The Contribution Plan features money from Walmart to help you pay for eligible medical expenses.
Here’s how the plan works:
• Each year, the company sets aside money in a health reimbursement account (HRA) for each associate in the plan. This helps pay for your eligible medical expenses before you have to pay anything out of your own pocket (except for prescription drugs). Walmart puts in $250 for associate-only coverage or $500 if you cover yourself and dependents. Money in your HRA is automatically used to pay for eligible medical expenses like doctor visits or lab work.
• If you have money left in your HRA at the end of the year, the unused amount, up to your annual network deductible, rolls over from year to year as long as you stay enrolled. However:
– If your HRA balance is near your network annual deductible for 2020, you will still receive the full company credit, but amounts in excess of your annual network deductible will be subtracted from your rollover dollars.
– If your HRA balance is already equal to your annual network deductible, you will still receive a company HRA credit for 2020, but amounts in excess of your annual network deductible will be subtracted from your rollover dollars.
– Walmart dollars can only be used for medical expenses incurred in the same calendar year; e.g., expenses incurred in 2019 cannot be paid from the 2020 credit amount.
• You use your HRA and your own money to meet your annual deductible. You pay the full cost of your medical expenses using your 2020 Walmart dollars, including any HRA money rolled over from 2019, and your own money until you reach your annual deductible.
• After you reach your annual network deductible, you pay 25% coinsurance for eligible network expenses; Walmart pays 75%.
• Once you meet your network out-of-pocket maximum for the year, Walmart pays 100% of any eligible network expenses (medical and prescription drugs) you and your covered family members have for the rest of the year.
• Once you meet your out-of-network deductible, if you use providers who are not in the network, in most areas Walmart pays 50% of the maximum allowable charge and you pay the rest, even after you’ve met your network outof-pocket maximum. (There is no out-of-pocket maximum for out-of-network charges.)
• Keep in mind that network providers charge a negotiated rate for medical services for Walmart associates and their covered dependents. Therefore, providers who are in the network have agreed to accept a discounted allowable amount, so you will save money if you use a provider who is in the network.