AtlantiCare 2025 Benefits Booklet

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2025 Benefits Book

DEAR TEAMMEMBERS, At AtlantiCare, our greatest strength lies in our people. Your hard work and dedication make a meaningful impact in our organization and community, and we are proud to invest in benefits that reflect our dedication to your well-being.

Welcome.................................... 2 What’s New?............................. 3 How to Enroll........................... 4 Medical....................................... 6 Prescription Drug.................14 FQHC.........................................16 Additional Medical Plan Resources................................17 AtlantiCare Longevity Lifestyle Program................18 Dental.......................................20 Vision.........................................22 Life Insurance........................25 Disability..................................26 Voluntary Offerings.............27 Educational Support & Career Development..........27 Financial Well-being...........28 Health &Wellness................29 Savings.....................................31 Voluntary Benefits...............32 Spending Accounts.............35 Retirement Benefits............36 Contacts...................................38 Legal Notices.........................40 Wellness Checklist...............42

Service Centers andWebsites

AtlantiCare Benefits Service Center 1-800-211-3252 Monday through Friday, 8:00 am to 6:00 pm You can access the AtlantiCare Bene ts Service/Enrollment Site to make your elections via myadp.com . Navigate to the Bene ts tab. For more information, see How to Enroll on page 4. Chat and Co-browsing available Monday through Friday 8:00 am to 8:00 pm EST, excluding all major U.S. holidays. Access via myadp.com .

Supporting your physical, mental, and financial health is at the heart of what we do because we know that when our teammembers thrive, so does our organization and community. I’m excited to share our 2025 Benefits Guide, highlighting new and enhanced offerings designed with you in mind. These updates prioritize access to high-quality healthcare, expanded financial tools, and innovative voluntary benefits. Here’s a snapshot of what’s new this year: • Upgraded Medical Plans for better coverage • Expanded Vision Benefits • Roth 401(k) Option for greater financial flexibility • Additional Voluntary Benefits tailored to your needs • Simplified and Streamlined Wellness Programs

FSA TeamMember Benefits Center

Call Center Hours: Monday through Friday, 8:00 am to 8:00 pm 1-800-307-0230 Email requests can be submitted

These changes reflect our ongoing commitment to providing you with resources that make managing your health and well-being easier and more effective. Our goal is to empower you to focus on what matters most—both at work and in life. I encourage you to review the 2025 Benefits Guide to see the full range of options available to you and discover how these updates can support you and your loved ones. If you have any questions, our benefits and wellness teams are here to provide the support and information you need. Thank you for your dedication to the important work we do together.

outside of business hours: support@myFlexdollars.com Website: myflexdollars.com

*See Contacts on page 38 for specific benefit policies. For Legal Notices or Frequently Asked Questions about your benefits visit myadp.com. Information is available under the Forms & Documents section on the Benefts Tab, as well as on the Starfsh Benefts portal. Legal Notices can also be found on page 40.

With gratitude,

Christine Carson Chief Human Resources Officer

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WHAT’SNEWFOR 2025? • More comprehensive health plan choices - New OMNIA Plan replaces Engaged Plan - Removed deductible for Inner Circle services and lowered deductible across all other tiers - Copay model replaces coinsurance except for PPO plan Out Of Network services - Lower Out of Pocket Maximums - Lowered Spouse and Preferred Partner premium charge • Updated wellness benefits • Improved vision coverage - New vision carrier Metlife replaces United Healthcare - Additional coverage options - Two plan options to choose from: (Low Plan/High Plan) - Lower premiums • Roth 401(k) • New voluntary benefits

Learn More! • Attend an on-site benefits fair or help desk. More info on the Starfish! • Attend an information session to review 2025 changes. More info on the Starfish! • Visit the benefits tab on the HR Portal. • Contact the Benefits Service Center: 1-800-211-3252

DON’T FORGET! Visit myadp.com to enroll, change and review your elections. Keep up with your wellness at wellness.atlanticare.org Open Enrollment is voluntary.

All benefits except for Flexible Spending will roll over for 2025. Please review your benefits and make any appropriate changes. NOTE: For the voluntary Flexible Spending Account(s), you must enroll each year.

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HOWTO ENROLL Take time to learn about your bene t options so you can make the best decisions for you and your family based on your needs. Make Sure You… • Read this workbook. • Review your dependent information. • Use the decision tool found on the enrollment website to help you decide which plans are best for you and your family. • Consider your 2025 health expenses to determine if participating in a exible spending account or other voluntary benefits makes sense. • Review the 2025 Wellness Program to earn HRA dollars. • Confirm your elections. * *If using MyADP.com click Confirmonce elections are selected. Remember: • The choices you make during Open Enrollment will go into e ect on January 1, and remain until December 31, unless you have a qualifying life event. • Newly eligible teammembers must actively elect to either participate in or waive bene ts. Those who do not con rm enrollment within 30 days will be automatically enrolled in the Horizon OMNIA Plan – ‘Employee Only,’ and the Basic Dental Plan – ‘Employee Only.’ • The choices you make as a new hire are effective from the rst day of the month after you are hired, until December 31.

Who Can Be Covered? Eligible dependents include:

• Your spouse or domestic partner* • Dependent children, including adopted children, foster children in your care and stepchildren. Children are eligible until the end of the year of their 26th birthday. • Other minor children if you are a legal guardian. • Children over age 26 with mental or physical impairments may be eligible – physician certi cations must be provided. *If you would like to add a domestic partner as a dependent, you will need to complete the online portal process, including dependent verifcation, to get your domestic partner verifed and added. You will be required to provide documentation confrming the registry of domestic partnership with a local government. Note that domestic partners are eligible for only medical, prescription drug, dental and vision insurance.

Changing Your Coverage During the Year / Qualifying Life Events (QLE)

If you experience a Qualifying Life Event, you have 30 days to make the necessary changes to your benefits. You can make changes through myadp.com or call the AtlantiCare Bene ts Service Center ( 1-800-211-3252 ). Documentation must be submitted to con rm the event, or your old elections will be activated.

Examples of a QLE include: • Adoption • Birth of a child • Marriage • Divorce • Death of a dependent

• Teammember/dependent lose other coverage • Teammember/dependent gain other coverage

• A reduction or increase in the hours of employment resulting in a switch between part-time and full-time status

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HOWTO ENROLL (CONT.)

u Login to myadp.com 1

u Click Benefits on the left side. An Annual Enrollment / NewHire tile will appear, informing you howmany days you have to enroll. 2

u Click ENROLL NOW u Select your 2025 Elections. u Review Benefits Summary. Click Confirm Elections . A confrmationmessage will appear (below). 3 4 5

u Read the message and click I AGREE . u Download to save or print your confirmation statement. 6 7

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MEDICAL

You have two choices in Medical Plan Coverage: • Horizon OMNIA Plan • Horizon Preferred Provider (PPO) Plan

Both medical plan options are administered by Horizon Blue Cross Blue Shield and utilize the Horizon Blue Cross Blue Shield network alongside the national BlueCard network (when care is rendered outside of New Jersey). Via the Horizon networks, AtlantiCare’s employees and their dependents have access to one of the largest networks in the country. Included within both plan options is AtlantiCare’s Inner Circle network of providers and facilities which offers you the highest level of plan benefits and the least out-of-pocket costs for you.

Horizon OMNIA Plan The Horizon OMNIA Plan offers a lower biweekly contribution; and with this Plan, you are also eligible for an AtlantiCare-funded Health Reimbursement Account (HRA) to help you to offset some of your out-of-pocket costs. The HRA will be available to you based on your wellness credits earned in 2024. This plan allows for more affordable out-of-pocket costs when you receive care from Inner Circle or OMNIA Tier 1 providers. Features of the OMNIA Plan: • Three-levels of providers and benefits. The OMNIA Plan covers the same services across all three tiers noted above; however, the amount of your cost sharing will vary based on the tier designation of the provider from whom you receive care: 1) Inner Circle (AtlantiCare and its affiliates): when you receive care from an Inner Circle provider, you will have the least amount of cost-sharing and you will not be required to meet a deductible.

2) After the Inner Circle, the remaining participating doctors and hospitals are grouped into two tiers – OMNIA Tier 1 and Tier 2 . Your out-of-pocket costs depend on which tier the doctor or hospital is in. For example: a. OMNIA Tier 1 : With this tier, there is more member cost-sharing required than the Inner Circle as reimbursement for covered services will be subject to a deductible of $250 for individual coverage and $500 for family coverage. The out-of-pocket costs can be as high as a $1,000 copay. b. Tier 2 : This tier includes all other Horizon In-Network providers that are neither Inner Circle nor OMNIA Tier 1 providers. Tier 2 also includes all BlueCard providers that participate in the national BlueCard network. When you use Tier 2 providers, you will have the highest amount of cost sharing. There is a deductible of $350 for individual coverage and $700 for family coverage; and the copays for covered services are the highest amongst all tiers, reaching up to $1,500 for some services.

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MEDICAL (CONT.)

• If services are not available from Inner Circle providers, your cost sharing responsibility will be at the OMNIA Tier 1 or Tier 2 level of coverage. The level of cost sharing will be based on the tier status of the provider from whom you receive care.

• The deductibles will cross-apply between all applicable tiers, meaning that the deductible amounts incurred under OMNIA Tier 1 will also be counted towards Tier 2 deductibles (and vice versa). For family coverage, if an individual within the family unit satisfies the individual deductible amount, the plan will pay benefits for that individual even if the family deductible is not satisfied. • There are no out-of-network benefits under the OMNIA plan (with the exception for emergency situations). • The adjacent chart provides a visual outline of the plan’s tiers and corresponding member cost-share. Horizon Preferred Provider (PPO) Plan The Horizon Preferred Provider Plan covers the same services as the OMNIA Plan and includes two levels of In-Network benefits as well as reimbursement for non participating (i.e. Out-of-Network) physicians and facilities. This plan is the most expensive when it comes to how much you contribute each pay period, but you have greater flexibility in where you can seek medical care. An AtlantiCare-funded Health Reimbursement Account (HRA) will be available to you through wellness credits earned in 2024. Features of the Preferred Provider (PPO) Plan: • Three levels of providers and benefits: 1) Inner Circle (AtlantiCare and its affiliates) providers: no deductibles, lowest copays and and the least amount out-of-pocket costs

2) In-Network (Horizon PPO or national BlueCard networks): after satisfying a deductible and/or a copay, benefits are covered at 100% 3) Out-of-Network (non-participating): most cost sharing – covered services are reimbursed at 50% after the deductible. It is also important to note that an Out-of-Network provider may “balance bill”for any amounts in the event their charges are over what is considered over the reasonable and customary charge. Charges that are balanced billed are not counted towards the Plan’s out-of-pocket maximum limits. • If services are not available at AtlantiCare, your responsibility will be at either the In-Network or Out-of-Network level of coverage. For both plans, visit https://www.horizonblue.com/atlanticare to find a participating physician, facility or other service provider.

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MEDICAL (CONT.)

The Plans At-A-Glance

Horizon OMNIA Plan Horizon PPO Plan

Has AtlantiCare Network (Inner Circle)

Has Out-of-Network Providers

Has High CopaysWhen Using Non-AtlantiCare Facilities

Lowest Contributions

Access to Telehealth Benefit Has AtlantiCare-Funded HRA (based on Wellness Activities completed in 2024)

Spouse & Partner Preferred Choice Premium

AtlantiCare continuously balances the need to offer meaningful and comprehensive employee benefits with the need to remain financially sound in the current healthcare environment. To achieve this balance, we require a Spouse and Partner Preferred Choice Premium. This premium will be applied to your bi-weekly contribution if your spouse/partner chooses to obtain medical coverage through AtlantiCare when they have the option of obtaining benefits through their own employer. This premium will not be applied if your spouse/partner is not offered benefits through their employer, is not currently employed or also works at AtlantiCare.

PREMIUM SALARY $50 Less than $110,000 $100 More than $110,000

AtlantiCare will conduct audits throughout the year, during which you will be asked to supply documentation (i.e., a letter from employer or tax return showing no income) if you have indicated that your spouse/partner is not eligible for medical coverage by their own employer. This acknowledgment is considered a legal process and should be treated as such. If your spouse is self-employed and not obtaining benefits through their business, they will need to supply proof of self-employment.

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MEDICAL (CONT.)

Medical Plan Bi-Weekly Contribution Rates

Full-Time

Part-Time

$50- 109,999k

$110.01k - $149,999k

$150,000- 199,999k

$50- 109,999k

$110.01k - $149,999k

$110,000- 199,999k

$0-49,999k

$200k+ $0-49,999k

$200k+

OMNIA Employee

$42.51 $53.13 $79.70

$95.64

$106.27 $85.02 $100.96 $148.78 $185.97 $212.54

Employee + Spouse Employee + Child(ren)

$76.51 $95.64 $143.46 $172.16 $191.28 $153.03 $181.72 $267.80 $334.75 $382.57

$59.51 $74.39 $111.58 $133.90 $148.78 $119.02 $141.34 $208.29 $260.36 $297.55

Family

$119.02 $148.78 $223.17 $267.80 $297.55 $238.04 $282.68 $416.58 $520.72 $595.11

PPO Employee

$142.97 $167.30 $197.72 $215.97 $234.23 $188.60 $219.02 $267.69 $316.36 $365.03

Employee + Spouse Employee + Child(ren)

$257.34 $301.15 $355.90 $388.75 $421.61 $339.47 $394.23 $481.83 $569.44 $657.05

$200.16 $234.23 $276.81 $302.36 $327.92 $264.04 $306.62 $374.76 $442.90 $511.04

Family

$400.31 $468.45 $553.62 $604.73 $655.83 $528.07 $613.24 $749.52 $885.80 $1,022.07

*$25 surcharge will be added to your bi-weekly deductions if you utilize tobacco products. A Spouse & Partner Preferred Choice Premiummay also apply. See page 8 for details.. ** Note, salary changes may result in changes to your contribution rate

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MEDICAL (CONT.)

Compare 2025 Medical Plan Choices

OMNIA PLAN

Medical Services

Inner Circle

Tier 1

Tier 2

Deductible (per person/per family)

$0/$0

$250/$500

$350/$700

Out of Pocket Maximum (per person/per family)

$3,500 / $7,000

Facility Benefits Room & Board / Ancillary

$250 copay per admit

$1,000 copay per admit

$1,500 copay per admit

Outpatient Facility Benefits Outpatient Surgery (Hospital Based) Outpatient Surgery (Surgical Center)

$50 copay $50 copay

$500 copay $500 copay

$750 copay $750 copay

Physician Services Surgeon

Covered 100% Covered 100% after deductible Covered 100% after deductible Covered 100% Covered 100% after deductible Covered 100% after deductible Covered 100% Covered 100% after deductible Covered 100% after deductible

Anesthesia

Inpatient Physician Visit

Physician Office Visits - Primary Care

$10 copay $15 copay

$50 copay $65 copay

$60 copay $75 copay

Physician Office Visits - Specialist

Physician Office Visits - Routine Well Care

$0 copay

Supplemental Services Telemedicine

$5 copay

$20 copay $75 copay $200 copay

$20 copay $90 copay $200 copay

Urgent Care

$25 copay

Emergency Services

$200 copay $10 copay $10 copay

Diagnostic X-ray

$50 copay

$60 copay

Diagnostic hi-tech imaging

$125 copay

$150 copay

Diagnostic Tests (LabCorp/Quest Capitated Labs)

$0 copay

Diagnostic Tests (Non-Capitated Labs)

$10 copay

$50 copay

$60 copay

Routine Vision Exam annually**

$70

Eyeglasses and/or Contact Lenses every two years**

$60

This chart is meant as an overview only. For detailed information, please refer to the Summary Plan Description posted under “Beneft Information” on the HR Portal: Benefts Tab. * AtlantiCare also covers some services for gender assignment. Check the plan document for more information. ** For vision, must submit a claim form for reimbursement.

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MEDICAL (CONT.)

Compare 2025 Medical Plan Choices

PPO Plan

Medical Services

Inner Circle

Tier 2

Out-of-Network

Deductible (per person/per family)

$0/$0

$250/$500

$1000/$2000

Out of Pocket Maximum (per person/per family)

$3,500/$7,000

$5,000/$10,000

Facility Benefits

$750 copay per admit after deductible

Room & Board / Ancillary

$250 copay per admit

Covered 50% after deductible

Outpatient Facility Benefits Outpatient Surgery (Hospital Based) Outpatient Surgery (Surgical Center)

$50 copay $50 copay

$400 copay $400 copay

Covered 50% after deductible Covered 50% after deductible

Physician Services Surgeon

Covered 100% Covered 100% after deductible Covered 100% Covered 100% after deductible Covered 100% Covered 100% after deductible

Covered 50% after deductible Covered 50% after deductible Covered 50% after deductible Covered 50% after deductible Covered 50% after deductible Covered 50% after deductible

Anesthesia

Inpatient Physician Visit

Physician Office Visits - Primary Care

$10 copay $15 copay

$35 copay $50 copay

Physician Office Visits - Specialist

Physician Office Visits - Routine Well Care

$0 copay

Supplemental Services Telemedicine

$5 copay

$20 copay after deductible

Urgent Care

$25 copay

$60 copay

Covered 50% after deductible

Emergency Services

$200 copay $10 copay $10 copay $10 copay $10 copay

$200 copay

Diagnostic X-ray

$35 copay

Covered 50% after deductible Covered 50% after deductible Covered 50% after deductible Covered 50% after deductible

Diagnostic hi-tech imaging

$100 copay after deductible

Diagnostic Tests (LabCorp/Quest Capitated Labs)

$35 copay $35 copay

Diagnostic Tests (Non-Capitated Labs)

Routine Vision Exam annually**

$70

Eyeglasses and/or Contact Lenses every two years**

$60

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MEDICAL (CONT.)

Make The Most Of Your Medical Benefits • Consider the “OMNIA Plan” – The contributions are low cost, and unless you have many physicians who are out of network, the Horizon Engaged Plan’s Blue Card network should meet your needs. • Preventive Care at No Cost – Preventive care is comprised of a variety of clinical services and programs, including annual doctor’s checkups, annual immunizations and screenings. Make sure your provider codes all eligible claims as preventive care in order to be eligible for 100% coverage. • Out-of-Pocket Maximums – You are protected from catastrophic medical expenses by the annual out-of-pocket maximum. When your out-of-pocket expenses (deductibles, copays and coinsurances) reach the out-of-pocket maximum, the plan pays the full cost for any covered care you receive for the rest of the year.

• Contact Horizon before a procedure to determine what you can expect to pay and to ensure any pre-authorizations have been completed. • Consider participating in Flexible Spending Accounts to supplement your out-of-pocket expenses. • Complete wellness activities to earn wellness credits which would be applied to a Health Reimbursement Account (HRA) paid on an FSA card.

WAIVING BENEFITS If you waive your medical benefits, $12.50 per pay* will be deposited into a Healthcare Reimbursement Account (HRA). You can use the HRA to be reimbursed for eligible expenses. The HRA is administered by Baker Tilly. For a list of eligible expenses, log in to your account at www.MyFlexDollars.com . More information on Spending Accounts on page 35. In addition, your earned wellness credits from 2024 of up to $750 will also be deposited into this account that will be applied the following year . For more information, refer to the Longevity Lifestyle Program portion of this book on page 18. Please visit https://myatlanticare.org to view your online wellness activity checklist or call Health Engagement at 1-609-677-7507 if you have questions about your wellness activities.

*If you are covered by another AtlantiCare employee and you waive medical coverage, you will not be eligible for the waiver beneft.

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MEDICAL (CONT.)

What if AtlantiCare does not provide the service I require? AtlantiCare is able to provide you with enhanced benefits when you utilize our services because the dollars spent for these services stay within AtlantiCare. While AtlantiCare offers most services, not all services are provided at the AtlantiCare Inner Circle level. If you require services outside of AtlantiCare you will still have access to these services. However, depending on the plan you choose, you will be required to pay for them at the Omnia (Tier 1) or Horizon (Tier 2) benefit level. If the service can only be provided through an out-of-network provider, please contact Horizon to file an appeal prior to receiving the service. Never assume your provider is referring you to an Inner Circle provider. Please contact Horizon Customer Service at 1-800-355-2583 for verification of provider’s tier level or by downloading the Horizon Blue Cross Blue Shield app.

Helpful Tip

If you know that you will need services performed at a non-AtlantiCare facility, utilize your Flexible Spending Account (FSA) to help you budget for the expense and reduce your taxable income at the same time. Interested in a FSA? Enroll during your new hire enrollment period or the annual enrollment period.

Horizon Blue connects you to care and support wherever you are!

The Horizon Blue app offers 24/7 connection to all the ins and outs of your plan. We’re always looking for ways to make things more convenient for you.

Search for Horizon Blue in the App Store or Google Play, or scan this QR code to download the app.

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PRESCRIPTION DRUG COVERAGE Always consider using the AtlantiCare Pharmacy first, because it typically provides the least out-of-pocket cost. AtlantiCare Pharmacy (Retail and Mail Order)

• Regardless of which medical plan option you choose, you automatically receive prescription drug coverage through MedImpact. • You do not need to enroll separately in the prescription plan. Prescription coverage is included as part of the Medical plan enrollment. Your prescription plan information can be found on your prescription ID card. • Should you need a replacement ID card, please call MedImpact Customer Service at 1-833-229-3595 . • Refer to the table below for the copay amounts you will pay under the Prescription Drug plan. • The maximum amount that you will pay for prescriptions per year: Single $1,750/Family $3,500.

The AtlantiCare Pharmacy offers AtlantiCare employees and their covered dependents the opportunity to fill prescriptions at a reduced cost. Medications can be filled for as little as $10 (generic) or $20 (brand name preferred) for a 30-day supply. Medication copay costs will double for a 90-day supply. There are three AtlantiCare Pharmacy locations: Atlantic City AtlantiCare HealthPlex, 1401 Atlantic Ave. Tel: 1-609-441-7088 Fax: 1-609-441-7089 Monday through Friday, 8:00 am to 6:00 pm

Galloway* 54 West Jimmie Leeds Road

Non-Specialty Medications AtlantiCare Pharmacy (Retail &Mail Order) Generic Brand Preferred Brand Non-Preferred Non-AtlantiCare Retail Pharmacy Generic Brand Preferred Brand Non-Preferred Specialty Medications AtlantiCare Retail Pharmacy Generic Brand Preferred Brand Non-Preferred

Tel: 1-609-404-7444 Fax: 1-609-404-7445 Monday through Friday, 8:00 am to 6:00 pm Saturday, 9:00 am to 4:00 pm

Copays for 30/90-day supply $10/$20 $20/$40 $50/$100

Manahawkin 517 Route 72W

Copays for 30-day supply

Minimum $15 $50 N/A

Tel: 1-609-704-6800 Fax: 1-609-704-6801 Monday through Friday, 9:00 am to 5:00 pm

15% 30% 100%

In the case of an emergency, you may use the AtlantiCare Community Pharmacy located inside the ARMC City and Mainland campuses. Hours of operation are Monday through Friday, 8:00 am to 8:00 pm, and Saturday and Sunday, 9:00 am to 6:00 pm. Please note, you may utilize these pharmacies for emergencies only. They do not carry enough supply for employees’daily usage. *AtlantiCare pharmacy offers mail order service for all active employees and their dependents at no additional cost. Medications are delivered within 2-3 days. Mail order forms can be found on the HR Portal: Benefts tab on The Starfsh or by calling the Galloway pharmacy at 609-404-7444 .

Copays (up to 30-day supply) $10 $20 $50

Copays (up to 30-day supply)

*Other Specialty Pharmacy Generic Brand Preferred Brand Non-Preferred

Maximum $150 $150 $150

10% 20% 30%

*If the AtlantiCare Pharmacy is unable to fll your request, they will direct you to contact MedImpact Customer Service for assistance in obtaining your medication.

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PRESCRIPTION DRUG COVERAGE (CONT.)

Retail Pharmacies (non-AtlantiCare)

You can utilize your MedImpact prescription card to access retail pharmacies nationwide. While most large chains participate in the network, we do have some exclusions. To find a participating pharmacy, or to see if your medication is covered, visit the MedImpact Member portal at https://www.medimpact.com/web/login . When you utilize these pharmacies, please consider the following: • Your copay may be higher than what you would pay at your AtlantiCare Pharmacy.

• If your medications are not categorized as generic or preferred brand, you may be responsible for the full cost of the prescription. • Any medication obtained from a non-AtlantiCare Pharmacy will only be filled for up to a 30-day supply (90-day supply not available). • Maintenance medications can only be refilled one time at a non-AtlantiCare pharmacy. • AtlantiCare pharmacy offers mail order service for all active employees and their dependents at no additional cost. Medications are delivered within 2-3 days. Mail order forms can be found on the HR Portal: Benefits tab on The Starfish or by calling the Galloway pharmacy at 609-404-7444 .

Specialty Medications

AtlantiCare Pharmacy is your dedicated pharmacy for all specialty medications.

Beginning in 2025, our AtlantiCare Pharmacy will serve as a nationally accredited Specialty Pharmacy to help ensure that we can continue to service our members for all of their specialty medication needs. If you get a prescription for a specialty medication, our dedicated team of pharmacists will: • Reach out to counsel you on proper use and storage of your specialty medication • Review your chart to ensure your medication is safe and appropriate • Communicate with your provider regarding any concerns for drug interactions, adverse events, or insurance coverage • Work closely with you to ensure that you experience optimal therapeutic outcomes If AtlantiCare Pharmacy is unable to fill your medication, they will direct you to MedImpact Customer Service for assistance in obtaining your medication at another pharmacy.

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ATLANTICARE HEALTH SERVICES - FQHC If you have a medical condition such as diabetes, rheumatoid arthritis, congestive heart failure, cardiovascular disease or chronic obstructive pulmonary disease (COPD), you know how difficult it is to manage and coordinate all of the providers and finances involved in your care. Our staff is ready to help improve your health, simplify your life and reduce your out-of-pocket medical expenses. What’s different about receiving care at these locations? • You will be at the center of a team working together to coordinate and manage your care. • The team will be by your side every step of the way, and will also keep the care team informed of your care plan and progress. • The sites listed feature a convenient, on-site pharmacy where you can fill your prescriptions right after your appointment. • Your physician copays will be waived and most of your medications will be completely free. Medications include Levemir, Humira, Lantus, Novolog, Januvia, Enbrel and others. The resources described here are available to you and your family regardless of which medical plan you elect.

HEALTH SERVICES There are three convenient locations to provide and coordinate care for you:

Dental Clinic 7 S. Ohio Avenue, Suite 1100 Atlantic City, NJ 08401 Hours: Monday through Friday 8:00 am to 4:00 pm 609-572-8666

Pediatric Primary Care 7 S. Ohio Avenue, Suite 3100 Atlantic City, NJ 08401 Hours: Monday through Friday 8:00 am to 4:00 pm 609-572-8686

Family Primary Care 7 S. Ohio Avenue, Suite 2100 Atlantic City, NJ 08401 Hours: Monday through Friday 8:00 am to 4:00 pm 1-888-569-1000

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ADDITIONALMEDICAL PLAN RESOURCES

AtlantiCare Access Center Nurse Triage AtlantiCare offers telephonic nurse triage when your AtlantiCare Physician Group (APG) primary care provider practice is not available. After hours, a nurse is available to answer any questions related to your medical care. The hours vary by practice. However, they are typically available from 4:00 pm to 8:30 pm daily, including holidays and weekends. When you call you will speak with a registered nurse (with an average of 30 years experience) who will assess and evaluate your symptoms or injury over the phone, provide physician-approved medical information so you can make an informed decision about where and when to seek treatment, recommend next steps and, if necessary, refer you to the appropriate care and resources. This is a free benefit as part of your affiliation with our APG primary care practices. Care Management There is additional support available for eligible employees and/or their dependents who are enrolled in the Horizon Blue Cross Blue Shield medical plans and managing a serious or complex health condition. Through the Horizon Care Management program, a specially trained Care Manager can help coordinate your health care services with your doctor. The Horizon 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 Horizon Case Management team ensures you have access to the best care possible. For more information about the program, please visit: Case Management - AtlantiCare ( horizonblue.com ) To speak to a Care Manager, call 1-888-621-5894 and select option 2 and then option 3, weekdays, between 8:00 am and 5:00 pm, Eastern Time. You can also enroll in the program on your own. Just visit HorizonBlue.com/cm-enroll , provide the necessary information, and a care manager will call you.

Telehealth Benefit AtlantiCare offers care

through telehealth in Primary Care, Behavioral Health, OB/ GYN, Specialty Care areas and Surgical Services. Your copay is $5. AtlantiCare also offers 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 offering 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 offering, call the Access Center at 1-888-569-1000 . To schedule a telehealth appointment you can call 1-888-569-1000 or visit http://providers.atlanticare.org to book your appointment online.

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ATLANTICARE LONGEVITY LIFESTYLE PROGRAM Longevity Lifestyle Program

How to Get Started Sign Up: Create an account at wellness.atlanticare.org . Set Goals: Review your Wellness Activity Checklist for a list of activities to earn rewards. Take it a step further and consider working with a wellness coach or use the self- assessment tools in your Wellness Portal to set personal health and wellbeing goals. Engage Regularly: Participate in scheduled activities, track your progress, and stay motivated through regular updates and support. Embark on a path to better health with the Longevity Lifestyle Program and start earning rewards for your commitment to wellbeing today! Questions? Email wellness@atlanticare.org or call 609-677-7507 .

Welcome to the Longevity Lifestyle Program, your gateway to enhanced wellbeing and long-term vitality! Our program is designed to support you and your covered spouse in achieving a healthier lifestyle while earning exciting rewards. Here’s how you can benefit from our Wellness Activity Checklist and what to expect: Program Structure Eligibility: All benefit-eligible teammembers and covered spouses can participate in the Longevity Lifestyle program. This includes Horizon OMNIA Plan teammembers and spouses, PPO teammembers and spouses and waived employees. Participation: Engage in a variety of wellness activities and initiatives to earn wellness credits that will be applied to your Health Reimbursement Account (HRA) for the following year. Please see page 35 for more details. Rewards System: As a participant in the Longevity Lifestyle Program, you can earn up to $250 inWellness Credits, that will be applied to your Health Reimbursement Account (HRA) for the following year.

Activity*

How to Complete

Credit Amount

Complete Your Health Assessment

Online Health Assessment*must be completed to earn HRA credits.

STEP 1

Complete at wellness.atlanticare.org

$100

Visit an onsite kiosk or complete KYN at a Health Engagement Clinic Attend a Health Engagement Wellness Webinar (max 4) Get a referral from your provider, care management team or self-referral and call 609-677-7507 to schedule.

STEP 2

Make it Personal

Know Your Numbers (KYN)

$75

Education

$25 each

Coordinated Care Coaching

$50

Complete at wellness.atlanticare.org (max 4) $25 each

Wellness Challenge

Check in at the LifeCenter 80+ times between January 1, 2025 and Nov 30, 2025.

LifeCenter Visits 80+ Times

$50

Max Amount $250

STEP 3

Earn Your Incentive

Celebrate!

* The deadline to complete Wellness Activities is November 30, 2025.

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