Contribution Plan
Get money from Walmart to help pay for care.
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 eligible 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 get 100% coverage for preventive care when you visit 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 get a special account with money provided by Walmart to help pay for eligible 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 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.

Other care

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

  • Video doctor visits with Doctor On Demand are $0 right now because of COVID-19.
  • If you work in central Florida; Dallas/Fort Worth, Texas; or northwest Arkansas, see below for special features in your area.
  • 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, 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 $300 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 just pay the $300 copay.

Your total cost

The maximum amount you’ll spend out of pocket on covered, in-network services is $6,850 for yourself or $13,700 for both you and your dependents. Once you reach this amount, all covered, in-network services will be covered at 100% for the rest of the calendar year.

Rates

To get a breakdown of your costs, see our Compare Plans page.

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 a marriage or divorce, a birth or adoption, or a change in your employment that affect benefits coverage. Keep in mind you can only make changes that are directly related to the event. You’ll find details in the 2020 Associate Benefits Book with 2021 Summary of Material Modifications.
  • 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.

Do you work in central Florida; Dallas/Fort Worth, Texas; or northwest Arkansas?

In 2021 we’re launching pilots in three areas to connect associates with quality care in their local communities. By identifying doctors who have consistently given patients the best care, it’s easy for you to find the best doctors.

 

In central Florida and Dallas/Fort Worth our medical plans have built-in incentives to seek care from a network of preferred providers you’ll find in the Provider Guide. The amount your plan will pay for covered services varies depending on whether you choose a preferred or non-preferred doctor in your network. In central Florida, care provided by an out-of-network provider is covered at 50%, while in Dallas/Fort Worth there is no coverage except in cases of emergency.

 

In northwest Arkansas you can still see any in-network provider in 2021. Starting in January, you’ll be able to use the Provider Guide to find highly rated doctors.

More resources

Need help?

Call People Services at 800-421-1362.

What’s changing for 2021?

In most areas, there are no big changes to the Contribution Plan for 2021, so all the details on this page apply to your current plan except your cost for coverage. Here are the 2020 rates.

In central Florida and Dallas/Fort Worth, Texas, there are important changes to your network coverage for 2021. Right now, your plan is different from other areas in just three ways:

  • You can find network doctors with the Provider Guide website instead of Grand Rounds.
  • In Dallas/Fort Worth, care you receive from an out-of-network provider is not covered except in an emergency, so expect to pay more. In central florida, coverage is 50% for out-of-network providers.
  • Your coverage for covered services in 2021 will vary depending on the providers you use.

Contacts and related plans