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Like the benefits you have? You don’t need to do anything. Want to make changes? Don’t wait! Access your options at MyBenefits.WageWorks.com Premier Plan This plan features some new and exciting changes for 2020, like replacing Walmart dollars with simple and affordable copays. When you visit the doctor, you’ll pay $35 for primary care or $75 for a specialist—that’s it. And like our other national plans, you get $4 virtual doctor visits, $4 generic prescriptions, and much more. Contribution Plan In this plan, Walmart credits money to an account for eligible medical expenses—up to $250 if you cover yourself or $500 if you cover dependents. The plan uses this money first to pay for care, so you don’t have to. If you don’t use all your Walmart dollars, they’ll roll over to the next year as long as you stay in the plan. Saver Plan The Saver Plan lets you use a personal health savings account for eligible medical expenses. Plus you can use it for IRS-approved dental, vision, and prescription drug expenses. Important news about Walmart’s medical plans. For 2020, we’re updating our national medical plans for easier access to quality and more appropriate care, including simple and affordable copays and much more. Because we have a new plan and several other updates this year, the time is right to rename all our plans to make them simpler to understand and easier to choose. Look out for the new Premier Plan (replacing the HRA plan), the Contribution Plan (HRA High Plan), and the Saver Plan (HSA Plan). See the following pages for more. Rates are changing. The cost of providing benefits just keeps going up. While we work hard to keep your costs low, the cost for medical coverage will increase in 2020. Tools for better living. Most of our plans give you access to well-being programs that help you live better. Video-chat with a doctor anytime for just a $4 copay with Doctor On Demand. Connect with great doctors close to home who match your needs with Grand Rounds at no cost to you. Access world-class care for certain serious conditions with Centers of Excellence. This is you living better. COBRA Annual Enrollment Oct. 12–Nov. 1

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Page 1: This is you living better. › content › dam › themepage › pdfs › ... · Entire family $13,700 $13,700 $13,300 Care and services In-network coverage shown. Including doctor

Like the benefits you have? You don’t need to do anything. Want to make changes? Don’t wait!

Access your options at MyBenefits.WageWorks.com

Premier PlanThis plan features some new and exciting changes for 2020, like replacing Walmart dollars with simple and affordable copays. When you visit the doctor, you’ll pay $35 for primary care or $75 for a specialist—that’s it. And like our other national plans, you get $4 virtual doctor visits, $4 generic prescriptions, and much more.

Contribution PlanIn this plan, Walmart credits money to an account for eligible medical expenses—up to $250 if you cover yourself or $500 if you cover dependents. The plan uses this money first to pay for care, so you don’t have to. If you don’t use all your Walmart dollars, they’ll roll over to the next year as long as you stay in the plan.

Saver PlanThe Saver Plan lets you use a personal health savings account for eligible medical expenses. Plus you can use it for IRS-approved dental, vision, and prescription drug expenses.

Important news about Walmart’s medical plans.

For 2020, we’re updating our national medical plans for easier access to quality and more appropriate care, including simple and affordable copays and much more.

Because we have a new plan and several other updates this year, the time is right to rename all our plans to make them simpler to understand and easier to choose. Look out for the new Premier Plan (replacing the HRA plan), the Contribution Plan (HRA High Plan), and the Saver Plan (HSA Plan). See the following pages for more.

Rates are changing.

The cost of providing benefits just keeps going up. While we work hard to keep your costs low, the cost for medical coverage will increase in 2020.

Tools for better living.

Most of our plans give you access to well-being programs that help you live better. Video-chat with a doctor anytime for just a $4 copay with Doctor On Demand. Connect with great doctors close to home who match your needs with Grand Rounds at no cost to you. Access world-class care for certain serious conditions with Centers of Excellence.

This is youliving better.COBRA Annual Enrollment Oct. 12–Nov. 1

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Go to MyBenefits.WageWorks.com for complete details. You’ll also find more information on your COBRA Notice.

Looking for rates on medical, vision, and dental plans?

Medical.Check out your options below and choose the coverage that’s right for you and your family.

2020 Medical Plan Options Premier Plan (current HRA Plan)

Pay doctors with simple copays.

Contribution Plan* (current HRA High Plan)Get Walmart dollars to help pay for care until the plan

kicks in.

Saver Plan (current HSA Plan)

Put money in a tax-free health savings account (HSA)

for this year’s expenses— or for future needs.

Walmart’s annual max contribution In-network coverage shown.

Individual only N/A $250 credited to your HRA N/A

Individual + dependents N/A $500 credited to your HRA N/A

Annual deductible Except preventive care. In-network coverage shown.

Individual only $2,750 $1,750 $3,000

Individual + dependents $5,500 $3,500 $6,000

Annual out-of-pocket maximum In-network coverage shown.

Per person $6,850 $6,850 $6,650

Entire family $13,700 $13,700 $13,300

Care and services In-network coverage shown.

Including doctor visits, diagnostic tests, hospitalization, behavioral health

$35 copay - primary care$75 copay - specialists

75% covered after deductible - other care

75% covered after deductible 75% covered after deductible

Doctor On Demand™ In-network coverage shown.

Doctor On Demand Video doctor visit for medical, behavioral health needs

$4 copay $4 copay $4 copay after deductible

Walmart/Sam’s Club pharmacy

Generic drugs $4 $4 $4 after deductible

Brand-name drugs 25% of allowed cost** 25% of allowed cost** 25% of allowed cost**

Specialty drugsAvailable only at Walmart Specialty Pharmacy or OptumRx Specialty Pharmacies

20% of allowed cost** 20% of allowed cost** 20% of allowed cost**

*Not available in most locations where a Local Plan is offered.**The allowed cost of prescription drugs is determined by the plan’s pharmacy benefit manager, OptumRx.

Page 3: This is you living better. › content › dam › themepage › pdfs › ... · Entire family $13,700 $13,700 $13,300 Care and services In-network coverage shown. Including doctor

About the plans.

Health care made simple.All Walmart’s local plan options feature:• Predictable copays that make it easier to manage

health care costs• Coordinated care with a long-term focus on your overall health• Special networks with a wide range of doctors• No out-of-network coverage except in an emergency

More local options.Depending on your location, you may have other plans to choose from. You can see what’s available to you on the Annual Enrollment form, as well as at MyBenefits.WageWorks.com.

Local Plans These plans connect you with proven local doctors, high-quality care, and low copays and deductibles to help you live better every day.

Select Local Plan Get the lowest cost and low copays where available, and the same coverage levels and special programs as the Premier Plan by staying within a carefully selected network of doctors and hospitals near you.

HMO plans HMOs offer all-in-one convenience and coordinated care. Plan details vary, but typically offer flat copays and low or no deductibles.

Vision.The plan lets you save on

eye care, exams, and lenses.

Dental.Protect your smile with a high-quality,

cost-effective plan that covers services from cleanings to braces.*

*12-month waiting period for orthodontia.

Take control of your health.

Grand Rounds, Centers of Excellence, and Doctor On Demand

are great programs that are available to individuals enrolled in

most Walmart medical plans. Go to MyBenefits.WageWorks.com or the

plan administrator to learn how these programs can help you.

Premier PlanThis plan features some new and exciting changes for 2020, like replacing Walmart dollars with simple and affordable copays. When you visit the doctor you’ll pay $35 for primary care or $75 for a specialist—that’s it. And like our other national plans, you get $4 virtual doctor visits, $4 generic prescriptions, and much more. Contribution PlanIn this plan, Walmart credits money to an account for eligible medical expenses—up to $250 if you cover yourself or $500 if you cover dependents. The plan uses this money first to pay for care, so you don’t have to. If you don’t use all your Walmart dollars, they’ll roll over to the next year as long as you stay in the plan. Saver PlanThe Saver Plan lets you save money in a personal health savings account to use for eligible medical expenses. You can also use the money for IRS-approved dental, vision, and prescription expenses—or save it for future needs.

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Guide is intended as a brief overview of the benefits available to you in 2020. The guide is not intended to describe the benefits in detail, nor is the guide intended to provide a comprehensive overview of the costs and limits of the available benefits.

©2019 Walmart Inc.

Questions, answered.Making changes for 2020? Not sure yet? Or just looking for some moreinformation? You’ll find what you need at MyBenefits.WageWorks.com.

If you have questions about… Website Phone

Benefits, medical claims, or care management

Contact plan administrator

Aetna health care advisor: 855-548-2387Blue Advantage Administrators of Arkansas health care advisor: 866-823-3790UnitedHealthCare health care advisor: 888-285-9255HealthSCOPE Benefits (Most Local Plans) health care advisor: 800-804-1272

Finding a network provider for medical plans GrandRounds.com/Walmart Grand Rounds: 800-941-1384

Pharmacy benefits One.Walmart.com/Prescriptions OptumRx: 844-705-7493

Health Savings Account (HSA) - Saver Plan healthequity.com HealthEquity: 866-296-2860

Vision plan One.Walmart.com/Vision VSP: 866-240-8390

Dental plan One.Walmart.com/Dental Delta Dental: 800-462-5410

Resources for Living rfl.com RFL: 800-825-3555, 24/7

When you’re eligible for benefits or how to enroll

MyBenefits.WageWorks.com WageWorks, COBRA Administrator: 800-570-1863

Explore it all online at www.MyBenefits.WageWorks.com