You get 100% coverage for eligible preventive care when you see providers in your network. Preventive care includes things like annual checkups, vaccinations, mammograms, and other tests to help keep you well.

Visit IncludedHealth.com/Walmart to find an in-network provider. Or go to DoctorOnDemand.com/Walmart to connect with a virtual primary care provider for ​​your preventive health care.

​​You pay for provider visits with predictable copays starting at $35. ​​​

• $35 for primary care office visits 
• $35 for mental health office visits
• $0 for virtual primary care, urgent care, and mental health visits through Doctor On Demand by Included Health
• $75 for specialists and urgent care office visits 
• $300 for emergency room, in addition to your deductible​​
• $300 for ground ambulance, in addition to your deductible

Virtual primary care, urgent care and mental health visits with Doctor On Demand by Included Health are at no cost to you.

You pay the full cost for any additional care you receive until you meet your deductible. After that, the plan pays up to 75% of eligible in-network costs and 50% of eligible out-of-network costs for most services.

Walmart’s Centers of Excellence (COE) program, available under most medical plans, gives you access to specialists at some of the best facilities in the country. The program supports heart and spine surgeries, knee and hip replacements, organ and tissue transplants, weight loss surgery, fertility care, certain rare conditions, and a medical records review for most cancer diagnoses. For many covered services, evaluation or treatment may be provided at no cost to you. Travel and lodging may also be covered for you and an adult caregiver, when applicable.

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This plan requires you to use a Walmart, Sam’s Club Pharmacy, or another Plan approved pharmacy to fill your prescription . Medications can be filled outside Walmart or Sam's Club Pharmacy for acute fills and in some areas where Walmart or Sam's Pharmacies are not available. These pharmacies offer the following covered tiers: Zero Dollar tier,  the generic tier for up to $4, brand tier for up to $50, and specialty drugs for up to $250.

You can also get prescription drugs by mail through Optum Home Delivery Pharmacy. Your cost for a 90-day supply of generic drugs at a Walmart, Sam’s Club, other approved pharmacy, or through home delivery is three times the cost of a 30-day supply at the pharmacy. Brand drugs and specialty drugs are limited to a 30-day supply.    

Specialty medications are only available through Walmart Specialty Pharmacy.

Virtual care visits can help you prioritize your mental health or manage conditions like diabetes, high blood pressure, or asthma. 

You can conveniently connect with a provider through Doctor On Demand by Included Health—anytime, anywhere. In addition to primary and urgent care, you can access virtual tools for digestive health and physical therapy.

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Choosing a quality provider is one of the most important decisions you can make for your well-being. We’ve made it easier for you to find a quality network provider using transparent ratings based on provider history of proper care​​ procedures​​ and better patient health outcomes. Our provider directory helps you find quality providers who have accurately diagnosed health conditions, recommended the right treatments, and helped their patients get better. 

Learn more at One.Walmart.com/QualityProviders, or find them at IncludedHealth.com/Walmart

Your annual deductible is $2,750 for yourself, or $5,500 for yourself and your covered dependents. Other than your copays for office visits, this is the amount you’ll have to spend each year before the plan starts paying up to 75% of eligible costs. If you cover dependents, all covered participants' expenses combine to help meet the family deductible.

There’s a $300 copay for emergency department services, in addition to your deductible. If you’ve already met the deductible, you’ll pay just a $300 copay in most cases. If you are transported to the emergency department by ground ambulance, there is a separate $300 copay in most cases, in addition to your deductible.

The maximum amount you can spend out of pocket on covered in-network services is $6,850 for you or $13,700 for your family. Once you reach this amount, all eligible in-network costs will be covered at 100% for the rest of the calendar year.