Schedule B Pricing.xlsx

19 KB Posted

Attached to
HMO Services for MPSERS
Solicitation number
RFP 171 230000003226 2
Issued by
Michigan

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This is a pricing schedule document for a 2024 HMO Rates contract (RFP No. 230000003226) between the State and health maintenance organization contractors. The contract covers monthly premium rates for the MPSERS (Michigan Public School Employees' Retirement System) HMO plan effective January 1, 2024 through December 31, 2024. Revised benefit designs and applicable rates will be provided to awarded contractors by August 1, 2024, for implementation with a service start date of January 1, 2025.

The premium rates are structured as firm-fixed all-inclusive monthly amounts and vary based on coverage category and Medicare eligibility status. For non-Medicare coverage, rates are $770.67 for self-only, $638.55 for spouse, and $204.46 per child. For Medicare-eligible participants, rates are significantly lower at $39.96 for self-only, $36.13 for spouse, and $35.61 per child. All non-Medicare rates include the Insured Provider Assessment (IPA) Tax. The pricing terms and detailed requirements are referenced in Schedule A, Section 6 of the RFP documentation.

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2024 HMO Rates

Schedule B Pricing
RFP No. 230000003226

Pricing: Premium Rate is a Firm-Fixed All-Inclusive rate. See associated pricing requirements in Schedule A, Section 6 Pricing

Rates are provided for illustrative purposes only. Benefit design and rates are applicable to 1/1/24 - 12/31/24. Revised benefit design and applicable rates will be provided to those Contractors to whom the State has made an award by Aug 1. 2024 for service start date of 1/1/2025.

Monthly MPSERS HMO Premium Rates Effective: 1/1/2024 - 12/31/2024

Without Medicare
Self$ 770.67
Spouse$ 638.55
Per Child$ 204.46
With Medicare
Self$ 39.96
Spouse$ 36.13
Per Child$ 35.61

Note: Non-Medicare rates include Insured Provider Assessment (IPA) Tax.

File details come from the government source that posted it. Updated .