Preventive care
100% coverage to help you stay well.
Regular checkups, tests, and vaccinations can keep you and your family well and prevent serious illness. They’re 100% covered in most Walmart plans.

Care to keep you well.

Zero_cost

Zero cost
 

You’ll pay nothing when
you see a network doctor for
covered preventive services.

Know_your_benefits

What’s covered?
 

Your plan defines the routine
services, tests, and treatments
that can keep you well.

Network

Network only
 

If you get care outside
your plan’s network, you’ll pay
some or all of the cost.

How it Works

Network coverage

Network preventive care services are covered at 100% in the Premier, Contribution, Saver, or Local plans. This means that if you see a doctor in your plan’s network for specific preventive services, you pay nothing, and you don’t even need to reach your plan’s deductible first.

Out-of-network coverage

If you choose a doctor outside the network, in most locations you’ll pay 50% of the cost in the Premier, Contribution, or Saver plans.

  • If you’re in one of the plans above and you work in northwest Arkansas, or if you’re in a Local plan anywhere, there’s no out-of-network coverage except in an emergency.
  • If you’re in one of the plans above in central Florida, you’ll pay 50% of the cost.
  • If you’re in one of these plans in Dallas/Fort Worth, Texas, you’ll pay 50% for a non-preferred, network doctor, but you’ll have no out-of-network coverage except in an emergency.

Other office visits

If you see a network doctor for something else, and also receive preventive care during the visit, those services are 100% covered—but you’ll still have to pay your copay or coinsurance for the original purpose of the visit.
 

HMO plans

If you’re in an HMO plan, see your plan’s website or other information for preventive care coverage.

What’s covered?

Here’s a partial list of covered preventive care services. Keep in mind that some services are only covered if you’re a certain age or at risk for a specific condition.

  • Annual checkups for all covered family members
  • Immunizations for children and some adults
  • Seasonal flu vaccination
  • Pap tests, mammograms, colonoscopies and other screening services
  • Well-woman visits and associated preventive services
  • Preventive services for pregnant women
  • Behavioral screening and counseling

You’ll find a complete list in the Associate Benefits Book.

Questions about your preventive care?
Call the number on the back of your plan ID card.

More resources


Need help?

For benefits 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