Oscar Unveils New Choices and AI Tools Shaping the Future of Individual Healthcare for More Americans and Businesses

Oscar Health, Inc. a leading healthcare technology company, is introducing a suite of easy-to-use health plans and AI features for millions of people for 2026 open enrollment.

“Choice is power,” said Mark Bertolini, CEO of Oscar Health. “Oscar’s lineup of new products bring surprising new experiences and rewards to help members manage their health and get the most out of their plan. Everyone should be able to buy health coverage on their terms. We call it health insurance for real life.”

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The Oscar experience will be available in 573 counties in 20 states in 2026, including new expansions into Alabama and Mississippi. Oscar is one of the largest carriers in the individual market.¹ More than 3 in 5 members recommend Oscar to their family and friends because Oscar treats them like their family and friends.²

Oscar is launching new AI tools to boost the customer experience and put next-level intelligence in member hands:

First-of-its-Kind Health AI Agent for All Oscar Members
Meet Oswell, a personal AI agent powered by OpenAI. Oswell empowers members with on-demand support and provides doctors with data to improve care paths. Oswell pulls from medical records, interactions with Oscar care guides, and plan benefit documents to help members: understand their medications, explain common test results, check drug interactions, get prescriptions refills, review symptoms, provide questions to ask their doctors, and more.

Oswell answers common questions like: “I forgot the name of my diabetes med. Can you help me refill it?” or “My doctor said something about high cholesterol. Are my recent lab results considered high? What can I do to lower my cholesterol?” Plus Oswell connects members to live chats and $0 virtual care with Oscar clinicians³ – and recommends doctors in the Oscar network. Oswell’s trusted support is backed by leading AI medical and behavioral safety research.⁴

Digital Rewards Program to Get the Most Out of Oscar Membership
Members now get exclusive access to Oscar Unlocks.⁵ Unlocks rewards members for healthy actions and digital tasks like setting up autopay or going paperless. The more members do, the more they unlock. Think priority access to a VIP Care Team and other perks.

Oscar is also introducing innovative new plans:

First-Ever Menopause Plan in the Individual Market
Say hello to HelloMeno, a bold new program helping women everywhere take control of their perimenopause and menopause experience. The plan offers $0⁶ primary care, gynecologist, and behavioral health visits – plus no-cost labs, hormone therapy, insomnia medications, and bone density scans. Members can talk to a trusted network of experts at Elektra Health 24/7⁷, receive exclusive wellness rewards, and save ~$900 per year.⁸

Expanded Clinical Plans to Better Manage Chronic Conditions
Members with diabetes, COPD, asthma, and cardiovascular-kidney-metabolic syndrome can save ~$800 a year⁸ through condition-focused plans built by Oscar clinicians.⁹ Members enjoy tailored experiences with $0 primary and specialist care, $0 screenings, low-cost medications, free health coaching, wellness apps, and medical devices.¹⁰

All Oscar plans are available in the Hola Oscar experience. Hola Oscar connects Hispanic and Latino members to a care team and healthcare community that share their cultural background. Employers and employees in Des Moines, IA also can sign up for the new Hy-Vee Health with Oscar plan featuring concierge care at an affordable fixed price.

Individuals, families, and employees with employer-funded coverage through ICHRA can enroll starting Nov. 1, 2025:

• Consumers can visit Healthcare.gov, call 1-855-672-2788, or speak to an insurance agent.
• Businesses with less than 50 employees can sign up to offer health benefits at StretchDollar.
• Employers with more than 50 employees can visit hioscar.com/ICHRA or speak with their broker.

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