1/7/2026
Effective January 1, 2026, Oscar Health began utilizing the Midlands Choice Premier network for their Individual and Family business in the state of Iowa. This is in addition to their Individual and Family business in the state of Nebraska, which began utilizing the Midlands Choice Premier network in January 2022. If a provider has a direct contract with Oscar Health, the Midlands Choice network fee rates will not apply.
The plans will utilize the Midlands Choice network except for the following services:
• Behavioral Health covered services
• Pharmacy covered services
• Dental covered services
• Vision covered services
• Non-Hospital Laboratory covered services
• Transplant covered services
• Durable Medical Equipment covered services
• Home Infusion covered services
Providers should consult Oscar Health provider manual for claim submission instructions. The provider manuals can be found by going to:
• Iowa - provider.hioscar.com/resources/iowa/provider-manual
• Nebraska - provider.hioscar.com/resources/nebraska/provider-manual
To confirm eligibility, verify benefits, check the status of a claim, enroll in EFT/ERA and more, providers may create a Provider Portal account at hioscar.com/providers. Use the ‘How to’ guide for the Provider Portal and other resources such as Reimbursement Policies are available at hioscar.com/providers/resources. Contact Oscar Health at 855-672-2755 with any questions.
Medical claims for Oscar Health plans should be submitted directly to Oscar at PO BOX 52146, Phoenix, AZ 85072-2146, or electronically using EDI ID: Oscar. The Midlands Choice logo will be displayed on the ID card.
