This contract is for group Medicare Advantage and Prescription Drug Insurance for Harris County, awarded to Humana Insurance Company. The contract term is from January 1, 2025, to December 31, 2025, with four one-year renewal options. The contract provides retirees and dependents who are Medicare eligible with another medical and prescription drug plan option with enhanced benefits and lower out-of-pocket costs. Key features of the plan include comprehensive coverage, simplified experience, and enhanced programming and services.
• The contract was awarded based on the lowest priced proposal meeting requirements.
• The plan is fully insured, meaning the insurance carrier is responsible for 100% of the liability for the cost of services.
• The plan provides comparable coverage for medical services and prescription drugs.
• The contract is expected to reduce the retiree member's out-of-pocket cost in copays and premiums and also reduce the cost to Harris County by shifting the claims liability to the insurance carrier and Medicare.