2026 AtlantiCare Benefits Booklet

HEALTHCARE TRANSFORMATIONCONSORTIUM (HTC) At AtlantiCare, one of the ways we continue to be a great place to work is by investing in what matters most—you. That includes ensuring your health benefits remain strong, sustainable, and designed with your needs in mind. That’s why we’ve joined the Healthcare Transformation Consortium (HTC) —a strategic collaboration of leading, independent New Jersey health systems committed to enhancing the employee health care experience. We’re proud to stand alongside respected organizations like Atlantic Health System, CentraState Healthcare System, Holy Name Medical Center, Hunterdon

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

Healthcare, Saint Peters Healthcare System, Valley Health System, and RWJBarnabas Health—together representing coverage for more than 110,000 individuals across the state. Here’s what this collaboration helps support: • Improved Access and Choice: Opportunities to increase provider access and ofer more flexible care options for you and your dependents. • Innovative Programs: Potential for new services that support everything from maternity and preventive care to chronic condition management. • Affordability Over Time: By collaborating with other organizations, we can help reduce administrative costs—helping to control premium increases and protect your benefits long-term. • Simplified, High-Quality Care: Leveraging best practices from across this collaboration, we are committed to making it easier for you to get the right care at the right time.

The consortium’s long-term vision emphasizes continuous improvement, innovation, and sustainable healthcare models that adapt to changing needs. The continued success of the HTC stems fromworking closely with like-minded organizations. Sharing best practices, learning from each other, and leading the transition from fee-for-service to value-based care will continue to grow with the incorporation of new organizations choosing to become part of the consortium. The goal of the HTC is to bring the lessons learned frommanaging the cost and quality of its own employee health plans to local employers in New Jersey.

– 6 –