AtlantiCare 2025 Benefits Booklet

ADDITIONALMEDICAL PLAN RESOURCES

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

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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