Oscar Health complaints

Oscar Health does not write enough business in the states we hold records for to be graded fairly. Small books produce complaint counts that are mostly chance, so the figures below are published without a letter rather than with a misleading one.

Oscar Health writes through 2 separate licensed companies. Regulators file complaints against each one individually; the figures here combine them, because that is what a customer of Oscar Health actually experiences. Every entity is listed at the bottom of this page.

By type of insurance

Coverage Grade Complaint index Complaints Business written
Health insurance
13.70 13.7× the market rate raw 40.45
192 371,421
All lines
13.70 13.7× the market rate raw 40.45
192 371,421

What people complain about Oscar Health for

Reasons as recorded by the regulator on complaints it confirmed. A complaint is "confirmed" when the department found the company was at fault — not merely that someone was unhappy.

Denial Of Claim 94
Unsatisfactory Settle/Offer; Usual And Customary 38
Unsatisfactory Settle/Offer 34
Cust Service Claim Handling; Denial Of Claim 12
Delays (Claims Handling); Unsatisfactory Settle/Offer 11
Claim Recoding/Bundling; Cust Service Claim Handling; Prompt Pay; Unsatisfactory Settle/Offer 11
Prompt Pay; Unsatisfactory Settle/Offer 9
Denial Of Claim; Unsatisfactory Settle/Offer 9

Oscar Health state by state

Insurance is regulated state by state, and a company's record can differ sharply between them. Each grade below is relative to that state's own market.

State Grade Complaint index Complaints Most common reason
Texas
13.70 13.7× the market rate raw 40.45
192 Denial Of Claim

How to file a complaint against Oscar Health

Complaints are filed with your state department of insurance, not with us and not with the company. It is free, it is handled by a regulator with authority over the insurer's licence, and a complaint the department confirms is exactly what produces the numbers on this page next year.

Find your state's complaint form →

Licensed companies included in these figures

Published so the grouping can be checked. NAIC codes are the identifiers regulators use, and are the basis on which these entities were matched.

Where these figures come from

Figures cover 2023–2025. Grades are rebuilt when regulators publish new files.