Coverage policy

Coverage Policy for participants and beneficiaries enrolled in Walmart Associates’ Health and Welfare Medical Plan

(developed by BlueAdvantage Administrators and adopted by the Walmart Plan as Plan coverage criteria)

The purpose of the Coverage Policy is to inform members and their physicians why certain medical procedures may or may not be covered under your health plans.

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What You Will See

When you select a policy, you will see its title, category and effective date at the top of the page. A description of the treatment and the actual policy, which explains what is covered, follow. At the bottom of the page, you will see related CPT codes and references.