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MB-2980 - USA (Virginia) - Medicare Retiree Health Benefits Services - Deadline April 26,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2980

Government Authority located in Virginia; USA based organization looking for expert vendor for Medicare retiree health benefits services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide Medicare retiree health benefits services.
A. Provide full administration services for at least the plans referenced to include but not be limited to:
- Billing (retiree direct bill, APS and from pension, as applicable)
- Enrollment (open season and ongoing) including onsite meetings with Medicare retiree groups
- Communications
 - Develop and distribute member handbooks which contain evidence of coverage, enrolee’s responsibilities and plan’s responsibilities.
 - Design, develop, produce and distribute educational, open enrollment and marketing materials.
 - Administer and distribute all centres for Medicare and Medicaid services required communications.
- Customer Service
 - Provide a toll-free customer service number which shall provide general information on the plan, claims status, and counseling to members.
 - Respond correctly and timely to inquiries received by telephone, by mail or in person.
- Claim resolution
B. Coverage and Plan Design Standards
- Offeror must be able to provide a national passive PPO group Medicare advantage with Medicare Part D Rx plan.
- Offeror must be able to provide a national passive PPO group Medicare advantage plan only (no Medicare Part D Rx) to those retirees whom APS states have prescription coverage elsewhere
- Plans must be insurer-filed and have state and federal approval.
- Changes made to the requested benefit levels in this solicitation, if any, must be minimal.
- Coverage must be guaranteed issue and guaranteed renewable for each participant.
- The plan must allow for enrollments of current pre-Medicare retirees upon attainment of age 65 during any given plan year.
(2) All questions must be submitted no later than April 10, 2019.
(3) A non-mandatory pre-proposal conference will be held on April 5, 2019.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Friday, 26 April, 2019

Pre-proposal Conference Date : Friday, 5 April, 2019

Question Answer Deadline : Wednesday, 10 April, 2019

Category : Medical Billing and Coding

Country : USA

State : Virginia

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