2024 Benefits Booklet

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2024 Benefits Workbook

Service Centers and Websites AtlantiCare Benefits Service Center 1-800-211-3252 Monday through Friday, 8:00 am to 6:00 pm You can access the AtlantiCare Benefits Service/ Enrollment Site to make your elections via myadp.com . Navigate to the Benefits tab and click Health andWelfare. For more information, see How to Enroll on page 4. Chat and Co-browsing available Monday through Friday 8:00 am to 8:00 pm EST, excluding all major U.S. holidays. Access via myadp.com . FSA Employee Benefits Center 1-800-307-0230 Monday through Friday, 8:30 am to 5:30 pm myflexdollars.com See Contacts on page 31 for specific benefit policies.

Dear AtlantiCare Colleagues,

At AtlantiCare we work incredibly hard each day to ensure the health and well-being of so many patients in South Jersey by providing them with high-quality, award-winning healthcare services. Our commitment to good health carries over to our team members and the choices you have in the medical and wellness benefits offered at AtlantiCare. On the following pages, you will find information about AtlantiCare’s benefits program for 2024. Please review it carefully and discuss the options with your family, taking time consider what health goals you may be setting for yourself in the new year. As always, we have multiple plans to choose from with the ability to save money through our Wellness Program. In addition to documents outlining our medical, dental, and vision benefits you will also find valuable information regarding AtlantiCare’s LifeCenter, our life insurance plans, disability insurance, and the voluntary benefits offered to team members. We are very proud to provide comprehensive and affordable plan options to you each year. AtlantiCare’s Benefits Team is continuously working with executive leadership to develop our employee benefits to meet your needs. Changes we are excited to announce for 2024, include a new adult orthodontia coverage plan and an increase in the Flexible Spending Account maximum. Thank you for your commitment to AtlantiCare. Please reach out to the Benefits Team if any questions come up during your enrollment process.

Check for important dates and information on Open Enrollment and other Benefits events throughout the year on The Starfish.

For Legal Notices or Frequently Asked Questions about your benefits visit myadp.com .

To learn more about your Wellness Benefits scan here:

All the best,

Dennis Lennon Chief People Officer AtlantiCare

What’s New for 2024

TABLE OF CONTENTS WELCOME..............................2 WHAT’S NEW........................3 HOW TO ENROLL......... 4-5 MEDICAL......................... 6-13 PRESCRIPTION DRUG.............................. 14-15 ADDITIONAL MEDICAL PLAN RESOURCES............... 16-18 DENTAL......................... 19-20 VISION....................................21 LIFECENTER........................22 LIFE INSURANCE.............23 DISABILITY..........................24 VOLUNTARY OFFERINGS................. 25-28 SPENDING ACCOUNTS.........................29 RETIREMENT BENEFITS..............................30 CONTACTS.................. 31-32

Horizon Medical • Employee contribution rates increases ( pg. 9 )

Health &Wellbeing Resources • See a listing of resources available at AtlantiCare and in the community. 2024Wellness Activity Checklist • Now earn credits for: - Attending health engagement wellness seminars - Visiting the LifeCenter - Completing your Annual Preventive Care Visit with an AtlantiCare Virtualist Programs and benefits are subject to change throughout the year as we are always looking for ways to enhance benefits and programs to best meet the needs of our AtlantiCare teamand their families.

• In keeping with ACA IRS limits, out-of-pocket maximums change to $7,700 for single coverage and $15,400 for family coverage ( pg. 12 ) • Employee Assistance Program (EAP) - Employees and eligible family members have access to this confidential wellness benefit ( pg. 18 ) Horizon Dental • Annual maximum per individual increases = more coverage dollars • NEW! - Adult Orthodontia coverage ( pg. 19 ) • Employee contribution rate increases

New Service - AtlantiCare Optometry (pg. 21)

Spending Accounts • NEW! - FSA “Healthcare” Rollover ( pg. 29 ) • Health Flexible Spending Account (FSA) maximum change to $3,050 ( pg. 29 )

Savings • NEW! - Roth IRA – Coming in 2024! - Enhancement to our 401k & 403b plans providing an additional savings vehicle. Discount Shopping • Check out hundreds of from local businesses, exclusively for AtlantiCare! Click on the “Discount Shopping” tab on the Starfish to learn more.

To learn more about your Wellness Benefits scan here:

What’s New for 2024 How to Enroll

? WHO CAN BE COVERED Eligible dependents include:

Spend time to learn about your benefit options so you can make the best decisions for you and your family based on your needs.

Make Sure You… • Read this Benefits Workbook • Review your dependent information

• Your spouse or domestic partner *If you would like to add a domestic partner as a dependent, you will need to complete the online portal process, including dependent verification, to get your domestic partner verified and added. You will be required to provide documentation confirming registry of domestic partnership with a local government. Note that domestic partners are eligible for only medical, prescription drug, dental and vision insurance. • Dependent children, including adopted children, foster children in your care and stepchildren. Children are eligible until the end of the year of their 26th birthday. • Other minor children if you are a legal guardian • Children over age 26 with mental or physical impairments may be eligible – physician certifications must be provided.

• Use the decision tool found on the enrollment website to help you decide which plans are best for you and your family • Consider participating in flexible spending accounts and other voluntary offerings • Review the 2024 Wellness Activity Checklist • Confirm your elections!!! Your elections will be in place for the full plan year unless you experience a Qualifying Life Event. The choices you make during Open Enrollment will go into effect on January 1, and remain until December 31, unless you have a qualifying life event. Newly eligible employees must actively elect to either participate in or waive benefits. Those who do not confirm enrollment within 30 days will be automatically enrolled in the Horizon Engaged Plan – ‘Employee Only,’ Tobacco surcharge and the Basic Dental Plan – ‘Employee Only.’ The choices you make as a new hire are effective the first day of the month after you are hired, until December 31.

! CHANGING YOUR COVERAGE DURING THE YEAR QUALIFYING LIFE EVENTS (QLE)

If you experience a Qualifying Life Event, you have 30 days to make the necessary changes to your benefits. You can make changes through myadp.com or call the AtlantiCare Benefits Service Center ( 1-800-211-3252 ). Documentation must be submitted to confirm the event, or your old elections will be activated. Examples of a QLE include: • Adoption • Birth of a child • Marriage • Divorce • Death of a dependent

To learn more about your Wellness Benefits scan here:

• Employee/dependent lose other coverage • Employee/dependent gain other coverage

How to Enroll

u Login to myadp.com

u Click Benefits on the left side. An Annual Enrollment / NewHire tile will appear, informing you howmany days you have to enroll.

u Click ENROLL NOW u Select your 2024 Elections. u Review Benefits Summary. Click Confirm Elections . A confirmationmessage will appear (below).

To learn more about your Wellness Benefits scan here:

u Read the message and click I AGREE . u Download to save or print your confirmation statement.

Medical

You have two choices in Medical Plan coverage: • Horizon Engaged Plan • Horizon Preferred Provider (PPO) Plan

• This plan does not cover physicians and facilities who do not participate in the national Blue Cross Blue Shield network. • If services are not available at AtlantiCare, your responsibility will be at the Tier 2 level of coverage – which is the primary benefit level. Horizon Preferred Provider Plan (PPO) The Horizon Preferred Provider Plan includes the same benefits and provider network as the Horizon Engaged Plan but also offers coverage for physicians and facilities outside of the national Blue Cross Blue Shield network. This plan is the most expensive when it comes to how much you contribute each pay period. However, your pay cost can be reduced if you complete wellness activities. By completing wellness activities, you can earn up to $750 for single coverage and up to $1,500 for spouse or family coverage (children cannot earn wellness credits). These credits will be applied the following year ). Earned wellness credits are applied to the total cost of your medical contribution and divided over 26 pay periods for the following year. For a complete description of activities, please refer to the “Wellness” section in this booklet. You will need to complete these activities by their specific due date to earn the associated wellness credits. Features • Wellness credits earned reduce your contributions. • Includes the same benefits and provider networks as the Horizon Engaged Plan, but also offers coverage for physicians and facilities outside of the national Blue Cross Blue Shield network.

You have two choices in medical plan options administered by Horizon Blue Cross Blue Shield: Horizon Engaged Plan and Horizon Preferred Provider (PPO). The Horizon Blue Cross Blue Shield Blue Card provides access to one of the broadest networks in the country. Both options include access to AtlantiCare Inner Circle physicians and you pay less when you are able to use these providers. Horizon Engaged Plan The Horizon Engaged Plan offers a lower biweekly contribution in return for your commitment to engage in your health. You will have the opportunity to complete activities to earn wellness credits that will reduce the deductible up to $2,000 for single coverage and up to $4,000 for spouse or family coverage (children cannot earn wellness credits). These credits will be applied the following year . For a complete description of activities, please refer to the “Wellness” section in this booklet. You will need to complete these activities by their specific due date to earn the associated wellness credits. Note: The maximum amount of Wellness Credits applied towards the Inner Circle network and Tier 2 network Deductible is $2,000 single coverage and $4,000. Using a Tier 2 network provider will result in an out of pocket deductible balance due plus a copay and/or coinsurance. Features • Wellness credits earned reduce the deductible. • Two-tier network of providers – AtlantiCare Tier (Inner Circle) and Blue Cross Blue Shield (Tier 2) • Providers in both tiers are considered in-network providers but pay differently. This means that the same services are covered in both tiers, but when you utilize AtlantiCare and its affiliates, you pay less out-of-pocket. • When you use the Blue Cross Blue Shield Tier you have additional costs. In some cases, the additional costs could be up to $1,500 copay and then 30% of the cost of services.

To learn more about your Wellness Benefits scan here:

Medical

Horizon Preferred Provider Plan (PPO) continued • Utilizing AtlantiCare and its affiliates for service will result in the lowest out-of-pocket cost. • Some services performed through a Blue Cross Blue Shield network provider will be covered at 70% after the deductible is met. • When you use the Blue Cross Blue Shield network, services will usually be paid at 50% after the deductible is met. • If services are not available at AtlantiCare, your responsibility will be at the Tier 2 or Out-of-Network level of coverage. For both plans, visit https://www.horizonblue.com/atlanticare/ to find a participating physician, facility or other service provider.

! YOU’RE IN CONTROL OF YOUR HEALTH RECORDS With our HealtheLife Patient Portal, you can securely access your health information and communicate with your AtlantiCare Physician Group providers. Manage all your health information in one place at no cost!

For further information, visit www.atlanticare.org/patient-portal/ .

The Plans At A Glance

HORIZON ENGAGED HORIZON PPO

Has AtlantiCare Network

Has “Out-of-Network” Providers

Has High Copays When Using Non-AtlantiCare Facilities.

Lowest Contributions

Wellness Credits Reduce Deductible

Wellness Credits Reduce Contributions

To learn more about your Wellness Benefits scan here:

Access to Telehealth Benefit

Medical

SPOUSE & PARTNER PREFERRED CHOICE PREMIUM AtlantiCare continuously balances the need to offer meaningful and comprehensive employee benefits with the need to remain financially sound in the current healthcare environment. To achieve this balance, we require a Spouse and Partner Preferred Choice Premium. This premium will be applied to your bi-weekly contribution if your spouse/partner chooses to obtain medical coverage through AtlantiCare when they have the option of obtaining benefits through their own employer. This premium will not be applied if your spouse/partner is not offered benefits through their employer, is not currently employed or also works at AtlantiCare.

PREMIUM SALARY $75 Less than $110,000 $125 More than $110,000

AtlantiCare will conduct audits throughout the year, during which you will be asked to supply documentation (i.e., a letter from employer or tax return showing no income) if you have indicated that your spouse/partner is not eligible for medical coverage by their own employer. This acknowledgment is considered a legal process and should be treated as such. If your spouse is self-employed and not obtaining benefits through their business, they will need to supply proof of self-employment.

To learn more about your Wellness Benefits scan here:

Medical

2024 Medical Plan Bi-Weekly Contribution Rates

Full-Time

Part-Time

$0-49,999k

$50-109,999k $110,000-199,999k

$200k+

$0-49,999k

$50-109,999k

$110,000-199,999k

$200k+

Horizon Engaged Plan

Employee

$40.68

$49.22

$92.54

$102.37

$81.21

$93.61

$185.08

$204.71

Employee + Spouse

$69.65

$84.29

$158.48

$175.30

$139.08

$160.30

$316.94

$350.56

Employee + Child(ren)

$56.14

$67.94

$127.77

$141.30

$112.10

$129.21

$255.46

$282.57

Family

$111.23

$134.59

$253.05

$279.94

$222.08

$255.97

$506.11

$559.80

Horizon PPO

Employee

$161.94

$178.54

$226.98

$236.49

$191.77

$211.43

$352.00

$367.86

Employee + Spouse

$277.33

$305.76

$388.70

$404.97

$328.42

$362.07

$604.68

$629.99

Employee + Child(ren)

$223.53

$246.46

$313.32

$326.45

$264.72

$291.84

$487.37

$507.76

Family

$442.85

$488.24

$620.71

$646.69

$524.42

$578.16

$965.56

$1,005.98

*$25 surcharge will be added to your bi-weekly deductions if you utilize tobacco products. A Spouse & Partner Preferred Choice Premiummay also apply. See page 8 for details. ** Note, salary changes may result in changes to your contribution rate

To learn more about your Wellness Benefits scan here:

Medical

! WAIVING BENEFITS

Make The Most Of Your Medical Benefits • Consider the “Engaged Plan.” The contributions are low cost, and unless you have many physicians who are out of network, the Horizon Engaged Plan’s Blue Card network should meet your needs. • Preventive Care at No Cost – Preventive care is comprised of a variety of clinical services and programs, including annual doctor’s checkups, annual immunizations and screenings. Make sure your provider codes all eligible claims as preventive care in order to be eligible for 100% coverage. • Out-of-Pocket Maximums – You are protected from catastrophic medical expenses by the annual out-of-pocket maximum. When your out-of-pocket expenses (deductibles, copays and coinsurances) reach the out-of-pocket maximum, the plan pays the full cost for any covered care you receive for the rest of the year. • Contact Horizon before a procedure to determine what you can expect to pay and to ensure any pre-authorizations have been completed. • Consider participating in Flexible Spending Accounts to supplement your out-of-pocket expenses. • Complete wellness activities to earn credits to reduce your deductible if your enrolled in the Horizon Engaged plan, buy down your bi-weekly contributions if you are enrolled in the Horizon PPO plan. Or if you waive, it will be applied a Health Reimbursement Account (HRA) paid on an FSA card. • Utilize an AtlantiCare Primary Care Plus provider. In both medical plans, these providers are only a $10 copay for office visits, compared to a $50 copay for primary care providers that are not AtlantiCare Primary Care Plus designated. Wellness credits will be earned for using one of these providers for your Annual Preventative Care Visit. To earn this designation, our providers have taken meaningful steps toward the patient-centered medical home model, which means offering same- or next-day urgent appointments, implementing a common electronic medical record, collaborating with AtlantiCare Care Managers for complex patients and allowing hospitalists to care for patients admitted to ARMC. To find an AtlantiCare Primary Care Plus provider, call the AtlantiCare Access Center at 1-888-569-1000 or visit www.atlanticare.org .

If you waive your medical benefits, $12.50 per pay* will be deposited into a Healthcare Reimbursement Account (HRA). You can use the HRA to be reimbursed for eligible expenses. The HRA is administered by Baker Tilly. For a list of eligible expenses, log in to your account at www.MyFlexDollars.com . More information on Spending Accounts on page 29 . In addition, your earned wellness credits from 2023 of up to $750 will also be deposited into this account that will be applied the following year . See Wellness Booklet for a list of wellness activities and their values. Please visit https://myatlanticare.org to view your online wellness activity checklist or call Health Engagement at 1-609-677-7507 if you have questions about your wellness activities.

*If you are covered by another AtlantiCare employee and you waive medical coverage, you will not be eligible for the waiver benefit.

To learn more about your Wellness Benefits scan here:

Medical

What if AtlantiCare does not provide the service I require? AtlantiCare is able to provide you with enhanced benefits when you utilize our services because the dollars spent for these services stay within AtlantiCare. While AtlantiCare offers most services, not all services are provided at the AtlantiCare Inner Circle level. If you require services outside of AtlantiCare you will still have access to these services. However, depending on the plan you choose, you will be required to pay for them at the Horizon (Tier 2) benefit level. If the service can only be provided through an out-of-network provider, please contact Horizon to file an appeal prior to receiving the service. Never assume your provider is referring you to an Inner Circle provider. Please contact Horizon Customer Service at 1-800-355-2583 for verification of provider’s tier level or by downloading the Horizon Blue Cross Blue Shield app.

! HELPFUL TIP If you know that you will need services performed at a

non-AtlantiCare facility, utilize your Flexible Spending Account (FSA) to help you budget for the expense and reduce your taxable income at the same time. Interested in a FSA? Enroll during your new hire enrollment period or the annual enrollment period.

Horizon Blue connects you to care and support wherever you are!

The Horizon Blue app offers 24/7 connection to all the ins and outs of your plan. We’re always looking for ways to make things more convenient for you.

Search for Horizon Blue in the App Store or Google Play, or scan this QR code to download the app.

To learn more about your Wellness Benefits scan here:

Medical

Compare 2024 Plan Choices

Horizon Engaged Plan

PPO Plan

Medical Services

Inner Circle

Tier 2

Inner Circle

Tier 2

Out-of-Network

Deductible (per person/per family)

$2,000/$4,000

$2,500/$5,000*

N/A

$1,000/$2,000

$2,000/$4,000

*Wellness credits can reduce deductible to $500/$1,000

Out-of-Pocket Maximum after Deductible (per person/per family)

$7,700/$15,400

$7,750/$19,100

Facility Benefits

Covered 100% after deductible

Covered 100% after $1,500 copay/visit and deductible

Covered 100% after deductible

Covered 100% after $1,000 copay/visit

Room& Board / Ancillary

$2,000 copay/visit then covered 50%; no deductible

Outpatient Facility Benefits

Outpatient Surgery (Hospital Based) Outpatient Surgery (Surgical Center)

Covered 100% after $25 copay and deductible Covered 100% after $25 copay and deductible

Covered 70% after $1,250 copay/visit and deductible Covered 70% after $1,000 copay/visit and deductible

Covered 100% after $25 copay Covered 100% after $25 copay

Covered 100% after $1,000 copay/visit

$2,000 copay/visit then covered 50%; no deductible

Covered 100% after $700 copay/visit

Covered 50% after deductible

Physician Services

Covered 100% after deductible Covered 100% after deductible Covered 100% after deductible

Covered 70% after deductible Covered 70% after deductible Covered 70% after deductible

Covered 50% after deductible Covered 50% after deductible Covered 50% after deductible

Surgeon

Covered 70% after deductible

Covered 100%

Anesthesia

Covered 70% after deductible

Covered 100%

Inpatient PhysicianVisit

Covered 70% after deductible

Covered 100%

Covered 100% after $50 copay/visit; all other services rendered in the office covered 70% after deductible Covered 100% after $65 copay/visit; all other services rendered in the office covered 70% after deductible

Covered 100% after $50 copay/visit and wellness deductible; all other services rendered in the office covered 70% after deductible

Physician OfficeVisits - Primary Care

Covered 100% after $10 copay and deductible

Covered 100% after $10 copay/visit

Covered 50% after deductible

Covered 100% after $65 copay/visit and wellness deductible; all other services rendered in the office covered 70% after deductible

Physician OfficeVisits - Specialist

Covered 100% after $10 copay and deductible

Covered 100% after $10 copay/visit

Covered 50% after deductible

To learn more about your Wellness Benefits scan here:

Covered 50% after deductible

Physician OfficeVisits - RoutineWell Care

Covered 100%

This chart is meant as an overview only. For detailed information, please refer to the Summary Plan Description posted under“Benefit Information”on the HR Portal: Benefits Tab. * For Engaged Plan only, the deductible can be reduced through wellness credits. ** AtlantiCare also covers some services for gender assignment. Check the plan document for more information.

Medical

Compare 2024 Plan Choices

Horizon Engaged Plan

PPO Plan

Medical Services

Inner Circle

Tier 2

Inner Circle

Tier 2

Out-of-Network

Supplemental Services

Covered 100% after $5 copay/visit

Covered 100% after $20 copay/visit

Covered 100% after $5 copay/visit

Covered 100% after $20 copay/visit Covered 100% after $50 copay/visit and deductible; all other services rendered in the office covered 70% after deductible Covered 100% after $150 copay Office and freestanding clinic: Covered 100% after $50 copay/visit and deductible Facility: Covered 70% after deductible Office and freestanding clinic: Covered at 70% after deductible for services performed at a freestanding facility or in an Office Facility: Covered 70% after deductible

Covered 100% after $20 copay/visit

Telemedicine

Covered 100% after $50 copay/visit and deductible; all other services rendered in the office covered 70% after deductible

Covered 100% after $20 copay and deductible

Urgent Care

Covered 100% after $60 copay

Covered 100% after $150 copay and deductible

Covered 100% after $150 copay

Emergency Services

Covered 100% after $150 copay

Office and freestanding clinic: Covered 100% after $50 copay/visit and deductible

Covered 100% after $10 copay and deductible

Covered 100% after $10 copay/visit

Covered 50% after deductible

Diagnostic X-ray

Facility: Covered 70% after deductible

Covered at 70% after deductible for services performed at a freestanding facility or in an Office Facility: Covered 70% after deductible

Diagnostic hi-tech imaging

Covered 100% after $10 copay and deductible

Covered 100% after $10 copay/visit

Covered 50% after deductible

Covered 100% after $10 copay/visit and deductible

Covered 100% after $50 copay/visit and deductible

Covered 100% after $10 copay/visit

Covered 70% after deductible

Covered 50% after deductible

DiagnosticTests

This chart is meant as an overview only. For detailed information, please refer to the Summary Plan Description posted under“Benefit Information”on the HR Portal: Benefits tab. Vision care expense benefit for all plans (no network limitations) Routine Vision Exam annually $70 Eyeglasses and/or Contact Lenses every two years $60 Must submit a claim form for reimbursement.

To learn more about your Wellness Benefits scan here:

*For Engaged Plan only, the deductible can be reduced through wellness credits. **AtlantiCare also covers some services for gender assignment. Check the plan document for more information.

Prescription Drug

Regardless of which medical plan option you choose, you automatically receive prescription drug coverage through MedImpact.

You do not need to enroll separately in the prescription plan. Prescription coverage is included as part of the Medical plan enrollment.

Your prescription plan information can be found on your prescription ID card.

Should you need a replacement ID card, please call MedImpact Customer Service at 1-833-229-3595 .

Refer to the table below for the copay amounts you will pay under the Prescription Drug plan. The maximum amount that you will pay for prescriptions per year: Single $1,750/Family $3,500. For more information about prescription benefits, see Prescription Plan FAQs.

Non-Specialty Medications AtlantiCare Pharmacy (Retail &Mail Order) Generic Brand Preferred Brand Non-Preferred

Copays for 30/90-day supply $10/$20 $20/$40 $50/$100

Non-AtlantiCare Retail Pharmacy Generic Brand Preferred Brand Non-Preferred Specialty Medications AtlantiCare Retail Pharmacy Generic Brand Preferred Brand Non-Preferred

Copays for 30-day supply 15% 30% 100%

Minimum $15 $50 N/A

Copays (up to 30-day supply) $10 $20 $50

*Other Specialty Pharmacy Generic Brand Preferred Brand Non-Preferred

Copays (up to 30-day supply) 10% 20% 30%

Maximum $150 $150 $150

*If the AtlantiCare Pharmacy is unable to fill your request, they will direct you to contact MedImpact Customer Service for assistance in obtaining your medication.

To learn more about your Wellness Benefits scan here:

Prescription Drug

Retail Pharmacies (non-AtlantiCare) You can utilize your MedImpact prescription card to access retail pharmacies nationwide. While most large chains participate in the network, we do have some exclusions. To find a participating pharmacy, or to see if your medication is covered, visit the MedImpact Member portal at https://www.medimpact.com/web/login When you utilize these pharmacies, please consider the following: • Your copay may be higher than what you would pay at your AtlantiCare Pharmacy. • If your medications are not categorized as generic or preferred brand, you may be responsible for the full cost of the prescription. • Any medication obtained from a non-AtlantiCare Pharmacy will only be filled for up to a 30-day supply (90-day supply not available). • Maintenance medications can only be refilled one time at a non-AtlantiCare pharmacy. • AtlantiCare pharmacy offers mail order service for all active employees and their dependents at no additional cost. Medications are delivered within 2-3 days. Mail order forms can be found on the HR Portal: Benefits tab on The Starfish or by calling the Galloway pharmacy at 609-404-7444 . Specialty Medications AtlantiCare Pharmacy will process your specialty medications. Please note, specialty medications may require prior authorization, so please plan accordingly. If the AtlantiCare Pharmacy is unable to fill your request, they will direct you to contact MedImpact Customer Service for assistance in obtaining your medication.

Always consider using the AtlantiCare Pharmacy first, because it typically provides the least out-of-pocket cost.

AtlantiCare Pharmacy (Retail and Mail Order) The AtlantiCare Pharmacy offers AtlantiCare employees and their covered dependents the opportunity to fill prescriptions at a reduced cost. Medications can be filled for as little as $10 (generic) or $20 (brand name preferred) for a 30-day supply. Medication copay costs will double for a 90-day supply. There are three AtlantiCare Pharmacy locations:

Atlantic City AtlantiCare HealthPlex, 1401 Atlantic Ave. Tel: 1-609-441-7088 Fax: 1-609-441-7089 Hours of Operation: Monday through Friday, 8:00 am to 6:00 pm

Galloway 54 West Jimmie Leeds Road

Tel: 1-609-404-7444 Fax: 1-609-404-7445 Hours of Operation: Monday through Friday, 8:00 am to 6:00 pm Saturday, 9:00 am to 4:00 pm

Manahawkin 517 Route 72W

Tel: 1-609-704-6800 Fax: 1-609-704-6801 Hours of Operation: Monday through Friday, 9:00 am to 5:00 pm

? DID YOU KNOW?

AtlantiCare Pharmacy provides an online site to manage your prescription needs, order refills, transfer prescriptions from other pharmacies and much more. Visit https://atlanticare.refillmyrx.com to register and start managing your prescriptions today.

To learn more about your Wellness Benefits scan here:

In the case of an emergency, you may use the AtlantiCare Community Pharmacy located inside the ARMC City and Mainland campuses. Hours of operation are Monday through Friday, 8:00 am to 8:00 pm, and Saturday and Sunday, 9:00 am to 6:00 pm. Please note, you may utilize these pharmacies for emergencies only. They do not carry enough supply for employees’ daily usage.

Additional Medical Plan Resources

AtlantiCare Health Services - FQHC*

If you have a medical condition such as diabetes, rheumatoid arthritis, congestive heart failure, cardiovascular disease or chronic obstructive pulmonary disease (COPD), you know how difficult it is to manage and coordinate all of the providers and finances involved in your care. Our staff is ready to help improve your health, simplify your life and reduce your out-of-pocket medical expenses.

What’s different about receiving care at these locations? • You will be at the center of a team working together to coordinate and manage your care. • Your personal health coach will be by your side every step of the way, and will also keep the care team informed of your care plan and progress. • The sites listed feature a convenient, on-site pharmacy where you can fill your prescriptions right after your appointment. • Your physician copays will be waived and most of your medications will be completely free. Medications include Levemir, Humira, Lantus, Novolog, Januvia, Enbrel and others.

There are two convenient locations to provide and coordinate care for you:

Health Services

1401 Atlantic Ave. Suite 2500 and Suite 2600 Atlantic City, NJ 08401 Hours: Monday through Friday:

54 Jimmie Leeds Road Suite 8 Galloway, NJ 08205 Hours: Monday through Thursday:

8:30 am to 6:30 pm 1-888-569-1000

8:00 am to 6:00 pm 1-609-404-7300

To learn more about your Wellness Benefits scan here:

The resources described here are available to you and your family regardless of which medical plan you elect.

*(Federally Qualified Health Center)

Additional Medical Plan Resources

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 to 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 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. 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.

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Additional Medical Plan Resources

EMPLOYEE ASSISTANCE PROGRAM Feeling stressed, overwhelmed, need to talk?

There are many reasons to call the Employee Assistance Program. There is no need to enroll, as this is offered as a benefit for all full, part-time and per diem employees and their immediate family members 18 and older. The Employee Assistance Program (EAP) is a wellness benefit that helps people cope with problems that affect your quality of life. This is a free and CONFIDENTIAL benefit to help you when you are experiencing problems that may affect your ability to function, both on the job and at home. EAP offers confidential, brief intervention services both over the phone and in person, seminars, conflict resolution, employee wellness trainings and support. In addition, EAP is able to help with treatment needs and any referrals that are needed for treatment.

The EAP services are provided by Master’s Level Counselors: • 24/7 toll-free EAP telephone line providing easy access to professional assistance • Free and Confidential

• Work/Life Balance • Anxiety and Stress • Depression • Substance Use • Communication Issues • Grief and Loss • Relationship Issues • Anger Management • Trainings and Seminars

Several convenient locations throughout Atlantic County. 24 hours a day, 7 days a week for support Service’s offered telephonically, virtually or in person. WE ARE HERE TO HELP! To learn more or to make an appointment, call 1-800-260-0808

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Dental

Dental Plan Options AtlantiCare offers the choice of two dental plans, Basic or Plus Ortho, both through Horizon Dental. Coverage highlights include implants, composite resin and orthodontia coverage for adults and children. The Horizon Dental Option Plan gives you the freedom to receive services from any dentist, so no matter which dentist you choose, you save money. When you understand your plan, you can get the most from your dental benefits. Contact Horizon Dental at 1-800-433-6825 or www.horizonblue.com/dental .

Summary of Dental Benefits

Dental Plus Ortho Plan*

Summary of Services

Basic Dental Plan

Preventive (routine exams, xrays, cleanings)

100%

Basic Care (fillings, extractions, periodontal)

70%

90%

Major Care ( crowns, dental implants, dentures)

50%

60%

50% $1,000 annual maximum

60% $1,500 annual maximum 60% $2,000 lifetime maximum

Implants, subject to annual maximum per patient

Orthodontics* subject to a lifetime maximum per person

Annual Maximum Per Individual

$1,500

$2,500

Annual Deductible Amount Per Person

$25

Annual Deductible Amount Per Family

$75

*Orthodontia coverage is only available if enrolled in the plan prior to the initial orthodontia appointment for braces. *You must continue to be enrolled in the“Dental Plus Ortho”plan for the entire time of orthodontia services as payments are on a pro-rated basis.

Bi-Weekly & Annualized Employee Dental Cost

Bi-Weekly Cost

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Coverage Type

For Basic

For Plus Ortho

Employee

$2.60

$9.36

Employee/Child or Employee + Spouse

$5.20

$22.88

Family

$7.80

$26.00

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