Wal-Mart Offers Surgery Care With No Out-of-Pocket Costs

As health care costs continue to rise, Wal-Mart is introducing a first-of-its-kind Centers of Excellence program that will offer associates heart, spine, and transplant surgeries with no out-of-pocket cost at the following hospitals and health systems in the U.S.:  the Cleveland Clinic in Cleveland, Ohio; Geisinger Medical Center in Danville, Penn.; Mayo Clinic sites in Rochester, Minn., Scottsdale/Phoenix, Ariz., and Jacksonville, Fla.; Mercy Hospital Springfield in Springfield, Mo; Scott & White Memorial Hospital in Temple, Texas; and Virginia Mason Medical Center in Seattle.

The new Centers of Excellence program is being expanded from covering transplants, which began with the Mayo Clinic in 1996, to include treatment for certain heart and spine surgeries. Wal-Mart’s associates and their dependents who are enrolled in the company’s medical plans will receive consultations and care covered at 100% without deductible or coinsurance, plus travel, lodging and food for the patient and a caregiver.

Patients must be healthy enough to travel for the surgeries. Four of the designated health care systems — Cleveland Clinic, Geisinger Medical Center, Scott & White Memorial Hospital and Virginia Mason Medical Center, will offer specific procedures for cardiac surgery that include open heart surgery for coronary artery bypass grafting, heart valve replacement/repair, closures of heart defects, thoracic and aortic aneurysm repair and other complex cardiac surgeries.

Three of the health care systems — Mercy Hospital Springfield, Scott & White Memorial Hospital and Virginia Mason Medical Center will perform spine procedures that will include cervical and lumbar spinal fusion, total disk arthroplasty, spine surgery revisions and other complex spine surgeries. Transplants will continue to be provided by the Mayo Clinic.

In providing this service at no cost to its enrolled associates, Wal-Mart has worked with these Centers of Excellence health systems to provide exclusive and unique bundled pricing arrangements for these types of procedures. Through Centers of Excellence, Wal-Mart is working with all the health care organizations to collectively share best practices that will allow collaboration around best measures of service and new industry findings in comparison to industry practices.

While reviewing associates’ medical experience with Mayo Clinic, benefits executives from Wal-Mart discovered that Mayo physicians often found other cost effective ways to treat patients, such as medications, before pursuing transplant options, said John Noseworthy, M.D., Mayo Clinic president and CEO, Mayo Clinic. For more information, visit http://www.walmart.com andhttp://www.samsclub.com.

Last Updated 7/11/2017

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