Medical Insurance Services to All Zoa-Dorcas National Staff

• Country: South Sudan
• Summary: Medical Insurance Services to All Zoa-Dorcas National Staff
• SST Ref No: 70033798
• Deadline: 11 Aug 2022
• Financier: Other Funding Agencies
• Purchaser Ownership: Government
• Tender Value: Refer Document
• Notice Type: Tender
• Document Ref. No.:
• Purchaser's Detail:
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• Description:
• Request for proposals are invited for Medical Insurance Services to All Zoa-Dorcas National Staff. Submission: Not later than 04:00pm on Thursday the 11th August, 2022 to procurement.southsudan@zoadorcas.ngo or Hand delivered in sealed envelopes to our ZOA-Dorcas Country Office located at Nyakuron West, Plot 85, Block GII, Behind the National Security building in Hai Jebel, Juba - South Sudan. Objective(s): • To ensure that all ZOA-Dorcas National staff have access to Medical Insurance Services. Scope of Medical Insurance Service: The Medical Insurance Plan will cover only ZOA-Dorcas National staff and any three of their dependants (Spouse and children) (M+3) with ZOA-Dorcas staff herein referred to as the (Principal Member), and the Spouse + two (2) children (biological or adopted of the age below 18 years) herein referred to as the Dependants. At the time of sharing this ToR the total number of principal staff is 100. Summary of the Medical Insurance Coverage In consultation with ZOA-Dorcas, the medical Insurance company will offer; Provision of medical services that will include but not limited to the following areas: • Inpatient cover and indicate all the specific benefits and limits • Outpatient cover and indicate all the benefits and its limits • Maternity per family and indicate all the benefits and its limits • Dental cover for both impatient and outpatient • Optical cover for both inpatient and outpatient • Surgical services (minor and Major) • Laboratory and other investigations • Radiological services. • Treatment and Cover for COVID19 related illnesses. • Evacuation/Repatriation of body in case of death. • Funeral expense benefit • Reimbursement of the costs incurred by staff both inpatient and outpatient • Clear explanation on how reimbursement of premiums of staff who will leave in the course of the contract shall be handled (Will it be a refund or a credit balance). • Cost of premium per family Buffer • Co-patient • Emergency services (Number of flights for referrals or Ambulance services within or outside the country). • Other benefits that may not have been listed above that the company is able to provide Duration of cover: This service will cover the principal members and their three dependants effective 1 st September to 31st August 2023 and is renewable based on performance. Deliverables: The Medical Service Provider will be expected to deliver, the following outputs; • Provide services on a 24-hour basis, 7 days a week • Provide members with photo-cards for identification purposes • Provide medical customer care (polite, responsive and efficient service) at all times to fulfil ZOA-Dorcas requirements. • Response time to questions from members should be done immediately if it-s an emergency and within 24-48 hours if the issue is being escalated to higher authorities. • Assign a senior representative experienced in providing corporate medical insurance services to oversee the management of services provided to ZOA-Dorcas and to ensure full compliance with all requirements of the Service Agreement with ZOA-Dorcas South Sudan • Share a quarterly performance report of the Medical Insurance plan with ZOA-Dorcas South Sudan • From time to time provide ZOA-Dorcas with an updated list of National and Regional service providers. The list must include addresses, operational hours, service provided (inpatient/outpatient).
• Documents:

 Tender Notice