Oscar Health, Inc. is a U.S. health insurance company built around ACA-compliant individual and family health plans, with additional coverage offerings for employees in select markets. The company also operates a healthcare technology platform, +Oscar, and related enrollment and brokerage businesses that support insurance distribution and member engagement.
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+27,5 %
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0.95
| % | |
|---|---|
| Health insurance premiums | 90% ACA-compliant individual, family and employee health plans sold in selected U.S. states. |
| Technology and platform services | 5% +Oscar services, including Campaign Builder and administrative support for healthcare partners. |
| Brokerage and enrollment services | 3% Direct enrollment, brokerage and consumer marketplace services through acquired platforms. |
| Other revenue | 2% Consumer education, sublease income and other ancillary revenue streams. |
Oscar sells primarily to individuals and families buying ACA marketplace coverage, with some employee coverage tied to...
Buy health plans on the individual market for themselves and dependents, primarily for regulated medical coverage and access to provider networks.
Use employer-funded defined contributions to purchase individual market coverage, supporting Oscar's expansion beyond traditional ACA enrollment.
Use +Oscar and Campaign Builder to improve member engagement, analytics and care coordination.
Use Lucie and related enrollment tools to shop, compare and enroll in individual medical and supplemental products.
Oscar operates in the United States and offered individual and family coverage in 18 states for the 2025 policy year,...
Oscar's strategy centers on building a consumer health marketplace around individual coverage, with choice,...
A broader marketplace can increase plan choice, improve retention and support cross-sell across insurance and services.
ICHRA can shift more employees into the individual market and create a new growth channel for Oscar plans.
Platform services diversify revenue and leverage Oscar's member engagement and analytics capabilities.
Oscar's results depend on successful member acquisition, retention and market execution in a heavily regulated...
The business depends on acquiring and retaining members while expanding products and markets without losing operational control.
Premium approvals, minimum MLR rules, market participation and subsidies are governed by federal and state regulators.
Higher-than-expected claims, catastrophic cases or utilization can raise benefit costs and affect plan performance.
Premiums and liabilities depend on estimates of member health status and incurred-but-not-reported claims.
Oscar Medical Group arrangements could be challenged by regulators or counterparties, creating legal and operational disruption.
: 29.4.2026