Contribution Plan
Get money from Walmart to help pay for care until the plan kicks in.
Get special Walmart dollars to help pay for care before you meet your deductible, plus the lowest deductibles of our national plans.

Help with medical costs.

Walmart_dollars

Walmart dollars
 

Each year you get $250
in Walmart dollars for yourself,
or $500 for family coverage.

Automatic_payment

Automatic payment

The plan uses these automatically
to pay for your medical expenses
until they’re gone.

Annual_Rollover

Annual rollover
 

If you have unused Walmart
dollars at the end of the year,
they’ll roll over as long as you’re
still enrolled in the plan.

Preventive care

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

Walmart dollars

You’ll get a special account with money provided by Walmart to help pay for medical expenses: $250 for yourself only, or $500 for yourself and your dependents. This helps you cover out-of-pocket costs until you reach your deductible and the plan starts paying for 75% of eligible costs. And there’s no need to file claims—the plan uses your Walmart dollars automatically until they’re gone.
 

If you have any Walmart dollars left over at the end of the year, they’ll roll over to the next year as long as you’re still enrolled in the Contribution Plan, up to the amount of your plan deductible. But if you switch to another plan or leave the company, you can’t take them with you.

Other care

Once your Walmart dollars are used up, you’ll pay the full cost for any additional care you receive until you meet your deductible. After that, the plan pays 75% of all in-network costs and 50% of all out-of-network costs. A few exceptions:

  • If you work in central Florida, Dallas/Fort Worth, Texas, or northwest Arkansas, the plan does not cover out-of-network care except in an emergency.
  • The Centers of Excellence program provides 100% coverage for many serious medical procedures like spine surgery and heart surgery.
Affordable prescriptions

All generic prescriptions are just $4 at a Walmart or Sam’s Club pharmacy.

Annual deductible

Your annual deductible is $1,750 for yourself only, or $3,500 for yourself and your dependents. This is the amount you’ll have to spend each year before the plan starts paying 75% of the cost.

Emergency room

There’s a special $300 emergency room copay for ER services. You also have to meet your annual deductible before plan coverage kicks in. If you’ve already met the deductible, you’ll pay just the $300 copay.

Your total cost

The maximum amount you can spend out of pocket is $6,850 for yourself or $13,700 for yourself and your dependents. Once you reach this amount, all your in-network visits and other costs will be covered at 100%.

Rates
  • $82.40 per paycheck for associate only
  • $278.90 per paycheck for associate plus spouse/partner
  • $116.20 for associate plus children
  • $298.60 for associate plus family

You’ll pay more if you and/or your spouse/partner use tobacco products and choose not to enroll in and complete a Quit Tobacco program. For details see the 2020 rates.

When can I enroll?
  • During your initial enrollment period; this is when you first become eligible for benefits, and depends on your job classification. Check your enrollment options.
  • During Annual Enrollment, when all eligible associates can sign up or make changes.
  • When you have a status change event, like getting married or divorced, birth or adoption, or changes in your employment that affect benefits coverage. Keep in mind that you can only make changes that are directly related to the event. You’ll find details in the 2020 Associate Benefits Book.
  • If you’re enrolled in Medicare Part D, you’re not eligible to enroll in any Walmart-sponsored medical plan.

When it’s time, enroll online.

More resources

Need help?

Call People Services at 800-421-1362
Do you work in central Florida, Dallas/Fort Worth, Texas, or northwest Arkansas?

 

In these areas the plan works a little differently. You’ll find network doctors with the Provider Guide website instead of Grand Rounds. And care you receive from an out-of-network provider is not covered except in an emergency, so expect to pay more.

See the 2020 Associate Benefits Book for additional information about your benefits and eligibility. This document will control in the event of any conflict.

Contacts and related plans