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MB-3717 - USA (Tennessee) - Medicare Administrative Services - Deadline February 7,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3717

Government authority located in Tennessee; USA based organization looking for expert vendor for medicare administrative services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide retiree healthcare – medicare administrative services.
- The County’s goal is to provide high quality, cost effective benefits to its retirees and their families.
- Medicare Advantage and Prescription Drug Plan (MAPD) services (fully-insured national passive PPO plan), and / or
- Private Healthcare Exchange options for their Medicare eligible retiree population.to explore how Medicare-eligible retirees can purchase individual health insurance policies and what policies are available to them.
- Provide a fully-insured, national Medicare Advantage Preferred Provider Organization plan with prescription drug coverage (National MAPD PPO) which provides the same benefits whether they are rendered in- or out-of-network.
- Plans Designs: County offers two nationals passive MAPD plans through Aetna:
o Standard Plan
o Premium Plan
- Both MAPD PPO plans function as a passive PPO, providing the same level of benefits for retirees
in or out of network when they see a provider that accepts Medicare.
- The following MAPD services are requested to be provided by the proposer:
- Expedient claims adjudication
- Support for member enrollment and ongoing eligibility maintenance
- Exceptional member communications
- ID card distribution
- Patient and provider educational support
- Medicare Advantage and Part D administrative assistance
- Data reporting capabilities
- The following Private Healthcare Exchange services are requested to be provided by the proposer Personalized enrollment guidance for retirees, Wide selection of plans, Private Healthcare Exchange administrative assistance, Retiree education support, Superior advocacy and plan selection services, Exceptional member communications, Health Reimbursement Account (HRA) administration, Onsite enrollment attendance for retiree meetings.
- For more information describe in documents.
(2) All question must be submitted no later than January 13, 2020.

[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, 7 February, 2020

Question Answer Deadline : Monday, 13 January, 2020

Category : Medical Billing and Coding

Country : USA

State : Tennessee

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