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 in most areas are covered at 100% in the Premier, Contribution, Saver, eComm PPO, and Local Plans. This means 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. See below if you work in central Florida; Dallas/Fort Worth, Texas; or northwest Arkansas.

 

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, Saver, or eComm PPO Plans. If you’re in a Local Plan in any location, there’s no out-of-network coverage except in an emergency.

 

Other office visits

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

 

HMO Plans

If you’re in an HMO Plan, you’ll get 100% coverage for preventive care when you see doctors in your network. See your plan's website or ask your People Partner.

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.

 

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. The amount your plan will pay for covered services varies depending on whether you choose a preferred or non-preferred doctor in your network, so check the Provider Guide to make sure you’ll get the highest plan benefit.

 

In northwest Arkansas, you can still see any in-network provider in 2021.

 

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

Contacts