Medicare Advantage with Prescription Drug (MAPD) Program
Title:  

Medicare Advantage with Prescription Drug (MAPD) Program

Agency:  

New York Saratoga County

State:  

New York

NAICS Code:  

524114

Industry:  

Healthcare and Medical Services

Solicitation Type:  

Request for Proposal

Solicitation ID:  

25-RFPMAPDBP-1

Open Date:  

6/13/2025

Close Date:  

7/3/2025

Projected Award Date:  

9/1/2025

Project Duration:  

1 year

Last Updated:  

6/23/2025

Description:
The Saratoga County is seeking a vendor to administer its insured Medicare Advantage plan with Prescription Drug program (MAPD) for all Medicare eligible retired members and their eligible dependents. The plan is intended to be effective January 1, 2026, and the vendor will be required to provide a combined Medicare Advantage and Prescription Drug plan. The vendor must also provide rate guarantees for 2027 and 2028. The proposal should include a detailed implementation timetable and key task checklist. • The plan should duplicate the current medical and prescription drug benefits for all Medicare eligible retirees and their Medicare eligible dependents. • The vendor should provide a quote for the combined Medicare Advantage and Prescription Drug plan, breaking out the quoted price between the medical and prescription drug components. • The vendor should provide operational and system redundancy and disaster recovery procedures to ensure disruption-free service. • The vendor should provide a dedicated Implementation Manager to manage the implementation of the program. • The vendor should provide a sample Retiree Health Agreement that includes provisions for all agreed-upon bid conditions.
Attached Files:

Please visit the bid source via the “Link to Bid Source” button below for documentation.

Contact Information:

John Warmt, Brandon Hemmings, Lisa Kearney(Purchasing Department, and Health Consultants at The Segal Company)

jwarmt@saratogacountyny.gov, bhemmings@segalco.com, lkearney@segalco.com

(518) 885-2210

Budget Estimate (AI):

$30,000,000 – $60,000,000

The budget for this contract is likely to be substantial, given the size of the plan (925 Medicare eligible participants) and the complexity of the services required. A rough estimate for the annual cost of a Medicare Advantage plan with Prescription Drug coverage for 925 participants could be in the range of $10 million to $20 million, depending on the specific benefits and provider network. The vendor will need to provide a quote for the combined Medicare Advantage and Prescription Drug plan, which will be a key factor in the evaluation of the proposal. Additionally, the vendor will need to provide rate guarantees for 2027 and 2028, which will also impact the overall budget. Overall, the budget for this contract could be in the range of $30 million to $60 million over the three-year period.

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