AtlantiCare 2025 Benefits Booklet

CONTACTS

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

Policy Type

Vendor Name

Contact Information

1-888-569-1000

Access Center

AtlantiCare

1-800-355-2583 Group # 086317 www.horizonblue.com/atlanticare 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

Medical

Horizon BCBS (OMNIA Plan and PPO Plan)

Prescription

MedImpact

Dental

Horizon Dental

1-833-393-5433 www.metlife.com/vision Group # 911483 1-800-307-0230 MyFlexDollars.com 1-800-307-0230 mybenefitdollars.com

Vision

MetLife

FSA

Baker Tilly

COBRA

Baker Tilly

1-800-307-0230

Commuter Benefit

Baker Tilly

1-609-275-4186

Life & AD&D

NJHA/MetLife

1-800-549-6514

Long Term Disability

The Hartford

1-609-677-7766 LOA@atlanticare.org Self-administered programs 1-609-677-6019 1-609-407-2381 Self-administered programs

Leave of Absence and Short Term Disability

AtlantiCare Leave and Short Term Disability Department

AtlantiCare Workers’ Compensation Department

Workers' Compensation

1-609-407-2333

Payroll

AtlantiCare Payroll Department

1-800-367-5690 AtlantiCare code is 15107 www.theworknumber.com

Employment Verification

The Work Number

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