Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-6517

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

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide medicare retiree health benefits service.
- Provide group medical coverage through either a group medicare advantage with medicare plan on a national PPO basis or a fully-insured standalone, medicare supplement plan with standalone customized group Medicare Part D coverage.
- Coverage should duplicate the current plans for over 65 Medicare eligible retirees and their Medicare eligible dependents as close as possible.
- Provide full administration services for at least the plans 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, enrollee’s responsibilities and plan’s responsibilities.
- Design, develop, produce and distribute educational, open enrollment and marketing materials.
- Administer and distribute all CMS 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
• Offeror must be able to provide a national PPO group medicare advantage with medicare Part D plan or standalone, medicare supplement plan with standalone customized group medicare Part D coverage
• Plans must be insurer-filed and have state and federal approval.
• If proposing a Medicare Supplement plan, Plan N should be used as a basis.
• The proposed plan(s) must provide benefits that are as good or better than current benefit levels.
• Coverage must be guaranteed issue and guaranteed renewable for each participant.
• The plan must allow for enrollments of pre-Medicare retirees upon attainment of age 65 during any given plan year.
(2) All the questions must be submitted no later than June 17, 2022
(3) The contract period will be for three years.
(4) Pre-proposal conference will be held on June 15, 2022

[C] Eligibility:

- Onshore (USA ONLY);

[D] Work Performance:

Performance of the work will be Offsite.

Expiry Date : Tuesday, 28 June, 2022

Pre-proposal Conference Date : Wednesday, 15 June, 2022

Question Answer Deadline : Friday, 17 June, 2022

Category : Medical Billing and Coding

Country : USA

State : Virginia

Cost to Download This RFP Document : $ 5

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