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MB-3575 - USA (Virginia) - Self-Insured Medical Plans, Flexible and Health Spending Accounts, On-Site Health Clinic and Pharmacy Benefit Management Services - Deadline December 12,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3575

Government Authority located in Virginia; USA based organization looking for expert vendor for Self-insured medical plans, flexible and health spending accounts, on-site health clinic and pharmacy benefit management services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide insured medical plans, flexible and health spending accounts, on-site health clinic and pharmacy benefit management services
- Medical insurance plans: administrative services only for self-insured medical plans covering employees and retirees,
- Pharmacy benefit management for prescription drug coverage to be offered on an integrated or carved out basis with the self-insured medical,
- Flexible spending account and health savings account plans,
- Management of an on-site health clinic,
- Claims: Vendors for self-insured plans invoice the county on a weekly basis for claims, Invoices and claims detail are provided through secure email by Tuesday of each week, for claims in the OAP-Co-Pay, OAP 90% and 80% Co-Insurance, and the plans managed, payment is made through ACH to an impress account no later than two business days within receipt of the invoices,
- Prescription claims: Reimbursements for pharmacy claims under Cigna managed plans
are requested concurrently with medical claims invoicing,
- FSA claims are paid on a semi-weekly basis through ACH debit. Backup and invoices are provided by the vendor 24 hours prior to the ACH debit,
- Ability to promote the tax advantages of the FSA program;
- Capabilities for seamless claims processing that is streamlined with the medical and pharmacy programs; and
- Ability to assist in the compliance functions associated with FSAs, including non-discrimination testing protocols,
- Demonstrate a commitment to employee wellbeing,
- Ability to manage, promote and staff on-site clinic; and demonstrate ROI,
- Ability to assist in the compliance functions associated with on-site clinic management.
(2) A pre-proposal conference will be held on November 13, 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 : Thursday, 12 December, 2019

Pre-proposal Conference Date : Wednesday, 13 November, 2019

Category : Medical Billing and Coding

Country : USA

State : Virginia

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