AtlantiCare 2022 Benefits Booklet

Contacts

TABLE OF CONTENTS WELCOME.................2 WHAT’S NEW. ...........3 SERVICE CENTERS AND WEBSITES..........4 HOW TO ENROLL....5-6 MEDICAL..............7-13 PRESCRIPTION DRUG. ................14-16 ADDITIONAL MEDICAL PLAN RESOURCES........17-22 DENTAL...............24-25 VISION.....................26 LIFECENTER..............27 LIFE INSURANCE. .....28 DISABILITY...............29 VOLUNTARY OFFERINGS. ........30-33 SPENDING ACCOUNTS. ............34 RETIREMENT BENEFITS..................35 WELLNESS. .........36-39 LEGAL NOTICES...40-42 GLOSSARY..........43-44 FAQs...................45-47 CONTACTS.........48-49 FORMS................50-56

Policy Type

Vendor Name

Contact Information

Access Center

AtlantiCare

1-888-569-1000

1-800-355-2583 Group # 086317

Medical

Horizon BCBS (Engaged Plan)

Medical

Horizon PPO

1-800-355-2583

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 Basic Group #: 11-851V5 Plus Ortho Group #: 21-851V5

Prescription

MedImpact

Dental

Horizon Dental

1-800-638-3120 www.myuhcvision.com Group # 911483 1-800-307-0230 MyFlexDollars.com 1-800-307-0230 mybenefitdollars.com

Vision

United Healthcare Vision

FSA

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

AtlantiCare Leave and Short Term Disability Department

Leave of Absence and Short Term Disability

1-609-677-6019 1-609-407-2381 Self-administered programs

AtlantiCare Workers’ Compensation Department

Workers' Compensation

Payroll

AtlantiCare Payroll Department

1-609-407-2333

48