AADCP II >> Tenders >

TENDER ANNOUNCEMENT: AADCP II Health Insurance Provider

Scope of Services

The provider will be required to provide the following services, at the minimum:

  1. Minimum geographical coverage: Asia
  2. Hospitalization (In-patient services):
    1. Hospitalization (In-patient services): a. In-patient room and board at the level of a standard private room;
    2. Costs of care and treatment in Intensive Care Unit (ICU), High Care Unit (HCU) or Intensive Coronary Care Unit (ICCU);
    3. In-patient care, reconstructive surgery and rehabilitation, including physician and specialists fee, prescribed medications, drugs and dressings, theater use, surgeons, and anesthetists;
    4. Use of an ambulance, cost of other transport or airfares in case of an emergency;
    5. Dental and out-patient treatment due to accident;
    6. Pre- and post- hospitalization care for at least 30-days;
  3. Medical Expenses (Out-patient services)
    1. Medical Expenses (Out-patient services) a. Primary consultations and treatment including medical practitioner’s fees prescribed medication, drugs and dressing;
    2. Surgeons, Physicians and Anesthetists fees and the charge for using an operating theatre;
    3. Diagnostic consultations fees for specialists, pathologist and physiotherapists;
    4. Registered private doctor’s fees and the cost of prescribed drugs and dressings;
    5. X-rays, CT scans, Magnetic Resonance Imaging (MRIs), electrocardiograms, encephalograms, audiograms, radiotherapy or chemotherapy;
    6. Surgical appliances prescribed by a Registered Medical Practitioner;
    7. Dental Expenses (at least at 80% of actual expenses, within a prescribed annual limit per family);
    8. Optical Expenses (at least at 80% of actual expenses, within a prescribed annual limit per family).
  4. Emergency Treatment/Medical Evacuation
    1. Expenses incurred in respect of emergency treatment immediately necessary to stabilize a medical condition without which a major deterioration would develop in the member’s state of health and result in a significant reduction in life expectancy. This includes emergency transportation, evacuation and non-hospital accommodation related to evacuations.
  5. Maternity (at least after 6-months of membership)
    1. Premature and Neonatal care;
    2. Pre-natal and post-natal care;
    3. Care for complications to pregnancy.
  6. Preventive treatment:
    1. Annual Medical Checks for all Members;
    2. Vaccinations/Immunizations

Other benefits that will be considered include maximum aggregate limit, coverage of pre-existing conditions and chronic conditions.

GENERAL PROVISIONS

  • This tender is open for both health insurance companies and health insurance brokers. Health insurance brokers must provide a letter of attorney from the relevant insurance company.
  • Proposals, along with any other supporting documents, should be sent to tender@aadcp2.org email with “AADCP II Health Insurance Provider” as the subject of the email.
  • Due date of submission: Thursday, March 7, 2019 at 17.00 WIB (Jakarta time). Proposals coming after this time will not be accepted.
  • Only proposals that fully address the minimum level of services listed in the Scope of Services will be evaluated.

 

TERMS OF REFERENCE AADCP II HEALTH INSURANCE PROVIDER

Share This

Share this post!