Organon offers medical, prescription drug, dental and vision benefits as well as a variety of enhanced medical benefit options that provide extra support for managing medical concerns or conditions.
NOTE: Beginning January 1, 2026, Horizon Health Guide is getting a new name — Horizon Care Connect.
The Organon Preferred Provider Organization (PPO) medical plan is administered by Horizon BlueCross BlueShield (BCBS).
The Organon PPO provides a wide range of services, including doctor visits, testing, hospitalizations and emergency care. You are not required to designate a primary care physician (PCP) or seek a referral to see a specialist.
In a PPO, you can see any provider you choose, however, you will generally pay less for services when you use the extensive network of plan providers. Preventive care is fully covered in-network.
You also can decline medical coverage.
Founders who enroll for medical coverage also have access to these benefits:
* To receive cancer treatment through MSK Direct, you do not have to be enrolled in an Organon medical plan.
How you’ll pay for care
The Organon medical plan includes a travel and lodging benefit up to a lifetime maximum of $10,000 (for most services) to ensure you have access to medical care not available within 100 miles of your home. Contact Horizon BCBS at 1-800-544-1112 and ask to speak with a Health Guide for more information.
Click here for information on Horizon Behavioral Health.
For Organon medical plan members only
NOTE: Beginning January 1, 2026, Horizon Health Guide is getting a new name — Horizon Care Connect.
Horizon Health Guide is your one place to call, chat or email when you need help navigating the world of health care.
A Horizon Health Guide can help you:
Beginning January 1, 2026, Horizon Health Guide will transition to Horizon Care Connect.
While the name is changing, the expert guidance and personalized support will remain the same, connecting you with the right care, resources and answers quickly and seamlessly.
You will continue to have access to a dedicated Horizon Care Connect team member. If you’re currently working with a Health Guide, Horizon will help you make the switch to a Horizon Care Connect Advisor.
For Organon medical plan members only
The managed prescription drug program is administered by Express Scripts. If you elect the medical plan, you also will have prescription drug coverage. If you elect no coverage for medical, you will not receive prescription drug benefits, including Organon-brand prescription drugs.
You can look up in-network pharmacies and price medications here.
How you’ll pay for prescriptions
You pay out of pocket until you meet the annual out-of-pocket maximum. Prescriptions are only covered when purchased through in-network pharmacies or through the home delivery network.
There is no deductible to satisfy for prescriptions. You will pay either coinsurance or a copay, depending on the whether the drug is generic, Organon-brand, non-Organon brand or if the brand has a generic equivalent, as well as whether you purchase your prescriptions at a retail pharmacy or through the home delivery service.
Plan pays 100% of eligible prescription drugs until the end of the year for the person who reached the maximum.*
*If you visit out-of-network providers, you are responsible for charges above the reasonable and customary limit once your annual out-of-pocket maximum is met.
For Organon medical plan members only
At Organon, we believe high quality health care should be accessible to everyone. That’s why we’re proud to introduce Advanced Primary Care Plus (APC+), powered by Apaly, as a unique addition to your benefits package.
Rediscovering the Family Doctor Experience
Remember when health care meant having a doctor who actually knew you – your health history, your concerns, your family? APC+ brings back that relationship-based care in a modern, accessible format.
Instead of rushed, transactional visits with whichever doctor is available, APC+ connects you with a dedicated primary care provider (PCP) who gets to know you as a person, not just a patient number. This is health care built on relationships, trust and continuity of care.
The APC+ Advantage
Here’s the difference between traditional primary care and relationship-based care with APC+:
| Traditional Primary Care: | APC+ Relationship-Based Care: |
| See whoever is available | Your dedicated doctor who knows you |
| Start from scratch each visit | Builds on your ongoing health story |
| Rush through symptoms in 7-12 minutes | Meaningful 30-60 minute conversations |
| Limited availability | Available 24/7 when you need them |
| Impersonal, transactional interactions | Personal, caring relationships that improve outcomes |
Better Care, Better Value
Here’s what makes this even better – APC+ comes at no additional cost to you and your family. While traditional health care can cost you thousands per year, Organon has invested in this benefit because we know that healthier founders mean stronger outcomes for everyone.
For most services, you’ll pay $0 – no deductibles, no coinsurance, no surprise bills for primary care visits. It’s relationship-based health care without the financial stress.
Is APC+ Right for You?
If you already have a PCP through the Horizon network that you’re happy with, that’s wonderful! But if you’re not happy with your PCP, or are searching for a new PCP or a higher touch PCP experience, APC+ could be just what you need. It expands your access to other providers who might be a better fit and can offer you relationship-based care.
Have an Open Mind
We encourage you to approach APC+ with curiosity and openness. This is health care designed around human relationships and genuine care, not insurance requirements and time constraints.
You might also wonder if this sounds too good to be true – having a doctor who knows you and is available 24/7 at no extra cost. There is no catch. This is a genuine investment in your health and well-being. Organon has partnered with Apaly to bring you the kind of personal, relationship-based health care experience that used to be commonplace, because we believe you deserve a personalized health care experience.
We’re In This Together
We’re introducing APC+ because your best interests are Organon’s best interests. When our founders thrive with doctors who truly know and care for them, Organon thrives. This investment reflects our commitment to not just providing benefits, but providing the kind of personal, relationship-based care that can make health care truly meaningful. It’s a win-win.
And APC+ is just the beginning. As we continue to explore innovative ways to enrich, earn and rise together, we’re already exploring similar health care and wellness innovations for the future. Your feedback and experience with relationship-based care through APC+ will help shape what comes next.
Ready to Meet Your New Doctor?
Your APC+ membership is ready and waiting. Visit apaly.com/organon to:
Remember: Your spot isn’t held until you complete your first visit, which can be virtual. Don’t wait – start building that relationship today.
For Organon medical plan members only
At Organon, we understand that traditional health care has long overlooked one of the most significant phases in women’s lives – menopause and perimenopause. That’s why we’re proud to introduce Midi Health, the premier virtual clinic specializing in midlife care, now available to you and your eligible dependents through your Organon medical plan.
It’s Not You, It’s Your Hormones
The symptoms you’re experiencing aren’t “just part of aging” – they’re real, treatable conditions that deserve expert attention. Most health care providers simply aren’t trained in menopause care. Midi clinicians specialize in treating the dozens of symptoms that can stem from the hormonal changes of midlife.
What Midi Treats:
Relationship-Based Menopause Care
Just like with primary care, menopause care should be personal and continuous. Midi connects you with clinicians who specialize exclusively in midlife health – doctors who understand your journey and take the time to understand your health story, symptoms and goals to create a personalized care plan that evolves with you.
Your Unique Journey Deserves a Unique Care Plan
Your experience is as individual as you are. Midi’s evidence-based approach offers personalized treatment combinations that may include:
All protocols are developed by world-class experts and aligned with leading medical organizations including the American College of Obstetricians and Gynecologists (ACOG) and The Menopause Society.
How It Works: Simple, Convenient, Expert
The Cost Advantage: Covered by Your Insurance
Midi services are covered in-network for U.S. founders and dependents enrolled in Organon’s medical plan. You get access to specialized menopause expertise without the premium price tag typically associated with concierge care. If you receive an error that Midi is not covered in-network by your insurance, please contact partnerbilling@joinmidi.com for support.
Ready to Start Your Midi Journey?
Expert menopause care is just a click away. Visit joinmidi.com/organon to:
Begin your personalized care journey
Create your account and complete your health questionnaire
Schedule your virtual appointment with a menopause specialist
For Organon medical plan members only
Lyra offers the full spectrum of mental health services to children and adults by blending one-on-one video sessions and personalized digital activities. With Lyra you can meet with a certified coach or licensed therapist or you can use Lyra’s self-care resources. Medical plan cost sharing applies to Lyra benefits.
Click here for more information on Lyra’s mental health services.
For Organon medical plan members only
Livongo provides personalized support to you and your covered dependents diagnosed with type 1 or type 2 diabetes. There is no cost to you to use the program. It includes free, unlimited test strips, real‑time data analytics with educational support, and 24/7 personalized support through an advanced meter, mobile app and coaches.
You do not need to be enrolled in the Organon medical plan to use this service.
Expedited appointments and cancer treatment are available at Memorial Sloan Kettering (MSK) through MSK Direct for employees and their immediate and extended family members.
For Organon medical plan members only
Organon offers 2nd.MD to connect you with board-certified, leading doctors across the country for an expert second opinion via video or phone within three to five days. 2nd.MD experts can confirm a complex or rare diagnosis, weigh in on a prescribed treatment plan or provide an alternative approach.
Dental coverage is offered through MetLife’s Preferred Dental Program (PDP) Plus network, which includes dentists who have agreed to provide services at reduced fees. You can seek care in-network or out-of-network, but you will pay less in-network.
The plan provides preventive and diagnostic services, basic restorative care, major services and orthodontic services up to the annual benefit maximum. There is no annual deductible in-network.
Vision coverage is offered through Vision Service Plan (VSP). When you require vision care services, you have the choice of going to any licensed provider. There is no annual deductible to satisfy.
If you visit a VSP preferred provider, your out-of-pocket costs will generally be lower than if you visit an “open access” provider (one that doesn’t participate in the VSP network). VSP preferred providers are available nationwide at Costco, Pearle Vision and Visionworks. If you visit an open access provider, you will be responsible for paying any amounts over the fixed reimbursement paid by the plan.