Request for Proposal For Provision Of Medical Insurance And Group Life Insurance Cover

Request for proposals for Provision of Medical Insurance and Group Life Insurance Cover Comprehensive Staff Medical Insurance (Inpatient and Outpatient, including Eligible Dependents) and Group Life Cover Scope of services 3.1 Medical insurance Bidders shall submit a comprehensive proposal covering inpatient and outpatient treatment for IFDC employees and eligible dependents. The proposed scheme should, at a minimum, address the services below. Any benefit limits, waiting periods, co-payments, exclusions, authorization requirements or other restrictions must be clearly stated. Outpatient consultations, prescribed medicines, dressings and routine diagnostic tests. Laboratory services, pathology, X-rays, ultrasound, CT scans and MRI, where medically indicated and subject to the proposed schedule. Inpatient consultations, hospital accommodation, doctors and specialists fees, surgeons, anesthetists, theatre charges, prescribed medicines, laboratory and diagnostic investigations. ICU/HDU, physiotherapy, surgical appliances and medically necessary procedures, subject to the stated limits. Maternity services, including antenatal and postnatal care, normal delivery, caesarean delivery and pregnancy-related complications. Pre-existing and chronic conditions, including conditions such as hypertension, diabetes, asthma, cancer and heart conditions; HIV/AIDS and related opportunistic infections, including ARV treatment. Congenital and neonatal conditions, with any limits and exclusions explicitly stated. Routine child immunizations and baby wellness services, specifying the age range and vaccine schedule covered. Outpatient dental and optical benefits, preferably as separately identified limits. Outpatient psychiatry, psychotherapy and counselling services. Annual medical check-up/wellness benefit, specifying eligibility, tests included and limit. Last expense/funeral benefit for insured members and/or dependents, with eligibility, amount and payment timelines stated. Emergency road ambulance, rescue and medical transfer between facilities, subject to clearly stated conditions and limits. Overseas referral/treatment where medically necessary treatment is unavailable locally, including eligible destinations, pre-authorization, travel, accommodation, meals and companion costs, if offered. Access to a countrywide provider network and a current list of hospitals, clinics, pharmacies, laboratories, dentists, opticians and specialists, including facilities in Uganda. Membership identification cards for all covered members and a 24-hour emergency contact/help line. Accommodation for one parent/guardian accompanying an admitted child, stating the applicable age threshold and limit. Clear, practical authorization and claims processes minimize unnecessary administrative delays. Tender Link : https://comms.southsudanngoforum.org/c/tenders