2026 AtlantiCare Benefits Booklet

ADDITIONALMEDICAL PLANRESOURCES

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

Aetna - Care Management There is additional support available for eligible employees and/or their dependents who are enrolled in the Aetna medical plans and managing a serious or complex health condition. Through the Aetna One Essentials care management solution, a specially trained Care Manager can help coordinate your health care services with your doctor. The Aetna Care Managers (who are fully licensed health care professionals and registered nurses) can provide additional education and guidance for your condition to help you better understand your diagnosis. By working with you and your treating doctor, the Aetna One Essentials care management solution team ensures you have access to the best care possible. For more information about the program, please visit: Case Management - AtlantiCare ( https://aetnaresource.com/n/AtlantiCare-Health ) To speak to a Care Manager, call 1-833-590-1141 or you can get started with this resource by visiting Aetna.com to log into your member website. Telehealth Benefit AtlantiCare ofers care through telehealth in Primary Care, Behavioral Health, OB/GYN, Specialty Care areas and Surgical Services. Your copay is $5. AtlantiCare also ofers 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 ofering 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 ofering, 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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