Care to keep you well.
![Zero_cost Zero_cost](/content/usone/en_us/me/health/health-programs/preventative-care/_jcr_content/par/block_container_copy/block-container-par/columns/column_1/image.img.jpg/1724035654082.jpg)
Zero cost
You’ll pay nothing when you see a network doctor
(or preferred provider in parts of FL, IL, IN, OK, and TX)
for covered preventive services.
![Know_your_benefits Know_your_benefits](/content/usone/en_us/me/health/health-programs/preventative-care/_jcr_content/par/block_container_copy/block-container-par/columns/column_2/image.img.jpg/1724035654105.jpg)
What’s covered?
Your plan defines what
counts as preventive care.
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Network only
If you receive preventive care outside
your plan’s network (or from a non-preferred
provider in parts of FL, IL, IN, OK, or TX), you’ll pay
some or all of the cost.
Network coverage
Eligible network preventive care services in most areas are covered at 100% by the Premier, Contribution, Saver, PPO, and Local plans. This means if you see a doctor in your plan’s network for specific preventive services, you pay nothing, and you don’t even need to reach your plan’s deductible first. See below if you work in Arkansas, Florida, Chicago Metro, Oklahoma, or Texas.
Out-of-network coverage
If you choose a doctor outside the network, in most locations you’ll pay 50% of the eligible costs in the Premier, Contribution, or Saver plans, or 75% in the PPO Plan. If you’re in the Chicago Metro, Oklahoma, or Texas areas shown below, or a Local Plan in any location, there’s no out-of-network coverage except in an emergency.
HMO plans
If you’re in an HMO plan, you’ll get 100% coverage for preventive care when you see doctors in your network. See your plan’s website or ask your People Partner for details.
Here’s a partial list of covered preventive care services. Keep in mind that some services are covered only if you’re a certain age or at risk for a specific condition.
- Annual checkups for all covered family members
- Immunizations for children and some adults
- Seasonal flu vaccination
- Pap tests, mammograms, colonoscopies, and other screening services
- Well-woman visits and associated preventive services
- Preventive services for pregnant women
- Behavioral screening and counseling
You’ll find a complete list in the Associate Benefits Book.
Do you work in Arkansas, Florida, Chicago Metro, Oklahoma, or Texas?
Select counties in these locations have a special program that connects associates with quality care in their local communities. We’ve identified local doctors who have consistently delivered the best value and quality care. They’re called preferred providers, and they’ve been selected based on three things: accurately diagnosing health conditions, recommending the right treatments, and helping their patients get better.
In the areas shown below, you’ll need to see a preferred provider for 100% coverage of eligible preventive care. You’ll find preferred providers at IncludedHealth.com/Walmart.
Preferred providers are available in:
- Gainesville, Jacksonville, Orlando, or Tampa, Florida; South Florida, including Miami, Port St. Lucie, and Fort Myers
- Chicago Metro
- Oklahoma City and Tulsa, Oklahoma
- Austin, Dallas/Fort Worth, Houston, and San Antonio, Texas
If you see another provider, you’ll pay a larger share of the costs of covered services:
- In the Florida areas shown, care provided by a non-preferred network provider or an out-of-network provider is covered at 50% of eligible costs.
- In the Chicago Metro, Texas, and Oklahoma areas, non-preferred network providers are covered at 50% of eligible costs, and there’s no coverage for out-of-network care except in emergencies.
In Northwest Arkansas you can see any in-network provider and use the Provider Guide to find highly rated doctors. There’s no coverage for out-of-network care except in emergencies. Find doctors at IncludedHealth.com/Walmart.
More resources
Need help?
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