Your care navigator is a real person who’ll be your single point of contact. They’ll help make sure you receive the right services at the right time and place.

You’ll also have 24/7 access to a well-being agent that’s powered by AI technology. The well-being agent can answer your questions about benefits coverage and available programs. It can also connect you to virtual care if you need it.

• $0 for primary care office visits
• $0 for mental health office visits
• $0 for virtual primary care​, urgent care​,​​ and mental health visits
• $50 for specialists and urgent care
• $250 for emergency room
• ​$250 for ground ambulance​
• $500 for most hospital outpatient services
• $100 for outpatient imaging services
• $1,500 for hospital inpatient care

For some serious, complex conditions, ​Walmart's Centers of Excellence program gives you access to ​​specialists ​at some of the best ​​​facilities in the country. The program covers heart and spine surgeries, knee and hip replacements, ​medical records review ​​​for ​​​​​most ​​​​​​​​​cancer​ diagnoses​​​, transplants, weight loss surgery, and fertility care. Treatment for many conditions comes at no cost to you. This includes travel and lodging for you and a caregiver​, if ​​​​applicable​.

Learn more ​​​​​​​​​​​​​​​at One.Walmart.com/COE

​​You must use a Walmart or Sam’s Club Pharmacy to fill your prescriptions. These pharmacies offer all preferred prescriptions for a $0 copay.​​

For non-preferred medications you’ll pay:

• $25 for generic
• $100 for brand name
• $250 for specialty

Not sure which medications are preferred? To find out call OptumRx at 1-844-705-7493 to check which drugs are preferred. 

You can also skip the pharmacy and get prescriptions by mail through Walmart Home Delivery Pharmacy. ​​​​​​Your cost for a 90-day supply ​through home delivery ​is three times the cost of a 30-day supply​ at the pharmacy​. Also, specialty medications are only available through Walmart Specialty Pharmacy.

Getting to a healthier you is easier with your virtual health benefits. You have access to a primary care ​​​provider ​you can see online through Doctor On Demand by Included Health, who can:

• Handle your family’s everyday health needs. 
• Help you manage chronic conditions like diabetes, high blood pressure, and asthma.
• Connect you with mental health professionals and more. 
• Prescribe some medications with just a video visit. 

You can also see a provider in your plan’s network virtually for a $0 copay. And you can also use other app-based programs for physical therapy and digestive health support. ​​​These virtual services are available at no cost to you with the Personalized Well-being Copay Plan.​​

Learn more at One.Walmart.com/VirtualCare

Selecting a quality provider is one of the most important decisions you can make for your well-being. We’ve made it easier for you to find a quality network provider based on provider history of proper care procedures and better patient outcomes.

Find yours at IncludedHealth.com/Walmart

Keep in mind that under this plan, out-of-network providers and other expenses are not covered except in an emergency.

There’s a $250 copay for emergency ​​department services​​​​.​ If you are transported to the emergency department by ground ambulance, there is a separate $250 copay in most cases.

The maximum amount you can spend out of pocket on covered in-network services is $5,000 for you or $10,000 for your family. Once you reach this amount, all eligible in-network costs will be covered at 100%​ for the rest of the calendar year​.

To see your cost per pay period for all your medical plan options, see the Compare Plans page.