2023 AtlantiCare Benefits Booklet

Additional Medical Plan Resources

TABLE OF CONTENTS WELCOME.................2 WHAT’S NEW. ...........3 SERVICE CENTERS AND WEBSITES..........4 HOW TO ENROLL....5-6 MEDICAL..............7-14 PRESCRIPTION DRUG. ................15-17 ADDITIONAL MEDICAL PLAN RESOURCES........18-22 DENTAL...............23-24 VISION.....................25 LIFECENTER..............26 LIFE INSURANCE. .....27 DISABILITY...............28 VOLUNTARY OFFERINGS. ........29-32 SPENDING ACCOUNTS. ............33 RETIREMENT BENEFITS..................34 WELLNESS. .........35-38 LEGAL NOTICES...39-41 GLOSSARY..........42-43 FAQs...................44-46 CONTACTS.........47-48 FORMS................49-58

AtlantiCare Access Center Nurse Triage AtlantiCare offers telephonic nurse triage when your AtlantiCare Physician Group (APG) primary care provider practice is not available. After hours, a nurse is available to answer any questions related to your medical care. The hours vary by practice. However, they are typically available from 4:00 pm – 8:30 pm daily, including holidays and weekends. When you call you will speak with a registered nurse (with an average of 30 years experience) who will assess and evaluate your symptoms or injury over the phone, provide physician- approved medical information so you can make an informed decision about where and when to seek treatment, recommend next steps and, if necessary, refer you to the appropriate care and resources. Care Management As part of your benefits, our Nurse Care Managers are available to help you understand your healthcare options by: • Coordinating your healthcare services • Helping you understand and use your benefits in the most efficient way • Directing you to community resources, support groups, and health and wellness programs when appropriate • Navigating the healthcare system when dealing with a complex medical illness This is a free benefit as part of your affiliation with our APG primary care practices.

Telehealth Benefit AtlantiCare offers care through telehealth in Primary Care, Behavioral Health, OB/GYN, Specialty Care areas and Surgical Services. Your copay is $5. AtlantiCare also offers some special programs featuring the AtlantiCare Physician Group Primary Care Virtual Program. With the Virtual Care program, you’ve never been more connected to care, with same day primary care virtual visits with an AtlantiCare provider. This program is also offering the opportunity for some eligible employees, spouses or dependents between the ages of 20-40 to establish care with our Virtualist program dedicated to virtual care first. With the Virtualist providers as your primary care provider, you receive care virtually, including your employee annual wellness via telehealth appointments with this practice. To inquire about this offering, call the Access Center at 1-888-569-1000 . To schedule a telehealth appointment you can call 1-866-569-1000 or visit http://providers.atlanticare.org to book your appointment online.

You may speak to a Care Manager by calling 1-609-272-6297 .

Both Nurse Triage and Care Management are offered as free benefits . All medical and personal information is confidential and may only be shared with those involved in your care.

19