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Oscar Health: Revolutionizing Digital Healthcare with AI and New Programs for 2026

$OSCR (+6,05%) a leading healthcare technology company, announced in October 2025 a remarkable range of new products and services set to transform how Americans approach health insurance and care. Focusing on artificial intelligence, personalization, and geographic expansion, the company aims to serve more than 2 million members across the country.


Oswell: The Personal AI Assistant


One of the most innovative announcements was Oswell, an AI-powered assistant developed in partnership with OpenAI. Oswell provides 24/7 support for understanding medications, explaining test results, checking drug interactions, assisting with prescription refills, symptom assessment, and preparing questions for doctors. This integration positions Oscar at the forefront of embedding advanced technology into everyday healthcare management.


HelloMeno: The First Menopause-Focused Health Plan


In collaboration with Elektra Health, Oscar launched HelloMeno, the first-ever health insurance plan focused on menopause within the Affordable Care Act (ACA) marketplace. Targeting an estimated 2.3 million women aged 45 and older, HelloMeno offers valuable benefits such as $0 visits for primary care, gynecology, and behavioral health; no-cost labs and hormone therapy; insomnia medication; and bone density scans. Members can also earn rewards for preventive screenings and have round-the-clock access to Elektra Health specialists, addressing a previously unmet health need for women.


Geographic Expansion and New Health Programs


Oscar Health is expanding in 2026 to 573 counties across 20 states, including new markets in Alabama and Mississippi. Additionally, the company is launching specialized programs to manage chronic conditions such as diabetes, cardiovascular, and respiratory diseases. The Hola Oscar program for Spanish-speaking members is growing rapidly, boasting an industry-leading Net Promoter Score (NPS) of 87. This program now serves nearly one-third of Oscar’s members.


Oscar Unlocks: Rewards for Healthy Choices


Oscar introduced Oscar Unlocks, a digital rewards program encouraging members to adopt healthy behaviors and choose digital services. Participants gain VIP access to care teams and additional benefits, fostering proactive health management and engagement.


Partnership with Hy-Vee: A New Era in Employer-Sponsored Health Plans


Oscar’s partnership with the retail chain Hy-Vee has launched the Hy-Vee Health with Oscar plan in Des Moines, Iowa. This innovative employer-sponsored insurance offers free clinic visits at Hy-Vee Health Exemplar Care locations, savings of 20-30% for employers, and $500-$1,000 annual savings for employees. It includes access to lab services, urgent care, discounted prescriptions, and specialty care through MercyOne providers. The program targets 400,000 employees with plans to expand throughout the Midwest.


Next Steps and Member Satisfaction


The open enrollment period for these new products begins November 1, 2025, with coverage effective January 1, 2026. Over 60% of Oscar’s members recommend the company to family and friends, reflecting strong satisfaction with its innovative approach and personalized service.


Sources:


https://www.investing.com/news/company-news/oscar-health-expands-to-20-states-introduces-ai-agent-for-2026-93CH-4296391


https://aithority.com/machine-learning/oscar-unveils-new-choices-and-ai-tools-shaping-the-future-of-individual-healthcare-for-more-americans-and-businesses/


https://www.edgen.tech/news/stock/oscar-health-introduces-new-specialized-plans-and-ai-capabilities-amidst-strategic-expansion


https://www.morningstar.com/news/pr-newswire/20251020ny01248/elektra-health-and-oscar-launch-hellomeno-the-first-ever-menopause-health-plan-in-the-individual-market


https://www.hioscar.com/press/oscar-oe-release-2025


https://www.beckerspayer.com/payer/oscar-partners-with-grocer-hy-vee-on-joint-health-plan/


https://www.forbes.com/sites/brucejapsen/2025/08/14/hy-vee-grocer-and-oscar-health-launch-employer-health-plan/


https://www.fiercehealthcare.com/payers/oscar-health-unveils-aca-expansion-plans-2025

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