The Town of Amherst is seeking Medicare Advantage Plan proposals from qualified insurance carriers for the Town’s Medicare-eligible retiree participants. Some participants reside in the Western New York region, while others have moved outside the area to various states across the US. Retirees, spouses, and surviving spouses who are at least 65 or are Medicare-eligible may be eligible for this plan. There are currently approximately 484 over age 65 retired subscribers covered by a stand-alone group fully insured Medicare Advantage Plans. Both in and out of area retirees have the same plan offerings. Note: included with this RFP is a subscriber census. Currently, the majority of the retirees’ premiums are paid for by the Town with a small number of subscribers paying for coverage in full. The Town is not opposed to allowing eligible retirees to join the Town sponsored Medicare Advantage Plan with the subscriber paying the full premium. If your organization allows subscribers to join the Plan, subscriber pay in full, advise if your organization will provide a direct bill process for collecting premiums from the subscribers, eliminating “premium collections” for the Town.
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