Oscar Health
Oscar Health is a public health insurance company (NYSE: OSCR) selling ACA marketplace individual, family, small group, and Medicare Advantage plans across 20 U.S. states to approximately 3.2 million members, differentiated by its full-stack proprietary technology platform, AI-powered member services (Oswell), and integrated virtual care offerings.
- Company typePublic
- Founded2012
- HeadquartersNew York, United States
- Headcount1,001–5,000
- GTM typeB2C
- OfferingServices
What Oscar Health does
Oscar Health is a publicly traded health insurance company (NYSE: OSCR) founded in 2012 and headquartered in New York, operating across 20 U.S. states. The company sells individual and family ACA marketplace health plans, small group products, and Medicare Advantage plans, serving approximately 3.2 million members as of Q1 2026. Oscar's core differentiator is a full-stack, proprietary technology platform covering member engagement, care navigation, claims processing, and provider interactions, including AI-powered products such as the Oswell health agent (OpenAI-powered, completing 86% of member queries autonomously), the Superagent knowledge retrieval system, and the Care Router used by 76% of members. Member-facing services include $0 Virtual Urgent Care, $0 Oscar Primary Care in select markets, $3 prescription drugs, and dedicated Care Teams, supplemented by integrations with Capsule, CVS Mail Order, and Optum Behavioral Health.
The company generates revenue primarily through recurring monthly health insurance premiums across Bronze, Silver, and Gold tier plans, with cost-sharing structures of 60%/70%/80% respectively. Additional revenue streams include ICHRA employer products (B2B2C) and emerging marketplace commission economics via the Lucie Health Marketplace, a CMS-approved carrier-agnostic platform aggregating plans from UnitedHealth, Cigna, Centene, and Blue Cross. Distribution combines direct-to-consumer channels (website, mobile app, phone) with an extensive broker network (4 of 5 brokers recommend Oscar), provider referrals, and ICHRA employer arrangements.
FY2025 revenue reached $11.7 billion (up 27.5% from $9.2 billion in 2024), with Q1 2026 revenue of $4.58 billion (+53% YoY) and 2026 guidance of $18.7-19 billion. After achieving first profitability in 2024, the company posted a $443M net loss in 2025 due to elevated medical costs, then rebounded with record Q1 2026 net income of $679M and operating margin of 15.2%. The company went public on the NYSE in 2021, completed a $355M financing in September 2025, and has aggressively expanded its geographic footprint, with notable strategic moves including the dissolution of the Cigna+Oscar partnership, entry into Alabama and Mississippi, and partnerships with major health systems (Atrium Health, HCA Healthcare, Tampa General, Broward Health).
Oscar Health firmographics
Firmographics- Name
- Oscar Health
- Legal name
- Oscar Health, Inc.
- Website
- https://hioscar.com
- Company type
- Public
- Founded year
- 2012
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- Oscar Health is a public health insurance company (NYSE: OSCR) selling ACA marketplace individual, family, small group, and Medicare Advantage plans across 20 U.S. states to approximately 3.2 million members, differentiated by its full-stack proprietary technology platform, AI-powered member services (Oswell), and integrated virtual care offerings.
- Ownership category
- akta.pro rank
Oscar Health industry classification
Industry- Product category
- Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411), Agencies, Brokerages, and Other Insurance Related Activities (5242)
- SIC
- Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- ACA Marketplace (On-Exchange) Individual Plans (FSAIAEAA)
- akta.pro secondary industries
- Off-Exchange Individual Major Medical Plans (FSAIAEAB), Medicare Advantage (MA) Plans (FSAIAGAA), Individual Supplemental Health (Hospital Indemnity, Critical Illness, Accident) (FSAIAEAD)
Keywords
Where Oscar Health is headquartered
LocationHeadquarters
- HQ city
- New York
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Oscar Health business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Health Insurance Premiums - Individual Market: Oscar Health generates the majority of its revenue from individual and family health insurance plans sold through ACA marketplaces and off-exchange. Members pay monthly premiums in exchange for coverage. Revenue grew 53% to $4.58 billion in Q1 2026, with membership growing 56% to 3.2 million members.
- ICHRA Employer Plans: Individual Coverage Health Reimbursement Arrangement (ICHRA) products where employers set monthly allowances and employees shop for individual plans on the marketplace. This represents a growing B2B2C revenue stream targeting small and large employers.
- Small Group Plans: Health insurance plans for small businesses, expanding Oscar's customer base beyond individual consumers to employer groups.
- Lucie Health Marketplace Commissions: The carrier-agnostic marketplace aggregates plans from multiple carriers and may generate revenue through commissions or fees from carrier partnerships. This positions Oscar as a platform beyond selling only its own plans.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Bronze Plan - Lower premium, higher out-of-pocket costs |
| Subscription | Monthly | Silver Plan - Moderate premium and out-of-pocket expenses |
| Subscription | Monthly | Gold Plan - Higher premium, lower out-of-pocket expenses |
| Unit Pricing | Monthly | $3 Prescription Drugs |
| Subscription | Monthly | $0 Virtual Urgent Care |
| Subscription | Monthly | $0 Oscar Primary Care |
Go-to-market motion3 records
Distribution channels5 records
Marketing channels7 records
Oscar Health product offering
Product offeringCore offering
Oscar Health is a healthcare technology company that sells individual, family, small group, and Medicare Advantage health insurance plans primarily through ACA marketplaces and off-exchange channels across 20 U.S. states. Its insurance plans are differentiated by a proprietary full-stack technology platform that integrates AI-powered member services (Oswell agent), $0 virtual urgent and primary care, $3 prescription pricing, and a 24/7 concierge Care Team. The company has also launched the Lucie Health Marketplace, a carrier-agnostic platform that aggregates and compares health plans from multiple insurers.
Product overview
Oscar Health is a healthcare technology company offering a full-stack technology platform with integrated health insurance and care services. The core offering is Oscar Health Insurance, an ACA marketplace health plan available in 20 states for individuals, families, and small groups. This core product is enhanced by a suite of technology-powered services including Virtual Urgent Care and Oscar Primary Care ($0 virtual care options), the Oswell AI health agent (OpenAI-powered autonomous agent handling 86% of member queries), the Care Team concierge support, and the Superagent AI system for insurance questions. The company recently launched Lucie Health Marketplace, a carrier-agnostic platform aggregating plans from multiple insurers including UnitedHealth, Cigna, and Centene. Specialized offerings include the HelloMeno menopause plan (first in individual market) and ICHRA employer benefits. Oscar's technology differentiates through AI-driven operational efficiency, with the Care Router automating 76% of member interactions and delivering industry-leading NPS of 66.
Differentiator
Problem solved
Functional benefit
Brands
- Lucie Health Marketplace: AI-powered all-in-one healthcare shopping platform aggregating individual market health plans and ancillary products from multiple carriers.
- HelloMeno
- Oswell
- Oscar Unlocks
- Oscar Primary Care
Products and services
- Individual and Family Health Insurance Plans Tiered ACA marketplace health plans (Bronze, Silver, Gold) sold to individuals and families across 20 U.S. states through Healthcare.gov, state exchanges, and off-exchange direct channels. Includes virtual care, prescription coverage, Care Team support, and access to in-network providers.
- Small Group Health Insurance
Quantifiable outcome
- Net Promoter Score of 69 vs industry average of ~3 (21x higher)
- +7 more outcomes
Companies that use Oscar Health
Customer profileNamed customers6 records
Segments4 records
Ideal customer profiles3 records
Oscar Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration4 records
AI capability5 records
Feature7 records
Oscar Health partnerships and signals
Strategic signalPartnerships
14 partnerships are on record, tiered core and minor.
- Broward HealthcoreMajor South Florida hospital system partnership providing in-network coverage for Oscar Health members starting January 1, 2026. The timing is critical ahead of the ACA marketplace enrollment deadline. The partnership fills a gap left after Broward Health's contract split with Florida Blue left over 17,000 customers out of network for nonemergency services.
- BenaVestminorNational FMO (Field Marketing Organization) providing AI-driven contracting platform to help insurance agents get appointed with Oscar Health efficiently for 2026 expansion into Alabama and Mississippi.
- Atrium HealthcoreMajor health system partnership in Charlotte, North Carolina for Oscar's 2026 health plan offerings. Atrium Health is one of the largest health systems in the region, providing comprehensive provider network for Oscar members.
- HCA HealthcarecoreHospital partnership in Tampa Bay Area, Florida for Oscar's 2026 individual and family health plan offerings. Part of Oscar's expansion in Florida market.
- Tampa General HospitalcoreMajor Tampa hospital partnership providing in-network coverage for Oscar members in the Tampa Bay Area for 2026 plans. Complements HCA Healthcare partnership for comprehensive coverage.
- Optum Behavioral HealthcoreBehavioral health services partnership providing in-network mental health services including talk therapy, substance abuse services, psychiatry, and autism care for Oscar members.
- UnitedHealth GroupminorCarrier partner integrated into Oscar's Lucie Health Marketplace, enabling members to compare and purchase UnitedHealth Group plans alongside Oscar offerings on the carrier-agnostic platform.
- CignaminorCarrier partner integrated into Oscar's Lucie Health Marketplace for plan aggregation and comparison.
- CenteneminorCarrier partner integrated into Oscar's Lucie Health Marketplace for plan aggregation and comparison.
- Blue Cross PlansminorBlue Cross and Blue Shield plans integrated into Oscar's Lucie Health Marketplace for broader plan selection.
- AflacminorSupplemental coverage provider integrated into Lucie Health Marketplace for ancillary products like accident coverage.
- Golden Rule (UnitedHealthcare)minorSupplemental coverage provider integrated into Lucie Health Marketplace.
- Allstate Health SolutionsminorSupplemental coverage provider integrated into Lucie Health Marketplace.
- Hy-Vee HealthcorePartnership with Hy-Vee to deliver no-cost care, local access, and everyday wellness perks. Combines grocery retail presence with Oscar's health insurance technology.
Scale indicators14 records
Recent moves18 records
Expansion highlights6 records
Oscar Health competitors and assessment
Company assessmentDirect peers
- Centene Corporation: Centene operates the Ambetter brand, the largest ACA marketplace insurer by membership. It is the most direct competitor to Oscar in the individual ACA exchange segment and competes head-to-head in overlapping states.
- Molina Healthcare: Molina is a government-focused health insurer with meaningful ACA marketplace exposure through its MyChoice and Ambetter-adjacent products. Comparable as a mid-scale public insurer competing for individual ACA enrollees.
Emerging players
- Alignment Healthcare: Tech-enabled Medicare Advantage insurer using proprietary technology platform to drive member engagement. Comparable as a smaller, technology-first public insurer competing in select geographies against incumbents.
- Clover Health: Technology-focused health insurer serving Medicare Advantage members through its Clover Assistant software platform. Comparable as a smaller public insurer leveraging proprietary AI/software to compete against large carriers.
Broad incumbents
- Humana: Major national insurer with the second-largest Medicare Advantage franchise and growing individual ACA presence. Competes with Oscar in overlapping geographies and offers complementary product lines that Oscar lacks.
- Elevance Health (Anthem):
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Oscar Health social profiles
Digital presenceOscar Health compliance and trust
Trust signalCompliance1 record
Oscar Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Oscar Health leadership team
Management profileNumber of profiles
Profiles10 records
Oscar Health subsidiaries and ownership
Company hierarchySubsidiaries13 records
Oscar Health funding detail
Funding detailFunding overview
Funding rounds12 records
Investors31 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Oscar Health M&A and investment
M&A and investmentM&A
Investments4 records
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Oscar Health
What does Oscar Health do?
Oscar Health is a healthcare technology company that sells individual, family, small group, and Medicare Advantage health insurance plans primarily through ACA marketplaces and off-exchange channels across 20 U.S. states. Its insurance plans are differentiated by a proprietary full-stack technology platform that integrates AI-powered member services (Oswell agent), $0 virtual urgent and primary care, $3 prescription pricing, and a 24/7 concierge Care Team. The company has also launched the Lucie Health Marketplace, a carrier-agnostic platform that aggregates and compares health plans from multiple insurers.
Is Oscar Health a public or private company?
Oscar Health is a public company. It is classified as public and is currently operating.
When was Oscar Health founded?
Oscar Health was founded in 2012. It employs 1,001 to 5,000 people.
Where is Oscar Health based?
Oscar Health is headquartered in New York, United States, in the North America region.
How does Oscar Health make money?
Four revenue lines are on record. Health Insurance Premiums - Individual Market is the primary driver. The others are ICHRA Employer Plans, small Group Plans and lucie Health Marketplace Commissions.
Who are Oscar Health's main competitors?
Direct peers on record are Centene Corporation and Molina Healthcare. Emerging players are Alignment Healthcare and Clover Health. Broad incumbents are Humana and Elevance Health (Anthem).
Does Oscar Health have an API?
No public API is recorded for Oscar Health.
What industry is Oscar Health in?
Oscar Health's product category is Health Insurance. Its primary akta.pro industry code is FSAIAEAA, ACA Marketplace (On-Exchange) Individual Plans, with a secondary code of FSAIAEAB, Off-Exchange Individual Major Medical Plans. Its NAICS code is 524114 and its SIC code is 6321.