2020 AtlantiCare Benefits Workbook

Medical

HOME TABL OF CONTENTS WELCOME.................2 WHAT’S NEW. ...........3 I E TERS AND WEBSITES...................4 HOW TO ENROLL.......5 MEDICAL..............6-12 PRESCRIPTION DRUG. ................13-15 ADDITIONAL MEDICAL PLAN RESOURCES........16-18 DENTAL...............19-21 VISION.....................22 LIFECENTER..............23 LIFE INSURANCE. .....24 LONG TERM DISABILITY...............25 VOLUNTARY OFFERINGS. ........26-29 SPENDING ACCOU TS. ............30 RETIREMENT B NEFITS..................31 WELLNESS. .........32-36 LEGAL NOTICES..37-39 CONTACTS.........40-41 GLOSSARY..........42-43 FAQs...................44-46 FORMS................47-56 WHAT’S NEW SERVICE CENTERS AND WEBSITES HOW TO ENROLL MEDICAL PRESCRIPTION DRUG ADDITIONAL MEDICAL PLAN RESOURCES DENTAL VISION LIFE INSURANCE LONG TERM DISABILITY VOLUNTARY OFFERINGS SPENDING ACCOUNTS RETIREMENT BENEFITS WELLNESS LEGAL NOTICES CONTACTS GLOSSARY

Waiving Benefits If you waive your medical benefits, $45 per pay* will be deposited into a Healthcare Reimbursement Account (HRA). See Spending Accounts on page 30 for more information. In addition, your earned wellness credits from 2019 of up to $750 will also be deposited into this account. See Wellness starting on page 32 for a list of wellness activities and their values. 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.

$ MAKE THE MOST OF... Your Medical Plan Benefits

• Consider one of the engaged plans. The contributions are lower than the PPO plan. If you receive most of your care from the AtlantiCare/Geisinger network, the Engaged Plan Powered by Geisinger should meet your needs. If not, and you have a lot of physicians who are outside of the AtlantiCare/Geisinger network, the Engaged Plan Powered by Horizon should meet your needs just as well as the PPO Plan. • Always check to see if AtlantiCare can perform the service before scheduling somewhere else. If it is a routine procedure, the AtlantiCare Access Center should be able to refer you appropriately. Never assume your physician is referring you to a tier one provider . • Contact your plan administrator (Geisinger or 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 credits to reduce your wellness deductible, buy down your bi-weekly contributions or apply to your FSA card. • Utilize an AtlantiCare Primary Care Plus provider. In all three medical plans, these providers are only a $10 copay for office visits, compared to a $50 copay for primary care providers that are not AtlantiCare Primary Care Plus designated. To earn this designation, our providers have shown commitment and have taken meaningful steps toward the patient-centered medical home model, which means offering same or next-day urgent appointments, implementing a common electronic medical record, collaborating with AtlantiCare Care Managers for complex patients, and allowing hospitalists to care for patients admitted to ARMC. To find an AtlantiCare Primary Care Plus provider, call the AtlantiCare Access Center at 1-888-569-1000 .

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

? DID YOU KNOW? Nutritional Counseling is a covered benefit, offering six visits per calendar year. Nutritional Counseling is an important part of the prevention and treatment of many diseases and conditions. Confirm network providers with your plan prior to scheduling an appointment.

FORMS

10