2026 AtlantiCare Benefits Booklet

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

2026 Wellness Activity Checklist

STEP

ACTIVITY

HOWTOCOMPLETE

AMOUNT

1 Must complete to earn anyWellness Credits 2 Select activities that best meet your needs or goals

Online Health Assessment

Complete at wellness.atlanticare.org

$100

Visit an onsite Kiosk, Health Engagement Clinic or complete with a provider and submit the Wellness Activity Certi cation form Complete an annual preventive care visit with your provider between Dec 1, 2025 and November 30, 2026. Submit Wellness Activity Certification form

KnowYour Numbers

$50

Annual Preventive Care Visit

$50

Education

Attend a Health Engagement Wellness Webinar (max 3)

$25 each

Work with an AtlantiCareWellness Specialist to set goals and create a wellbeing strategy. Call 609-677-7507

Wellness Coaching

$50

Wellness Challenges

Complete at wellness.atlanticare.org (max 3)

$25 each

Check in at the LifeCenter 80+ times between Jan 1-Nov 30th 2026

LifeCenter Visits 80+

$50

3 Earn Your Reward

HRA $

Applied January 1, 2027

Up to $250

Your health plan is committed to helping you achieve optimal health. Rewards for participating in this wellness program are available to all bene t eligible employees by way of wellness credits. If you think you might be unable to meet a standard for wellness credits under this wellness program, you might qualify for an opportunity to earn the same wellness credit by di erent means. Please contact Health Engagement at 609-677-7507 or by emailing wellness@atlanticare.org and we will work with you (and, if you wish, with your doctor) to nd a reasonable alternative with the same reward (or a waiver) that is right for you in light of your health status. November 30, 2026 is the deadline for all Wellness Activities.

609-677-7507

wellness@atlanticare.org

wellness.atlanticare.org

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