TRICARE Medicare Eligible Program (TMEP)

The Defense Health Agency seeks proposals to administer healthcare plans for Medicare-eligible military retirees, dependents, and survivors under the TRICARE Medicare Eligible Program. Offerors must process claims, provide customer service and administrative functions, and perform transition activities. Proposals will be evaluated based on technical approach, past performance, and price. Amendment 0003 revised pricing instructions and workload data exhibits. Proposals are due by September 5, 2019.

There is no set-aside designation. The predominate NAICS code is 524292 and PSC code R499 cover insurance claims processing services. The incumbent contractor is Humana Government Business. The estimated value is over $20 billion for the five-year base period and one-year option. Workload data exhibits in Amendment 0003 detail over 1.5 million beneficiaries and 30 million claims processed annually across all U.S. states and territories. The primary place of performance will be the contractor's claims processing facilities.