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This RFP has expired (deadline Oct 7, 2026). Submissions are no longer accepted. The listing stays here for reference for a few weeks. Browse live RFPs or see open Healthcare RFPs.

Surgery Benefit Services for Health PPO Plan

Long Beach, CaliforniaCalifornia, USADue Wednesday, October 7, 2026
Client
Long Beach, California
RFP Number
MEDI-8047
Posted
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Category
Medical Services
Budget
Looking for Proposal
NAICS
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Set-aside
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Contact
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Description

AI Generated

The buyer located in Long Beach, CA, seeks a vendor to provide a surgical and medical procedure carve-out solution for its Health PPO Plan while maintaining the existing voluntary benefit design with minimal member disruption. The buyer requires pre- and post-care for knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures, alongside cancer registry services. The selected vendor must enhance member experience, maximize cost savings, assign unique eligibility identifiers, handle non-binary gender codes, and provide comprehensive member communications. Additionally, the vendor must deliver end-to-end concierge services that cover provider searches, medical data collection, appointment scheduling, travel arrangements, and follow-up care coordination. Eligibility dictates that the bidder must be an onshore USA organization. The buyer requires all work performance to occur offsite. The buyer has not disclosed a specific budget amount and is looking for proposals. Interested bidders must submit all questions no later than September 9, 2026.

Key solicitation details

AI-extracted from RFP Document~19.pdf. Confirm against the original documents before bidding.

The City of Long Beach is seeking proposals from qualified firms to provide eligible surgical and medical procedures through vetted Centers of Excellence for benefited employees, retirees, and their dependents enrolled in the Anthem Blue Cross PPO plan. The elective surgical carve-out solution offers pre- and post-care for knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology. Eligible bidders are limited to onshore USA organizations.

Issued by
City of Long Beach
Release Date
August 26, 2026
Questions Due to the City
September 9, 2026
Responses to Questions Posted
September 23, 2026
Proposals Due
October 7, 2026
How to submit
Electronic via LongBeachBuys.com
Submission details
Submit proposals electronically through LongBeachBuys.com. Narrative Proposal must be named Attachment 1_Narrative Proposal_Name of Firm.
Contract term
Two years with the option to renew for three additional one-year periods, not to exceed five years in total.
Place of performance
Offsite
Insurance and bonding
Commercial general liability, Workers' compensation with minimum limits of $1,000,000, Employer's liability, Automobile liability, and Professional liability or errors and omissions insurance. Faithful Performance Bond and Labor and Materials Bond required upon award.
Funding
California Labor Code Section 1770 et seq.

How proposals are evaluated

Organizational Capacity & Experience
Reasonableness of Cost10%

Scope of work

  • Provide access to a broad network of vetted Centers of Excellence for surgical and medical procedures
  • Offer pre- and post-care for knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology
  • Provide end-to-end concierge services including provider locating, data collection, scheduling, travel arrangements, and follow-up coordination
  • Maintain existing voluntary surgical carve-out benefit plan design with minimal member disruption
  • Integrate data sharing and communications with Anthem Blue Cross and CVS Caremark
  • Process, load, and manage eligibility information using unique identifiers and non-binary gender codes
  • Provide member customer service phone support, open enrollment attendance, direct mailings, secure online platform, and mobile app
  • Deliver standard management, utilization, and call center metrics reporting

Minimum qualifications

  • Must have a business license upon award and be qualified to conduct business in Long Beach
  • Must possess all trade, professional, or business licenses required by law
  • At least three (3) years of consecutive, verifiable experience managing specialized surgical carve-out programs
  • Must have HIPAA-compliant practices regarding handling and transmission of protected health information
  • Attest that key personnel will be available for the duration of the engagement
  • Ability to provide most recent Audited Financial Statement or Corporate Annual Report
  • Onshore (USA Organization Only)

Documents to include with the bid

  • Attachment 1: Narrative Proposal
  • Cost Proposal
  • Financial Statements or Corporate Annual Report
  • Attachment A: Authorization & Certification
  • Attachment B: Equal Benefits Ordinance (EBO) Form
  • Business License (upon award)
  • Certificates of Insurance (upon award)
  • Faithful Performance Bond (upon award)
  • Labor and Materials Bond (upon award)
  • Current Contractor's State License Board print out (upon award)

Verify important details

Document check

Confirm submission instructions and amendments with the issuing agency before responding.

5 available filesDocuments checked

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