Check out the 2025 Benefits Information page to better understand your benefits and your rights as a consumer.

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Premier PPO Plan
​​Predictable ​copays and a low cost per pay period. This plan makes getting care easy with simple, affordable copays and a low cost per pay period.

New name, same plan

For 2026 we’ve updated the names of our plans to make it easier to see how they’re different. Because the former Premier Plan is a preferred provider organization (PPO), it’s now called the Premier PPO Plan.

Our most popular plan.

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Doctor visits
 

Know exactly what you’ll pay:

$35 for primary care and mental health office visits

$75 for specialists and urgent care

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Complete coverage
 

​​The​ plan pays up to 75% of eligible in-network costs

once you meet your deductible for the year.

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Low costs
 

The Premier PPO Plan gives you the lowest cost per pay period of all our national plans​: just ​​​​$38.30 for associate-only coverage.


​​Y​​​ou get 100% coverage for eligible preventive care when you see ​​​providers ​in your network. Preventive care includes things like annual checkups, vaccinations, mammograms, and other ​​tests to help keep you well.


Visit IncludedHealth.com/Walmart to find an in-​​​​​​network provider.​ Or go to DoctorOnDemand.com/WalmartCare to connect with a virtual primary care provider for all your ​​​​preventive​​ health care.

You pay for provider visits with ​​​predictable ​copays​​​ starting at $35. Here are the details​​​​:​​​


  • $35 for primary care
  • $35 for mental health office visits
  • $0 for virtual primary care​, urgent care​,​​ and mental health visits through Doctor On Demand by Included Health
  • $75 for specialists and urgent care
  • $300 for emergency room, in addition to your deductible,
  • $300 for ground ambulance​​, in addition to your deductible


Virtual primary care​, urgent care​ and mental health visits with Doctor On Demand by Included Health are at no cost to you.

You pay the full cost for any additional care you receive until you meet your deductible. ​​​​After that, the plan pays​ up to​ 75% of eligible in-network costs​ and 50% of eligible out-of-network costs for most services​.


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 generic prescriptions for just $4.​​


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, and they 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 use other app-based programs for physical therapy and digestive health support. ​​​These virtual services are available at no cost to you with the Premier PPO Plan.​​

Learn more at One.Walmart.com/VirtualCare

​​Choosing 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 using transparent ratings based on provider history of proper care, procedures, and ​​better ​​patient health outcomes. Our provider directory helps you find quality providers​​ who have accurately diagnosed health conditions, recommended the right treatments, and helped their patients get better. 


Learn more at One.Walmart.com/​​QualityProviders​​​​, or find them at IncludedHealth.com/Walmart

Your annual deductible is $2,750 for yourself, or $5,500 for yourself and your covered dependents. ​Other than your copays for office visits, this​​​ is the amount you’ll have to spend each year before the plan starts paying up to 75% of eligible costs. If you cover dependents, all covered participants' expenses combine to help meet the family deductible.

There’s a $300 copay for emergency department ​​services​​​​, ​​​​in addition to​​ your​​ deductible. ​If you’ve already met the deductible, you’ll pay just a $300 copay ​​in most cases.​ If you are transported to the emergency department by ground ambulance, there is a separate $300 copay in most cases, in addition to your deductible.

The maximum amount you can spend out of pocket on covered in-network services is $6,850 for you or $13,700 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. 

  • During your initial enrollment period. This is when you first become eligible for benefits and depends on your job classification. See your personalized eligibility information at One.Walmart.com/BenefitsGuide
  • During Annual Enrollment, when all eligible associates can sign up or make changes at One.Walmart.com/Enroll
  • When you have an election change event, like marriage or divorce, birth or adoption, or changes in your employment that affect benefits eligibility. Keep in mind you can only make changes that are directly related to the event. You’ll find details in the Associate Benefits Book.
  • If you’re enrolled in a Medicare prescription drug plan, you’re not eligible to enroll in any Walmart-sponsored medical plan.

When it’s time, enroll online.

More resources

Need help?

Chat with a People Services Representative at One.Walmart.com/BenefitsChat or call 1-800-421-1362.
See the 2026 Associate Benefits Book for more information about your benefits and eligibility. It will control over any conflicting information on this page.

Contacts and related plans

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