Description
The U.S. Embassy Freetown is seeking a contractor to provide health insurance services to locally employed staff and their eligible dependents. The contractor will be responsible for providing medical insurance coverage, including hospitalization, emergency services, outpatient services, and more. The contract will have a base period of one year, with four one-year option periods. The contractor must be licensed/certified/accredited by the Government of Sierra Leone or its agent to provide health insurance coverage. The evaluation criteria will include technical acceptability, price, and past performance.
Some key benefits that must be included in the insurance plan are:
* Hospitalization: 100% coverage
* Emergency Services: 100% coverage
* Outpatient Services: 80% coverage
* Obstetric and Newborn Care: 100% coverage for inpatient care, 80% coverage for outpatient care
* Pediatric Services: 100% coverage for inpatient care, 80% coverage for outpatient care
* Prescription Drugs: 100% coverage for inpatient care, 80% coverage for outpatient care
* Preventive and Wellness and Chronic Disease Management: 80% coverage
* Hearing Aids: 80% coverage
* Optical: 80% coverage
* Dental: 80% coverage
* Orthodontia: 80% coverage
* Reproductive Health: 80% coverage
* Mental Health and Substance Abuse Care: 50% coverage
* Rehabilitative and Habilitative Services and Devices: 50% coverage
* HIV/AIDS: 100% coverage up to SLE225,000 per contract year per covered individual
* Out-of-Country Medical Treatment: covered, but subject to the same total maximum annual limit as medical expenses incurred in-country
* Out-of-Country Medical Travel: 80% of covered individual's transportation expenses will be covered
* 180 Day Coverage for Dependents After Employee's Death: optional benefit, subject to availability of funds at post