Medicare Advantage Prescription Drug Benefit Program Service

The agency is seeking a vendor to provide a Medicare Advantage Prescription Drug benefit program service for its Medicare-eligible retirees. This initiative aims to deliver compliant medical benefits and integrated prescription drug coverage to eligible retirees. The selected vendor will solve the challenge of managing retiree healthcare by providing a national provider network, hospital and physician services, specialty care, telehealth, and care management programs. The scope of work covers comprehensive medical benefits including preventive care, emergency services, and urgent care. For prescription drugs, the agency requires integrated Medicare Part D coverage, Employer Group Waiver Plan options, formulary management, clinical management, and specialty pharmacy services. Administrative requirements include eligibility administration, member communications, claims processing, customer service support, open enrollment assistance, and reporting. Account management services must feature a dedicated team, annual stewardship reporting, quarterly utilization reports, and compliance support. Bidders must be onshore organizations based in the United States to be eligible for this opportunity. The performance of all contracted work will take place offsite. The agency is establishing a contract period of one year. The agency is currently looking for proposals to determine the budget for this procurement. Bidders must submit their responses digitally via email or through the designated online portal. The source document does not specify further evaluation criteria or key dates for this solicitation.