If your condition qualifies, your plan pays 100% for most conditions and even covers travel and lodging for you and a companion, as well as money for personal protective equipment for use while traveling due to COVID-19. You must be enrolled in a Walmart medical plan to use this benefit.
Transplants and weight loss surgery have a one-year waiting period from the date your medical coverage becomes effective before benefits are available.
Spine surgeries, weight loss surgeries, and transplant care are covered only at specific hospitals. Hip and knee replacements not performed at a COE facility are considered out-of-network and will only be covered at 50% after you meet your out-of-network deductible, if your medical plan option includes out-of-network coverage. Some COE program requirements have been temporarily modified in response to COVID-19, so call your health care advisor at the number on the back of your plan ID card before making any plans.
Weight loss surgeries are covered at the regular benefit level of 75% after you meet your annual deductible, and no travel benefits are provided.
If you’re enrolled in the Saver Plan, you need to meet your annual deductible first.