Help with medical costs.
Walmart dollars
Each year you get $250
in Walmart dollars for yourself,
or $500 for you and your dependents.
Automatic payment
The plan uses Walmart dollars
automatically to pay for your eligible
medical expenses until your Walmart dollars are gone.
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
Contribution Plan next year.
You have access to Walmart dollars to help pay for eligible medical expenses: $250 for yourself only, or $500 for yourself and your covered dependents. These Walmart dollars are used automatically when you get care, and are applied to your deductible. Once you meet your deductible, the plan starts paying up to 75% of eligible costs for most services. And when your provider files your medical claim for you, the amount you’re responsible for will be paid using your available Walmart dollars. You don’t need to do anything special to use this money.
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 your Walmart dollars with you.
In most locations you will get 100% coverage for eligible 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.
In certain areas you’ll need to see a preferred provider to get 100% coverage for preventive care. You’ll find preferred providers at IncludedHealth.com/Walmart.
You pay the full cost for any other care you receive until you meet your deductible. After that, in most locations the plan pays up to 75% of eligible in-network costs and 50% of eligible out-of-network costs for most services. A few exceptions:
In areas where preferred providers are available, you’ll need to see a preferred provider for the plan to pay up to 75% of eligible in-network costs. See "“Do you work in Arkansas, Florida, Chicago Metro, Oklahoma, or Texas?” below for details, or learn more at One.Walmart.com/preferredproviders.
Walmart’s Centers of Excellence program gives you access to some of the best specialists and facilities in the country. The program covers heart and spine surgeries, knee and hip replacements, treatment for many types of cancer, transplants, weight loss surgery, and fertility care. Treatment for many conditions comes at no cost to you with the Contribution Plan. This includes travel and lodging for you and a caregiver. Learn more at One.Walmart.com/COE.
All generic prescriptions are just $4 at a Walmart or Sam’s Club pharmacy. You can also get prescriptions by mail through Walmart Home Delivery Pharmacy.
Keep in mind that maintenance medications, like those used to treat high blood pressure and diabetes, need to be filled at a Walmart or Sam’s Club pharmacy, or through Walmart Home Delivery. Your cost for a 90-day supply is three times the cost of a 30-day. Also, specialty medications are available only through Walmart Specialty Pharmacy.
Getting to a healthier you is easier with your virtual health benefits. You have access to a primary care doctor you can see online through Doctor On Demand by Included Health, and they can handle your family’s everyday health needs. They’re also there for you to manage chronic conditions such as diabetes, high blood pressure, and asthma. Plus, your virtual primary care doctor can connect you with mental health professionals and more. You can even get many prescriptions with just a video visit. You can also use other app-based programs for physical therapy and digestive health support. Many of these online services are available at no cost to you with the Contribution Plan.*
We’ve expanded this program so all associates and their families who are enrolled in the Premier, Contribution, Saver, or a Local plan can use it as of Oct. 14, 2023, or starting Jan. 1, 2024 if you enroll during Annual Enrollment. Also starting Jan. 1, 2024, if your virtual primary care doctor orders lab work, you can choose to do some basic labs from the comfort of your home. Learn more at One.Walmart.com/VirtualCare.
Your annual deductible is $1,750 for yourself, or $3,500 for yourself and your covered dependents. 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.
To see your cost per paycheck for all your medical plan options, see our Compare Plans page.
- During your initial enrollment period. This is when you first become eligible for benefits and depends on your job classification. See your personalized eligibility information at One.Walmart.com/BenefitsGuide.
- During Annual Enrollment, when all eligible associates can sign up or make changes at One.Walmart.com/Enroll.
- When you have an election change event, like a marriage or divorce, a birth or adoption, or a change in your employment that affects benefits eligibility. Keep in mind you can only make changes that are directly related to the event. You’ll find details in the Associate Benefits Book.
- If you’re enrolled in a Medicare prescription drug plan, you’re not eligible to enroll in any Walmart-sponsored medical plan.
When it’s time, enroll online.
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. You’ll find preferred providers at IncludedHealth.com/Walmart.
Preferred providers are available in:
- Central Florida including Orlando and Tampa;
- Northeast Florida, including Gainesville and Jacksonville;
- South Florida, including Miami/Fort Lauderdale, Port St. Lucie, and Fort Myers
- Chicago Metro
- Oklahoma City and Tulsa, Oklahoma
- Austin, Dallas/Fort Worth, Houston, and San Antonio, Texas
Walmart covers a higher share of eligible costs when you see a preferred provider: you pay 25% of eligible costs for most services after you meet your deductible, instead of 50% after deductible for another doctor in your network. And if you choose to see a non-network provider:
- In the Florida areas shown, care from a non-network provider is covered at 50% of eligible costs after you meet your deductible.
- In the Chicago Metro, Texas, and Oklahoma areas, there’s no out-of-network coverage except in emergencies.
In Northwest Arkansas you can see any network provider and use the Provider Guide to find highly rated doctors. Keep in mind that there’s no coverage for out-of-network care except in emergencies. Find doctors at IncludedHealth.com/Walmart.