Medical & prescriptions · Medical · BCBS PPO plan

What is the Traditional Plan?

One plan. You and your dependents each count separately.

In-network amounts. Preventive care is covered 100%^† with no deductible.

Coverage for Just you

Coverage for You and your family

Deductible

$850^†

$2,550^†

You meet $850^†; the other $1,700^† is met by 2 or more dependents.

Most you pay in a year, medical

$4,250^†

$9,350^†

$4,250^† for you and $5,100^† for your dependents.

Most you pay in a year, prescriptions

$2,750^†

$5,500^†

Do this

Find a doctor and estimate costs at bluecrossmn.com/hormelfoods.

What do I pay when I use care?

Medical · using it

After the deductible, you pay 20%^†.

In network. Out-of-network care may cost more.

Preventive care

Nothing. Covered 100%^†, no deductible.

Non-preventive care

After the deductible, 20%^†. The plan pays 80%^†.

Emergency room

After the deductible and a $100^† copay, 20%^†.

Prescriptions

10%^† generic, 20%^† brand, 35%^† not on the formulary. $5^† minimum.

Do this

Once you have your card, register at bluecrossmn.com/hormelfoods to see claims and costs.

1
Compare your total annual costs, not just the deductible.
2
Use Oracle Benefits / Make Changes to make your election.
3
Submit dependent verification documents.
4
After your BCBS card arrives, register on the BCBS portal and review your prescriptions with Prime.

Next step

Compare the lower deductible against your higher weekly contribution.

Blue Cross Blue Shield of MN · Medical doctor, health and fitness

Prime Therapeutics · Prescription drug

Questions? Horizon Solution Center · (866) 449-7712^†