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The Honolulu Advertiser
Posted on: Sunday, September 23, 2007

Wal-Mart expands health coverage

By Julie Appleby
USA Today

Wal-Mart, whose health coverage for employees has been a target of critics, says it will offer improved options for workers next year that include $4 generic drugs and monthly premium costs of as low as $4.36 on some of its plans.

The company drew criticism from unions — and some state lawmakers — in recent years for its coverage, which critics called unaffordable for some of its 1.3 million workers, causing them to be uninsured or enroll in programs like Medicaid.

Starting in January, workers will be able to mix-and-match up to 50 different combinations of deductibles, credits and premiums, which the company says should help boost enrollment. Last year, Wal-Mart said 43 percent of its workers had health insurance through the company, although a full 90 percent had some coverage, through spouses, parents or government.

"It's hard to see why an associate would not choose health coverage when we have plans as low as $4.36 to $7.31," says Wal-Mart spokeswoman Sarah Clark.

The new plans will offer:

  • A choice between four annual deductibles: $350, $500, $1,000 or $2,000, a change from this year when plans had annual deductible of $1,000 or $2,000. The amount paid by workers for monthly premiums increases as the deductible goes down.

  • To offset those deductibles, employees can choose between $100, $250 or $500 "credits" Wal-Mart will pay for medical care before the worker pays the deductible. The higher the credit, the higher the premium.

  • Co-payments of $4 for 2,400 generic drugs.

  • No lifetime maximum on most plans for the amount the insurer will pay toward catastrophic medical needs. The maximum workers would pay each year, after their deductibles, toward medical costs would be capped at $2,000 or $5,000.

    One union-backed advocacy group, Wal-Mart Watch, welcomed the move, but said the plan still falls short for many Wal-Mart workers.