Oscar Insurance Company offers this marketplace health insurance plan (Plan ID 43490KS0010025) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.
Marketplace enrollment for 2024 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Kansas). Submit changes before the deadline to avoid a coverage gap.
Enroll by Dec 15 for Jan 1 starts.
Finalize plan switches before the window closes.
Special Enrollment Periods
You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).
Report the event within 60 days.
Keep documentation handy for Healthcare.gov or your state exchange.
CSR & subsidy reminders
Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.
Enter accurate income to maximize Advanced Premium Tax Credits.
Silver-tier CSR plans lower deductibles for households ≤250% FPL.
Thinking about switching?
Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.
Match provider networks so ongoing care isn’t disrupted.
Confirm prescriptions stay on-formulary or budget for tier changes.
Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.
Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).
All providers in KansasN/A
PCPs in KansasN/A
Telehealth supportData pending
Nationwide providersN/A
N/A doctors statewideN/A PCPsN/A OB/GYN
Provider network(s)
['PREFERRED']
Providers
Kansas
All US states
All
N/A
N/A
PCP
N/A
N/A
Allergy
N/A
N/A
OB/GYN
N/A
N/A
Dentists
N/A
N/A
Drug coverage overview
3,991 drugs tracked
Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.
Tier
Covered drugs
GENERIC
2,197
NON-PREFERRED-BRAND
602
SPECIALTY-DRUGS
583
PREFERRED-GENERIC
320
ZERO-COST-SHARE-PREVENTIVE-DRUGS
214
NONPREFERRED-SPECIALTY-DRUGS
75
Prior authorization
Drugs
Required
866
Not Required
3,125
Step therapy
Drugs
Required
19
Not Required
3,972
Quantity limits
Drugs
Has Limit
1,430
No Limit
2,561
Customer highlights
What stands out for members
Issuer: Oscar Insurance Company · Plan ID 43490KS0010025 · 2024 filing.
Use the cards on this page to explore network stats, drug coverage, and cost-sharing details.
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Copay & coinsurance
Pharmacy cost sharing by tier
Drug tier
Pharmacy type
Copay amount
Copay option
Coinsurance rate
Coinsurance option
Mail order
Questions & answers
Frequently asked questions
How do I choose the right ACA plan in Kansas?
Silver Simple PCP Saver (43490KS0010025) is a marketplace plan from Oscar Insurance Company in Kansas for the 2024 coverage year.
Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.
Does Silver Simple PCP Saver support telehealth or virtual urgent care?
The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.
Is Silver Simple PCP Saver HSA-eligible and does it include dental or vision coverage?
HSA eligibility is not published; check the Summary of Benefits or ask the issuer.
Dental coverage is not listed for this plan.
Vision coverage is not listed for this plan.
Does Silver Simple PCP Saver support mail-order prescriptions?
Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.
How do I enroll in or manage payments for Silver Simple PCP Saver?
Use HealthPorta to shortlist plans, then finish enrollment through Healthcare.gov or your state-based marketplace.
Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
