Solventum offers three medical plan options designed to support preventive care, everyday health needs, prescriptions, behavioral health and more complex care when you need it:
Each plan includes the same core medical and prescription drug benefits, plus access to additional medical programs and resources designed to support you and your loved ones when you need it most.
The plans vary in cost and in how you pay for care, giving you options to choose the coverage that best fits your health care needs, budget and family situation.

Invested in our team
Solventum covers most of the cost of employee medical premiums. That investment is part of our ongoing commitment to providing affordable, quality health care coverage for you and your family.
|
Plan |
Cost structure |
May be a good fit if… |
|---|---|---|
|
Choice Advantage Plan |
|
You want to keep more of your paycheck now and are comfortable paying more if you need care. |
|
Prime Advantage Plan |
|
You want a balance between your monthly cost and what you pay if/when you receive services. |
|
Basic PPO Plan |
|
You prefer to pay more each month in exchange for lower costs when you receive care. |
Hawaii employees
If you live in Hawaii, your medical plan is offered through HMSA. Log in to your HMSA account to review plan details or call 800-776-4672 . Review the applicable Summary of Benefits and Coverage (SBC) for your plan.
Puerto Rico employees
If you live in Puerto Rico, your medical plan is offered through Triple-S. Log in to your Triple-S Salud account to review plan details or call 800-981-3241. Review the applicable Summary of Benefits and Coverage (SBC) for your plan.

More support when care gets complicated
When you enroll in a Solventum medical plan, you get access to programs that can help with more than everyday care. Carrum Health can support eligible surgery, cancer care, specialty care and substance use treatment, while OneImaging can help you find and schedule high-quality imaging services like MRIs, CT scans, X-rays, ultrasounds and mammograms.
Choosing a medical plan starts with understanding how the plans work and what your costs may be throughout the year. One cost to consider is your premium, or the amount you pay from your paycheck for medical coverage. Depending on the plan you choose, you may also pay out-of-pocket costs when you receive care, such as deductibles and coinsurance.
While all three plans provide comprehensive coverage, there are differences in:
The Choice Advantage and Basic PPO plans have embedded deductibles. This means one covered family member can meet their individual deductible and begin coinsurance before the full family deductible is met.
The Prime Advantage Plan uses a non-embedded deductible for family coverage. This means the full family deductible must be met before the plan begins paying for any covered family member.
Compare your options and find the plan that works best for you and your situation.

Understanding how medical plans share costs can help you choose the plan that’s right for you.
Each Solventum medical plan pays 100% for routine preventive care like annual screenings, with no out-of-pocket costs when you visit an in-network provider.
For most non-preventive care, you pay the full cost of covered services until you meet your deductible. After that, you share costs with the plan through coinsurance. If you reach your in-network annual out-of-pocket maximum, the plan pays 100% of eligible medical and prescription drug expenses for the rest of the year. Most other medical expenses follow this general progression:
You pay all costs for covered services until your deductible is met.
After meeting your deductible, you will share the costs of services through coinsurance.
Once the deductible and Out-of-Pocket (OOP) maximum have been met, the plan covers 100% of eligible in-network medical and prescription drug expenses for the rest of the year, leaving you with no additional costs.

You can use funds from an HSA or Health Care FSA to pay your deductible and coinsurance until you reach your out-of-pocket maximum.
Using an HSA or FSA
You may be able to use funds from a Health Savings Account (HSA) or Health Care Flexible Spending Account (FSA) to help pay your deductible and coinsurance, depending on the medical plan and account you’re eligible for.
Your medical plan includes access to a provider network that is determined by where you live. Depending on your home ZIP code, you may be enrolled in a nationwide network or a regional network. You do not select your network or medical plan administrator during enrollment.
Before enrolling, we encourage you to confirm that your preferred doctors, specialists, hospitals and healthcare facilities participate in your network. To search for providers, visit the Blue Cross Blue Shield provider directory or the HealthPartners provider directory.
Hawaii employees
If you live in Hawaii, your medical coverage is administered through HMSA. To search for providers, log in to your HMSA account or call 800-776-4672. Review the applicable Summary of Benefits and Coverage (SBC) for your plan.
Puerto Rico employees
If you live in Puerto Rico, your medical coverage is administered through Triple-S Salud. To search for providers, log in to your Triple-S Salud account or call 800-981-3241. Review the applicable Summary of Benefits and Coverage (SBC) for your plan.

BCBS of MN BlueCard PPO Network
HealthPartners Open Access Network
HMSA Hawaii
|
Map number |
Location |
Network |
||
|---|---|---|---|---|
|
1 |
Kansas City |
Preferred-Care Blue Network |
||
|
2 |
St. Louis/Greater Missouri |
Blue Access Choice Network |
||
|
3 |
Washington, D.C., Maryland, Northern Virginia |
BlueChoice Advantage |
||
|
4 |
Twin Cities and Western Wisconsin |
Solventum Choice Advantage Achieve Plus Network |
||
|
5 |
New York state |
Empire Point of Service Network |
||
|
6 |
New Jersey |
Horizon Managed Care Network |
||
|
7 |
Greater Wisconsin |
Blue Preferred POS |
||
Prescription drug coverage, administered by CVS Caremark, is automatically included with each Solventum medical plan. The medications covered are consistent across the plans, but how you pay for prescriptions depends on the medical plan you choose. Some medications may be covered before you meet your deductible, while others follow your plan’s standard cost-sharing rules.
|
Choice Advantage |
Prime Advantage |
Basic PPO |
|||||
|---|---|---|---|---|---|---|---|
|
Plan feature |
In-network |
Out-of-network |
In-network |
Out-of-network |
In-network |
Out-of-network |
|
|
You pay |
|||||||
|
Retail (up to 30-day supply)1 |
|||||||
|
Preventive drug list2 |
20% |
35% |
20% |
35% |
N/A |
N/A |
|
|
Generic |
20% |
35% |
20% |
35% |
20% |
35% |
|
|
Preferred brand |
20% |
35% |
20% |
35% |
25%, $25 minimum |
45%, $25 minimum |
|
|
Non-preferred brand |
80% |
80% |
80% |
80% |
80% |
80% |
|
|
Mail order or CVS (up to 90-day supply) 1 |
|||||||
|
Preventive drug list2 |
20% |
No coverage |
20% |
No coverage |
N/A |
N/A |
|
|
Generic |
20% |
No coverage |
20% |
No coverage |
20% |
No coverage |
|
|
Preferred brand |
20% |
No coverage |
20% |
No coverage |
25%, $65 minimum |
No coverage |
|
|
Non-preferred brand |
80% |
No coverage |
80% |
No coverage |
80% |
No coverage |
|
|
Specialty 1,3 |
|||||||
|
Generic4 |
20% |
No Coverage |
20% |
No coverage |
20% |
No coverage |
|
|
Preferred brand |
20% |
No coverage |
20% |
No coverage |
25%, $25 minimum |
No coverage |
|
|
Non-preferred brand |
80% |
No coverage |
80% |
No coverage |
80% |
No coverage |
|
Prescription drug lists (also known as formularies) are updated regularly to ensure covered medications are safe, effective and affordable. If you are impacted by formulary changes, you will be contacted directly by CVS Caremark.
The amount you pay for medical coverage may be lower or higher depending on your participation in certain Solventum well-being programs and your family situation.
Healthy Living Incentive
Solventum rewards healthy habits through the Healthy Living Incentive program. Employees and covered spouses or domestic partners who complete the required well-being activities may qualify for a discount on their medical plan premiums.
Tobacco-free discount
Employees who are tobacco-free may qualify for a monthly premium discount. An additional discount may also be available if covered dependents are tobacco-free. Employees who use tobacco may still qualify for the discount by completing an approved tobacco cessation program.
Spouse/domestic partner surcharge
If your spouse or domestic partner has access to medical coverage through their own employer but enrolls in a Solventum medical plan as their primary coverage, an additional surcharge of $100 per month may apply. This includes a spouse or domestic partner who is a current Solventum employee or a Solventum retiree eligible for the retiree medical HRA plan. If your spouse or domestic partner is unemployed, is not offered employer-provided coverage or is covered under a Solventum medical plan as secondary, no surcharge will apply.
Update for 2027: Reduced spouse/domestic partner surcharge
As part of Solventum’s commitment to investing in our employees, the monthly surcharge will decrease from $211 to $100 if employees cover a spouse/partner with access to medical coverage through their own employer.
That’s up to $1,332 in annual savings!
