statewide)+14.0%pendingRequested average

Sources: Illinois DOI rate filing publications and final-rate releases, ratereview.healthcare.gov, and ACA Signups Illinois tables. Figures are market averages, not your personal premium; subsidies through Get Covered Illinois can absorb much of an increase.