Premier Plan
Simple copays that make it easy to get care, with a low cost per paycheck.
Pay for doctor visits with simple copays, get lots of extras to keep you healthy, and enjoy the lowest cost of our national plans.

Our most popular plan.

Doctor_visits

Doctor visits
 

Know exactly what you’ll pay:
$35 for primary care, $75 for
specialists or urgent care.

Complete_coverage

Complete coverage
 

The plan pays 75% of all
in-network costs once you meet
your deductible for the year.

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Low costs
 

Coverage starts at just $29.20 per
pay period for individual associates.

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.

Simple copays

Copays make it easy to plan for medical costs. Plus there’s no need to meet your deductible first.

  • $4 for video doctor visits
  • $35 for primary care
  • $75 for specialists
  • $75 for urgent care
Other care

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 $2,750 for yourself only, or $5,500 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
  • $29.20 per paycheck for associate only
  • $147.70 per paycheck for associate plus spouse/partner
  • $46.80 for associate plus children
  • $173.30 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

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.

Need help?

Call People Services at 800-421-1362
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