Walmart Health is working on the necessary agreements to become a network provider under the Associates’ Health and Welfare Plan (the “Walmart medical plan”).
In the event Walmart Health is not a network provider at its grand opening, Walmart Health will still be able to offer preventive services and office visits for a $4 copay to most participants in the Walmart medical plan. This discounted $4 copay will only be available to participants in the Premier Plan, Contribution Plan and Local Plan options. Due to IRS rules governing health plans that are used with Health Savings Accounts, associates enrolled in the Saver Plan option are required to pay the posted retail price when using the Health Center, unless the visit is limited to preventive services. The $4 copay will not be applied to the annual out-of-pocket maximum. As a reminder, copays are not applied to the annual deductible under the terms of the Walmart medical plan. Any other services will be the participant’s responsibility and will not be processed under the terms of the Walmart medical plan.
When Walmart Health is a network provider, Walmart medical plan participants will still be able to receive preventive services and take advantage of the $4 copay for each office visit. In addition, claims for other eligible services will be processed by the plan, subject to the annual deductible and annual out-of-pocket maximum, under the same rules that apply to a network provider. The $4 copay will be available under most plan options, except the Saver Plan option, as explained above. The $4 copay will be applied to the annual out-of-pocket maximum.
Note for Georgia Associates: If you’re in the Kaiser HMO, please see information provided by Kaiser for any provider restrictions. The Health Center is not a Kaiser network provider. Associates can still use the Health Center and enjoy the convenience at the everyday affordable prices it offers, but you may pay more than if you were to choose a Kaiser network provider. Please check with Kaiser before you select a provider.