Health Addendum 2 QA as of 4.6.pdf

This is a Health and Wellness Services Addendum 2 Question and Answer document related to RFP #2021-03 for Dunn County, Wisconsin, addressing inquiries from prospective bidders regarding health insurance coverage options. The document addresses three primary questions from Group Health Cooperative of Eau Claire concerning differences in benefit coverage compared to the incumbent provider, Medica. Group Health seeks clarification on whether proposed differences in coverage should be highlighted in their proposal and whether these differences would affect pricing. Additionally, Group Health inquires about the feasibility of adding optional network configurations to their HMO plan at additional cost, as their current plan requires in-network provider utilization, contrasting with Dunn County employees' existing in and out-of-network benefits under the current carrier.

The document indicates that Group Health Cooperative of Eau Claire, in collaboration with Solidaritus Clinics, proposes establishing a Direct Primary Care clinic in Eau Claire to serve Dunn County employees alongside existing covered groups, requesting July 2022 as a feasible opening date for the new clinic site. The responses provided suggest that proposed differences in coverage should be identified in bidders' proposals and would be evaluated as optional offerings, and that additional network options would be considered as optional add-ons with associated costs. The inquiry implies that the county is evaluating alternative carriers and coverage structures while maintaining consideration of enhanced service delivery through the proposed Direct Primary Care model.