Health Insurance Coverage Tender in Iraq - 52966275

Procurement Summary

Country: Iraq

Summary: Health Insurance Coverage

Deadline: 23 May 2021

Posting Date: 11 May 2021

Other Information

Notice Type: Tender

TOT Ref.No.: 52966275

Document Ref. No.: RFP IQ10 1027

Competition: ICB

Financier: Other Funding Agencies

Purchaser Ownership: -

Tender Value: Refer Document

Purchaser's Detail

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Tender Details

Request for proposals are invited for Health Insurance Coverage for Mercy Corps National Staff.
Intend To Bid for TENDER # RFP IQ10 1027

Tender Name: Health Insurance Coverage for Mercy Corps National Staff

Coverage for In-Patient and Out-Patient Coverage for Employees, Spouses and Children

Anticipated Duration of Insurance Coverage is upto 2 years Tender No: RFP IQ10 1027

Location: Erbil, Iraq. Correspondence Language(s):English
Intend to Bid is Available from: Monday May 10, 2021

Deadline for Submission of Intend to Bid: Sunday May 23, 2021 @ 11 AM Local time
Mercy Corp Iraq is an international humanitarian organization, working in Iraq since 2003. Mercy Corps has been working to pave the way for a new Iraq. We continue to deliver emergency, life-saving assistance to conflict-affected populations while also addressing longer-term needs and underlying causes. Ongoing cycles of conflict have resulted in millions of people displaced, basic infrastructure destroyed, livelihoods disrupted, and deepening divisions within communities. Since our work began, we-ve provided support to more than 5 million people affected by war, violence, and displacement.
Through this announcement, we aim to hear from eligible Insurance Companies, with appropriate license to operate as a Health Insurance Provider in Iraq. Initially, we are only asking for your attention to complete the Intent to Bid and Supplier Information Forms and email at [email protected] by the deadline mentioned above. For your information, Scope of Work is also attached.

Please note - you are NOT REQUIRED to submit your Offers at this stage.
Complete Tender Package will be shared with those who submitted signed and stamped ITB (Intent to Bid) and Supplier Information Forms in a timely manner.

Please send your questions, if any, at [email protected] (please mention the reference of the Intent to Bid in Subject line)
"Health Insurance for National Staff

Attachment 3b- Health Insurance Coverage"
Benefits Comments / Restrictions / additional benefits

Maternity

Coverage of newborn babies from day one under mother-s card and adding them to the medical insurance with a maximum period of 1 month from the birth date.

Coverage of neonates' incubator for newborn babies subject to adding them to the medical insurance from day one from birth date and to be covered from the annual limit

Coverage of all members including maternity related vitamins & mineral supplements and medications.

Coverage of vitamins, calcium and iron supplements for maternity cases.

Coverage of 4D scans for maternity cases one time per year.

Coverage of Epidural needle for normal and caesarean delivery cases.

"Normal Delivery, Cesarean Section, Maternity Lab tests,

Obstetrical Ultrasound, Morphological Ultrasound, Double Test, Triple Test, Quadruple Test, and Amniocentesis are all covered "

Coverage of maternity-related complications from the annual case limit and not from the maternity limits specified in the table of benefits.

Dental

Coverage of dental benefit with an annual limit of $500 Insured per year subject to 10% Co-Insurance, including the following benefits (crowns and bridges, amalgam & composite fillings, root canal treatment, polishing once a year, surgical and non- surgical extraction, small & panorama X-rays & dental medications).

Optical

Coverage of optical benefit with an annual limit $100 per Insured per year subject to 10% Co-Insurance

Coverage of vision test. One Per year And as a Control on the Utilization it is suggests to cover Eyeglasses once every two year.

Cancer

Coverage of cancer cases as per the annual limit

Hormones & Vitamins

Coverage of Hormones (tests & medications) not related to fertility.

Coverage of all vitamins and medications regardless of whether they are registered or not and according to the doctor-s prescription.

Coverage of vitamin D.

Coerage of vitamin B12 test and treatment

Other Benefits

Coverage of rubella, chicken pox and Hepatitis cases (A, B & C) for the whole contract.

Coverage of H1N1 disease that arises after inception date.

Coverage of osteoporosis cases (tests and treatments including medications).

Coverage of laser lithotripsy.

Coverage of mammogram test related to covered cases.

Coverage of benign tumor cases and the related treatments.

Coverage of non-cosmetic dermatological diseases (including medications).

Coverage of medical devices (e.g.: Stent, heart valves, pace maker, artificial knee) with a limit of $1500 USD for the whole contract.

Coverage of pre-existing (declared and included) cases after studying the company.

Coverage of medical supplies (e.g. wheel chair, hearing aids, walkers, etc.) with a limit of $1500 for the whole contract.

Coverage of therapeutic medical supplies (e.g. intra-articular knee injection, etc.) with a limit of USD 1, 500 for the whole contract.

Coverage of allergic tests.

Coverage of Epilepsy and its medications with a limit of USD 3, 000 for all contract period

To cover in-patient and out-patient uncovered cases and debit the amount on your account subject to formal letter, excluding the difference in the prices of the medical providers, co-payment, or exceeding the limits.

Additional Coverage

Hemorrhoids/ Anal fissure/ fistula, tonsillectomy & sinus operations & adenoidectomy covered to all members

Endoscopy, lithrotripsy & stones diseases covered to all members

Hernia, Varicose veins, varicocele and hydrocele excluding cases related to infertility covered to all members

Bacakache surgery, knee laparscopy, disc prolapse covered to all members

Hypertension, diabetes, hyperlipidemia and thyroid diseases covered to all members

Reimbursement

Form should be attached to each reimbursement claim.
"

Health Insurance for National Staff

Attachment 3a- Core Benefits"
Class Description Comments / Restrictions / Additional benefits
Region Iraq

Maximum annual limit/person (USD) 70, 000

In-Hospital Coverage (As per the Annual limit)

Room & Board Full Coverage 100% Reimbursement Direct

ICU ;CCU 100% in the event of no network provider 100%

Surgery & Surgeon Fees & Anesthesia

MRI, CT Scan & other Diagnostic tests

Accompanied parent coverage (for children less than 18 years old )

Doctor fees & Consultation

Ambulance

Medical devices

Others

Maternity Coverage (As per the Annul limit)

Event Limits Full Coverage 100% within the case limit
Out-Hospital Coverage (Including Maternity Visits)

Number of Out-Hospital forms (Visit) /person / year OR (Minimum) 80% Coverage Coverage 80%

Physiotherapy (Minimum) 15 Sessions

Specialized Dr. & G. P. 100%

Medications "Covered at 90% per insured per year. All medicines related to treatment of chronic diseases, hypertension, cholesterol, diabetes, cardio-Vascular, cancer, etc. Vitamins are covered upon proof of deficiency. Maternity related vitamins are covered
Chronic Medication is covered is covered at 90% up to the Prescribed Medecines "

Laboratory Tests & Diagnostic Tests 100%

X Rays & Radiology 100%

Medical Network Open

"* Potential service providers are encouraged to quote for two scenarios under Out-Hospital Coverage as follows:

1- 80% Coverage as per the annual limit

2- Limited Number of Out-Hospital forms (Visit)/person/ year

Please refer Mercy corps National Staff Insurance Statistics (Attachment 4) to get more detailed statistics on the number of family members which will help you to represent these two scenarios more accurately in your price offer sheet (Attachment 2) noting that mercy corps will reserve the right to choose the most beneficial scenario within the budget limit among these two options."
"

Health Insurance for National Staff

Attachment 3c- Waiting Period"
Waiting Periods for Pre-existing conditions

No. Exclusion Waiting Period

1 Hemorrhoids, anal fissure and fistula

2 Tonsils, Adenoids

3 Deviated septum, sinusitis

4 Hernias

5 Fibroids

6 Endometriosis, Hysterectomy

7 Variocele, Hydrocele and varicose veins

8 Cataract, Glaucoma

9 Maternity

10 Back surgery, knee pain & surgery

11 Hypertension & Hyperlipidemia

12 Diabetes Mellitus

"*Waiting period should not exceed 6 months.

* Waiting periods shall be waived for all newly enrolled members (new additions), in case of providing proof of continuity from previous.

* Waiting periods shall be waived for 10 newly enrolled members (new additions) during the policy period."
"

Health Insurance for National Staff

Attachment 3d- Basis of Technical Evaluation for the criterion ""Company package of benefits"" "
Minimum requirment by Mercy corps Bidder proposal

Number of Out-Hospital forms /person / year OR 80% Out-Hospital coverage

"Waiting Periods for Pre-existing conditions

(Should not exceed 6 months)"

Coverage of dental benefit with an annual limit a of $500 for each member, including the following benefits (crowns and bridges, amalgam & composite fillings, root canal treatment, polishing twice a year, surgical and non- surgical extraction, small & panorama X-rays & dental medications).

Coverage of optical benefit with an annual l

Documents

 Tender Notice