Oscar Health plans to grow ACA exchange footprint to 6 more states in 2020 

Oscar Insurance subway ad
Oscar Health wants to grow its Affordable Care Act exchange reach in 2020. (Oscar Health)

Startup insurer Oscar Health is planning to add six new states and 12 new markets to its Affordable Care Act (ACA) exchange footprint in 2020. 

The expansion is pending regulatory approval but would mark the third straight year Oscar has grown its reach substantially in the ACA exchanges, the company announced Thursday morning.  

The new regions would raise the insurer’s full geographic footprint to 15 states and 26 markets. The news comes on the heels of Oscar’s announcement last month that it would launch its first Medicare Advantage (MA) plans in New York and Houston. 

Free Daily Newsletter

Like this story? Subscribe to FierceHealthcare!

The healthcare sector remains in flux as policy, regulation, technology and trends shape the market. FierceHealthcare subscribers rely on our suite of newsletters as their must-read source for the latest news, analysis and data impacting their world. Sign up today to get healthcare news and updates delivered to your inbox and read on the go.

Oscar CEO Mario Schlosser wrote in an accompanying blog post that the expansion would continue the company’s efforts to address the “broken” healthcare system. 

RELATED: Oscar heads into 'strong' individual market looking to lure members with consumer-centric onboarding 

“Being an Oscar member means having a health insurance company that’s always there during challenging moments, and we are eager to be there for new and existing members alike in 2020,” Schlosser wrote. 

Oscar intends to grow notably in Florida to reach the Miami, Tampa, Daytona and Ocala markets as well as to launch products in Philadelphia, Denver, Richmond, Atlanta and Kansas City.  

Oscar also said it plans to enter the ACA market in Houston while growing its plan offerings in Dallas-Fort Worth. It will also expand its reach to new counties in western Michigan, officials said. 

As the expansion plan is under regulatory review, Oscar did not reveal details on rates, networks or additional benefit options. That information will be made available closer to open enrollment this fall, should the new plans be approved. 

For 2019, Oscar added three states to its portfolio—Arizona, Florida and Michigan—while expanding the plans offered in Ohio, Texas and Tennessee. It announced that it would enter the MA market after securing a $375 million investment from Alphabet, Google’s parent company. 

Suggested Articles

A judge has dismissed the ongoing case between Oscar Health and Blue Cross Blue Shield of Florida over broker arrangements.

Expanding options for dental care in Medicare is a popular idea, but policymakers could take several avenues toward this goal, a new analysis shows.

Tennessee's proposal for a block grant brings a host of questions.