Government Contract | Oregon
Comprehensive Medical, Pharmacy, and Vision Services

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Bid Information

Bid Alert No: 00000600332

Bid Title: Comprehensive Medical, Pharmacy, and Vision Services

Agency Bid No. Title: OHA-1049-16

Received Date: 06/16/2016

Close Date: 07/22/2016

Purchase Type: fully executed by April 28, 2017 for the 2017-18 Plan Year that starts October 1, 2017 and ends Sep

Delivery Point: Not Stated, Oregon

Delivery Date: Not Stated

Special Notices: Questions Due By 07/05/2016, Pre-Bid Conference Optional 06/22/2016 10:00 AM


Specifications include, but are not limited to: includes the work that, at minimum, Contractors will be required to perform underthe RFPs Contracts 1. This Scope of Work, together with the ASPs Proposals and the final Board-approvedBenefit Plan design(s), will be the basis for negotiating the Contracts Statement of Work and other Contractexhibits. These resulting Contracts will require Contractors to provide fully-insured medical and pharmacyservices Benefit Plans, as described throughout this RFP, and maintain appropriate levels of insurance,reinsurance, and reserves as determined by OEBB or OEBBs Consultant. Contractor will process and pay Benefit Claims for services that are covered under its BenefitPlans and incurred during this Contracts term. Contractor will determine whether a BenefitClaim is payable under its OEBB approved Benefit Plans and will use claim procedures andstandards that Contractor develops for Benefit Claim determination. With respect to thesefunctions, Contractor is authorized to (a) construe and interpret the terms of the Benefit Plans;(b) make factual determinations relating to any related decision; (c) determine the validity ofcharges submitted to Contractor under the Benefit Plans; and (d) otherwise decide all questionsregarding a Members eligibility for services under the Benefit Plans. Benefit Claims shall bepayable to a Member under the Benefit Plans only if Contractor in its discretion determines thatsuch Benefits Claims are payable.

Product Code: 95348

Agency Information

Issuing Agency: State of Oregon Health Authority

State: Oregon

Agency Type: State and Local

Contact: 1225 Ferry St. SE, Salem, Oregon, 97301

Phone: 503-378-4642



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