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Today’s Team
Amy Papsun
Sr. Regulatory Counsel
Tripp Girdler
TN Sales Executive
Kyle Estep
Market Director
Chris Gardner
TN Sr. Sales Executive
01: Who is Oscar?
02: What makes Oscar different?
03: Our 2019 product portfolio: service area, network, plan designs
04: Q&A
What We’ll Cover Today
01: Who is Oscar?
The Oscar Model
Engagement
...with a high-tech &
high-touch approach...
Satisfaction
...resulting in cost savings &
happier customers.
Ease
Built from the ground
up for consumers...
Headquartered in New York City with
employees across the country.
900 employees &
growing Expanding to nine states and
13+ lines of coverage for 2019.
Ready for Growth
$1.3B raised to date
From top investors like Alphabet,
Fidelity Investments, Goldman
Sachs, and Founders Fund.
Oscar Today
The Oscar model is
working.
The Oscar model is working… resulting in top line growth and
bottom line stabilization
02: What makes Oscar different?
We put our members at the center
of everything we do
Oscar makes it easy for members with a high-tech and high-touch
approach
*Step tracking rewards are an incentive that is part of our voluntary wellness program (available to all members).
*
3x happier, to be exact.
Source data pulled from internal Net Promoter Score (NPS) survey results and Deft Research 2017 Individual & Family Member Experience Research Report.
Our doctor search tool and Concierge service make it simple to find the
right care. That’s why half of our members use Oscar to find doctors.
Source: Periscope member engagement dashboard as of Aug. ‘18, subscribers ages 18 - 55
Our easy-to-use Doctor on Call feature drives Oscar members to use
telemedicine at rates 6x higher than the industry average.
Source: Periscope member engagement dashboard as of Aug. ‘18, subscribers ages 18 - 55, Industry average from National Business Group on Health survey of employee usage of telemedicine when offered by employer.
While our tools are powered by
technology, we believe that member-
focused health care requires a human
touch.
The Oscar Experience https://www.youtube.com/watch?v=v3ic9SetIHQ
03: Our 2019 Product Offering
Our Service Area & Network
• Children’s Hospital at TriStar Centennial
• Saint Thomas Hospital for Specialty Surgery
• Saint Thomas Midtown Hospital
• Saint Thomas West Hospital
• TriStar Centennial Medical Center
• TriStar Skyline Medical Center
• TriStar Southern Hills Medical Center
• TriStar Summit Medical Center
• Metropolitan Nashville General Hospital
• TriStar Ashland City Medical Center
• Tennova Healthcare - Clarksville
• NorthCrest Medical Center
• Trousdale Medical Center
• Saint Thomas Rutherford Hospital
• TriStar StoneCrest Medical Center
• TriStar Hendersonville Medical Center
• Sumner Regional Medical Center
• Williamson Medical Center
Our Nashville network is strong—and members have full, unrestricted
access. Members are covered across Davidson, Cheatham, Montgomery, Robertson,
Trousdale, Rutherford, Sumner, Williamson and Wilson counties.
18 Hospitals
5,500+ Providers 2018 network data: subject to change in 2019.
● Baptist Memorial Hospital-Collierville
● Baptist Memorial Hospital for Women
● Baptist Memorial Hospital-Memphis
● Spence and Becky Wilson Baptist Children's
● Baptist Memorial Hospital-Tipton
● Baptist Memorial Hospital-Union City
● Baptist Memorial Hospital-Carroll County
● Baptist Memorial Hospital-DeSoto
Our Memphis network is strong—and members have full, unrestricted
access. Oscar is available in Shelby, Fayette, Tipton, Haywood and Lauderdale
counties.
10 Hospitals
1,000+ Providers 2018 network data: subject to change in 2019.
We partner with the highest-quality
providers to build a connected
patient experience.
CVS Caremark is our pharmacy vendor
Liberty is used for pediatric dental
Davis takes care of pediatric vision
Optum manages our mental health benefits
National Pharmacy Network Over 60K pharmacies, including partners CVS, Walgreens, and WalMart
Urgent Care Visit an urgent care center for things like cuts, sprains at INN rates
Emergency Room If there’s a life-threatening emergency when away from home, visit the closest ER
Doctor on Call Talk to board-certified doctors for free over the phone 24/7 for common conditions
Coverage when you’re away from home
Search for Doctors & Drugs
2019 formulary will be available soon
Our Plan Designs
Introducing Oscar’s 2019 TN Individual U65 product suite. All plans leverage the same network, but feature varying balances of copay-
based and coinsurance-based benefits to meet all group needs.
9 plans across all metal tiers
Catastrophic: 1 • Bronze: 3 • Silver: 4 • Gold: 1 •
All plans include free, unlimited Doctor on Call
Our telemedicine feature reduces out-of-pocket expenses, and is especially
valuable for members on high-deductible plans.
All plans include Oscar’s unique perks
Including a personal Concierge for each member, Step Tracking rewards,
and an award-winning mobile app.
● Lower premiums
● No pre-deductible benefits
● No copays
● Traditional plan designs
● Align with FFM
standardized plans
● Off-exchange only Silver
plan with $10 generic
copay at lower premiums
Classic
Gold
Silver
Bronze
Simple
Silver
Bronze
Secure (catastrophic)
Saver
Silver
Bronze
● Most popular plan type
● Deductible = MOOP
● Pre-deductible benefits
● No Gold tier
All plans are EPOs with Doctor on Call, Step Rewards, and Concierge
Tennessee Product Suite Snapshot
TN 2019
Plan
Designs
*Family deductible and maxes are twice the individual amounts
Things to Remember | Tennessee 2019 Individual Market Plans
● Oscar is available to consumers in two metro areas for 2019
○ Nashville: Davidson, Cheatham, Montgomery, Robertson, Trousdale,
Rutherford, Sumner and Williamson counties
○ Memphis: Shelby, Fayette, Tipton, Haywood and Lauderdale counties
● Oscar’s plans are EPO - no referrals required and no out-of-network benefits
● All of Oscar’s plan include:
○ Free and unlimited telemedicine - “Doctor on Call”
○ Dedicated concierge teams
○ Step tracking rewards (up to $100 / year in Amazon credit)
○ Free preventive care
*Family deductible and maxes are twice the individual amounts
Things to Remember | Tennessee 2019 Individual Market Plans
● For full plan grids and collateral, go to www.hioscar.com/brokers
○ Select “Plans & Network”
○ Toggle to “Individual”
○ Scroll down for Tennessee
● For SOBs / SBCs, go to: www.hioscar.com/forms
● For Consumers:
○ Enrollment Questions: 1-855-OSCAR-88
○ Easy Quote & Enrollment: www.hioscar.com/quote
Tripp Girdler
Sales Executive
Phone: (615) 305-2644
Email: [email protected]
Chris Gardner
Sr. Sales Executive
Phone: (615) 732-9945
Email: [email protected]
Questions?
Team Contact Information
