Preauthorization
Getting preapproval for some services
Preauthorization (also called precertification) means you need approval for certain services before you get care, or the plan won’t cover the cost. Your plan may also set certain conditions, medical settings, or other limits to coverage. See the "Medical Plan" chapter of the Associate Benefits Book for information about services that require preauthorization. You should also call your third-party administrator at the number on the back of your plan ID card for other services that require preauthorization.

If you need preauthorization from a network provider or hospital, your provider will usually handle it for you. However, you should double-check by calling your plan’s third-party administrator. You’ll find the numbers below.


Other services that require preauthorization under the Premier PPO, Contribution HRA, Saver HSA and Personalized Wellbeing Copay plans include:


  • Advanced imaging services – MRI and CT scans
  • Travel benefits for complex care
  • Most services provided under the Centers of Excellence program

If your provider doesn’t help with preauthorization, or if you’re considering care outside your plan’s network, you’ll need to call for preauthorization yourself.

You’ll find the number for your third-party administrator on the back of your plan ID card. Not sure who your administrator is? Visit the Compare Plans page to find out.

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.

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