Overview
Oscar Health, Inc. is a U.S. health insurer and healthcare technology company. Its core business is offering health insurance, primarily individual and family plans through the Affordable Care Act marketplace, alongside technology and services for healthcare providers and payers. The company describes its mission as making a healthier life accessible and affordable for all.[1][2]
Its insurance products include ACA plans at multiple coverage tiers, and its +Oscar platform includes tools such as Campaign Builder for provider and payer clients. Oscar’s business is focused on the United States; the company reported operating in 20 states as of December 2025.[3][4][5][6]
As an indicator of scale, Oscar reported approximately 2.0 million insurance members at the end of 2025 and full-year revenue of $11.701 billion. It reported 2,305 employees as of December 31, 2025.[1][7][8] [1][2][3][4][5][7][6][8]
Products & services
Oscar Health offers ACA individual health insurance plans, including off-exchange and marketplace coverage, as well as plans for employees using an Individual Coverage Health Reimbursement Arrangement (ICHRA). Plans are available in Catastrophic, Bronze, Silver, Gold, and Platinum metal tiers, with differing premiums and cost-sharing; some benefit designs address specific needs such as diabetes, asthma, and menopause. Oscar offers EPO plans in most markets and HMO plans in select markets.[3][4][9]
Plan services include virtual care, provider and hospital network access, and Care Guides who help members find providers and navigate care and costs. Oscar’s app supports in-network provider search, access to 24/7 Virtual Urgent Care, and messaging with its Care Team, which includes guides and nurses.[10][11][12] Its technology platform supports member outreach, personalized data insights, digital self-service, and automation of administrative processes such as claims handling and virtual care.[13]
Oscar’s +Oscar business offers Campaign Builder, an engagement and recommendation platform for providers and payors that uses predictive analytics and AI to personalize outreach and provides real-time reporting and analytics. In 2025, Oscar also acquired Lucie, a CMS-approved direct-enrollment and shopping platform; IHC Specialty Benefits, an individual medical and supplemental health brokerage; and Healthinsurance.org, a consumer health-insurance education platform.[5][14][15][16] The company reports one segment encompassing insurance and +Oscar services, and does not disclose product-specific revenue or premium percentages.[17] [3][4][9][10][11][12][13][5][14][15][16][17][11][12]
Geographic presence
Oscar Health’s 2026 Individual & Family Plan footprint covers 20 states: Alabama, Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Mississippi, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas and Virginia; the footprint spans 573 counties.[18] The company’s 2025 year-end filing reported 2,042,449 members across its state markets.[19]
Membership was concentrated in Florida (1,179,934), Texas (358,910) and Georgia (218,746) at December 31, 2025.[19] The latest reported total was 2,963,002 members as of June 30, 2026; that filing’s cited total is not broken out by state.[20] Oscar leases its corporate headquarters in New York, New York, and six additional office spaces elsewhere in the United States; the filings reviewed do not specify those other office locations or employee distribution by location.[21] [19][19][19][19][20][21][18]
Business segments
Oscar Health reports one operating and reportable segment, comprising its consolidated business. The segment focuses on selling health insurance through federal and state ACA exchanges and using its technology platform to provide services through the +Oscar Offering [17]. Accordingly, this single segment represents 100% of reported consolidated revenue; revenue for the six months ended June 30, 2026 was $9.527 billion. The company does not report separate revenue or contribution percentages for subsegments [22][23].
Individual and Small Group and the legacy Cigna+Oscar offering appear in membership and operating disclosures, not as separately reported segments. At June 30, 2026, Individual and Small Group had 2,963,002 members, while Cigna+Oscar membership was shown as zero; Oscar notes that it no longer offers small-group plans and that Cigna+Oscar was a former co-branded partnership [20]. [17][22][23][20]
Company history
Oscar Health was founded in 2012; company materials identify Mario Schlosser and Joshua Kushner as co-founders.[24] The company began selling health insurance in New York in 2014.[25]
Oscar expanded into six additional markets in 2018 and announced a New York Medicare Advantage offering with Montefiore in 2019, extending beyond its individual and family insurance business.[26][27] In 2021, Oscar completed its initial public offering and began trading on the New York Stock Exchange on March 3.[25]
In 2023, Mark Bertolini became CEO, succeeding co-founder Schlosser, who moved to the role of President of Technology.[28] In May 2025, Oscar acquired all equity interests in Lucie, Inc., IHC Specialty Benefits, Inc., and Healthinsurance.org, LLC.[29] [29][24][25][26][27][28]
Sources
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