2026 AtlantiCare Benefits Booklet

PRESCRIPTIONDRUGCOVERAGE (CONT.)

WELCOME....................................2 WHAT’S NEW..............................3 HOW TO ENROLL......................4 HEALTHCARE TRANSFORMATION CONSORTIUM (HTC)...............6 GETTING TO KNOW YOUR PLAN.................................7 MEDICAL......................................8 PRESCRIPTION DRUG.......... 17 FQHC........................................... 19 ADDITIONAL MEDICAL PLAN RESOURCES................. 20 WELLNESS PROGRAM......... 21 DENTAL...................................... 23 VISION........................................ 25 LIFE INSURANCE.................... 28 DISABILITY............................... 30 VOLUNTARY OFFERINGS... 31 EDUCATIONAL SUPPORT & CAREER DEVELOPMENT...................... 31 FINANCIAL WELL-BEING.... 32 HEALTH &WELLNESS.......... 33 SAVINGS.................................... 34 VOLUNTARY BENEFITS....... 35 SPENDING ACCOUNTS............................... 38 RETIREMENT BENEFITS................................... 39 CONTACTS................................ 41 LEGAL NOTICES....................... 43 WELLNESS CHECKLIST........ 45

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. • Please call the Galloway Pharmacy at 1-609-404-7444 to arrange for your medications to be shipped to your home. Specialty Medications AtlantiCare Pharmacy is your dedicated pharmacy for all specialty medications. Our AtlantiCare Pharmacy is nationally accredited Specialty Pharmacy to help ensure that we can continue to service our members for all of their specialty medication needs. If you get a prescription for a specialty medication, our dedicated team of pharmacists will: • Reach out to counsel you on proper use and storage of your specialty medication • Review your chart to ensure your medication is safe and appropriate • Communicate with your provider regarding any concerns for drug interactions, adverse events, or insurance coverage • Work closely with you to ensure that you experience optimal therapeutic outcomes If AtlantiCare Pharmacy is unable to fill your medication, they will direct you to MedImpact Customer Service for assistance in obtaining your medication at another pharmacy.

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