Fairfax City Pblc Schools Bonfire #2000004432

FCPS Medicare Advantage Medical and Vision Plan for Retirees

Fairfax County Public Schools is seeking proposals for Medicare Advantage medical and vision coverage for eligible retirees and their dependents. - Government buyer: Fairfax County Public Schools (FCPS); no specific sub-agency or office is identified. - Procurement: A fully insured Medicare Advantage plan with medical and vision benefits for eligible retirees and retiree dependents, coordinated with FCPS’s existing self-insured Employer Group Waiver Plan (EGWP) wrap prescription drug program. - Named vendor: SilverScript is identified as the incumbent administrator of the existing prescription drug program; it is not identified as an awardee or selected vendor for this solicitation. No OEMs or other vendors are named. - Notable requirements: Proposals are to address prior authorization and appeals, member surveys, weekly enrollment-file specifications, account-team and implementation-manager qualifications, ongoing reporting, implementation, and transition of care for members receiving complex or continuing treatment. Offerors must also provide audited financial statements or annual reports for the preceding three years. Pricing must be submitted separately from the technical proposal. - Products and quantities: No manufacturer products, part numbers, or quantities are specified; the requested coverage is a service.

Description

Fairfax County Public Schools is seeking proposals to establish a contract or contracts for a fully insured Medicare Advantage plan providing medical and vision benefits to eligible retirees and retiree dependents. The plan will be administered alongside the existing self-insured Employer Group Waiver Plan (EGWP) with Wrap prescription drug program, currently administered by SilverScript. The plan is scheduled to take effect January 1, 2028. Required submissions include forms, technical and cost proposals, and supporting information detailed in the solicitation.

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