Police & Fire Retiree Group PPO Medicare Advantage Medical and Pharmacy

Background

The Police and Fire Retiree Group PPO Medicare Advantage Medical and Pharmacy contract is issued by the Urban County Government of Lexington, Kentucky. The mission of this contract is to provide comprehensive Medicare Advantage medical and pharmacy services specifically tailored for retirees of the police and fire departments. The goal is to ensure that these retirees receive quality healthcare coverage that meets their unique needs.

Work Details

The contractor will be responsible for providing a PPO Medicare Advantage plan that includes both medical and pharmacy benefits for eligible police and fire retirees. This includes but is not limited to: - Comprehensive medical coverage including preventive services, hospital stays, outpatient care, and emergency services. - Pharmacy benefits covering a wide range of prescription medications with a focus on affordability and accessibility. - Coordination of care services to assist retirees in navigating their healthcare options effectively. - Customer service support specifically for retirees to address inquiries related to their benefits.

Period of Performance

The contract will commence upon award and is expected to cover a period from 7/5/2026 through the end of the fiscal year, with potential renewals based on performance evaluations.

Place of Performance

Services will be provided primarily within Lexington, Kentucky, but may extend to other locations as necessary to accommodate retiree needs.

Bidder Requirements

Bidders must demonstrate experience in managing Medicare Advantage plans for public sector employees or similar demographics. Additionally, bidders are required to have appropriate licenses and certifications for operating health insurance plans in Kentucky.