2026 AtlantiCare Benefits Booklet

CONTACTS

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

Policy Type

Vendor Name

Contact Information

Access Center

AtlantiCare

1-888-569-1000

1-833-313-1962 https://aetnaresource.com/n/ AtlantiCare-Health Atlantic City: 1-609-441-7088 Galloway: 1-609-404-7444 Manahawkin: 1-609-704-6800 MedImpact: 1-833-229-3595 1-800-433-6825 www.horizonblue.com/dental

Medical

Aetna

Prescription

MedImpact

Dental

Horizon Dental

1-833-393-5433 www.metlife.com/vision 1-800-307-0230 MyFlexDollars.com 1-800-307-0230 mybenefitdollars.com

Vision

MetLife

FSA /HRA

Baker Tilly

COBRA

Baker Tilly

Commuter Benefit

Baker Tilly

1-800-307-0230

Life & AD&D

NJHA/MetLife

1-609-275-4186

Long Term Disability

The Hartford

1-800-549-6514

1-609-677-7766 LOA@atlanticare.org Self-administered programs 1-609-677-6019 1-609-407-2381 Self-administered programs

Leave of Absence and Short Term Disability

AtlantiCare Leave and Short Term Disability Department

AtlantiCareWorkers’ Compensation Department

Workers' Compensation

Payroll

AtlantiCare Payroll Department

1-609-407-2333

1-800-367-5690 AtlantiCare code is 15107 www.theworknumber.com

Employment Verification

TheWork Number

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