Walmart workers may face higher health care costs in 2026
Walmart set 2026 associate-only medical premiums at $38.30 and $42.80 per biweekly paycheck, while some local plans were dropped and enrollment timing was fixed.

Walmart’s 2026 benefits materials set annual enrollment to open Oct. 11, with the 2026 Associate Benefits Book taking effect Jan. 1, 2026. The company’s rates sheet lists the Premier PPO Plan at $38.30 per biweekly pay period for an associate only in the tobacco-free category, while the Saver HSA Plan costs $42.80 in the same category.
Associates need to weigh prescriptions, specialist visits, surgery, maternity care and coverage for a spouse or children before choosing a plan. Costs rise further for family coverage and tobacco users, so a plan with a lower headline premium can still leave a household spending more once care begins.
Plan networks also shifted in some places. Most areas will not see major changes in 2026, but the Mercy Arkansas Local Plan was discontinued in Northwest Arkansas and McDonald County, Missouri. The Banner Local Plan was discontinued in parts of Arizona, and the Aetna PPO Plan was discontinued in areas where it was offered. People enrolled in one of those plans were to be automatically enrolled in the Premier PPO Plan unless they chose another option.

The 2026 Associate Benefits Book listed the coverage stack as medical, pharmacy, dental, vision, disability plans and life insurance. Associates can use the One Walmart portal or call People Services at 800-421-1362 for questions, while the materials promote $0 virtual visits through Included Health for primary care, urgent care and mental health care.
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