01 / Federal Opportunity Brief
TRICARE Medicare Eligible Program Second Generation (TMEP2)
02 / Federal Buyer
Who is buying?
03 / Purchase
What is the government buying?
TRICARE Medicare Eligible Program Second Generation (TMEP2)
The current notice is soliciting this requirement from eligible offerors.
Confirmed scope includes health care claims processing, customer support, and other associated administrative services, including submission of TRICARE encounter data and provider certification. No additional future-defined deliverables are stated in the provided evidence.
This is a full and open competitive source selection with a best value trade-off procedure (RFO FAR 15.2) for a Firm Fixed-Price contract.
Not disclosed in the provided evidence. No ordering or tasking/assignment mechanism is described.
04 / Contracting Requirements
How will this procurement work?
| Requirement | What the notice says | Source status |
|---|---|---|
| Eligibility | The work relates to dual-eligible Medicare and TRICARE beneficiaries who receive medical services within the United States and specified U.S. territories (Puerto Rico, Guam, US Virgin Islands, American Samoa, Northern Mariana Islands). | Confirmed |
| Contract ceiling | Not disclosed | Not Disclosed |
| Minimum guarantee | Not disclosed | Not Disclosed |
| Contract duration | Not disclosed | Not Disclosed |
| Foreign participation | Not disclosed | Not Disclosed |
| Proposal and award procedure | The notice states it is a full and open competitive source selection using best value trade-off procedures under RFO FAR 15.2, but it does not provide the detailed evaluation factors, scoring, or proposal submission instructions in the provided evidence. | Partially Confirmed |
| Staffing and security | Not disclosed in the provided evidence. | Not Disclosed |
Read the original SAM.gov description
This acquisition is for the continuing requirement for health care claims processing, customer support and other associated administrative services (e.g. submission of TRICARE encounter data and provider certification) of dual-eligible Medicare and TRICARE beneficiaries who receive medical services within the United States, Puerto Rico, Guam, US Virgin Islands, American Samoa, and Northern Mariana Islands. USC Title 10, Chapter 55, and USC Title 32, National Defense, Code of Federal Regulations (CFR) Part 199, outline the benefit structure, administrative functions and the various health care programs, including TMEP2. This is a full and open competitive source selection, using best value trade-off procedures in accordance with RFO Federal Acquisition Regulation (RFO FAR) 15.2, Evaluation and Award, as supplemented with Defense FAR Supplement and the DoD Source Selection Procedures (August 2022). The contract awarded will be a Firm Fixed-Price contract. The contract will have a one 12-month base period of transiotion-in activiteis, seven 1-year periods for healthcare delivery, a one 12-month contract period for transition-out activities, and a potential 6-month extension of services permitted per RFO FAR Clause 52.217-8, Option to Extend Services, for a potential total period of performance of 8.5 years.
05 / Historical Spending Trend
How has spending on the selected comparable contracts changed?
The same closed fiscal-year window and the same complete comparable-contract set are used throughout this Brief. Net obligations total $202.81M across 5 fiscal years.
| Fiscal year | Comparable obligations | Actions | Vendors |
|---|---|---|---|
| FY 2021 | $0 | 1 | 1 |
| FY 2022 | $38.67M | 12 | 1 |
| FY 2023 | $49.63M | 23 | 1 |
| FY 2024 | $61.78M | 20 | 1 |
| FY 2025 | $52.73M | 34 | 1 |
06 / Related Historical Awards
Which contracts support the comparison?
No direct contract reference was found. 1 broad match is shown as supporting context.
| Contract | Vendor | Latest activity | Office | NAICS / PSC | Match | Obligations | Actions |
|---|---|---|---|---|---|---|---|
| HT940221C0005 | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | Dec 22, 2025 | DEFENSE HEALTH AGENCY | 524292 / Q201 | Broad match Buyer and requirement-language evidence | $202.81M | 90 |
07 / Contractor Evidence
Which contractors have performed related work?
Historical contractors are ranked by direct procurement-family evidence and comparable contract activity. The table distinguishes connected holders from broader performers without identifying unverified bidders.
No directly connected predecessor was identified. The companies below are historical performers selected from the comparable contract set; none is identified as a bidder.
| Company | Evidence | Fit | Why included | Contracts | Actions | Obligations | Latest activity | Links |
|---|---|---|---|---|---|---|---|---|
| WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION UEI HLY2E796N2L3 · CAGE 2R921 | Broad historical performer Historical performer | Moderate | Comparable buyer and requirement history | 1 | 90 | $202.81M | Dec 22, 2025 | GETWAB profile |
08 / Competitive Landscape
How was comparable work competed?
Competition treatment is calculated from exactly the same closed-period contract set used in Sections 5–7. It describes historical actions, not the outcome of this solicitation.
| FPDS treatment | Code | Actions | Obligations | Share |
|---|---|---|---|---|
| Full and open competition | A | 90 | $202.81M | 100.0% |
09 / Procurement History
How was this opportunity published and updated?
5 SAM.gov notice records were resolved into this procurement family. The chronology shows how the requirement was published and updated.
| Notice | Type | Posted | Response deadline | Status | Official source |
|---|---|---|---|---|---|
| HT940226R0001 TRICARE Medicare Eligible Program Second Generation (TMEP2) Draft RFP | Special Notice | Nov 25, 2025 | Jan 7, 2026 3:00 PM GMT-0700 | Archived | View on SAM.gov |
| HT940226R0001 TRICARE Medicare Eligible Program Second Generation (TMEP2) Draft RFP | Special Notice | Nov 25, 2025 | Jan 7, 2026 3:00 PM GMT-0700 | Archived | View on SAM.gov |
| HT940226R0001 TRICARE Medicare Eligible Program Second Generation (TMEP2) Draft RFP | Special Notice | Jan 23, 2026 | Jan 7, 2026 3:00 PM GMT-0700 | Archived | View on SAM.gov |
| HT940226R0001 TRICARE Medicare Eligible Program Second Generation (TMEP2) Draft RFP | Special Notice | Jan 23, 2026 | Jan 7, 2026 3:00 PM GMT-0700 | Archived | View on SAM.gov |
| HT940226R0001 Current Brief record TRICARE Medicare Eligible Program Second Generation (TMEP2) | Combined Synopsis/Solicitation | Sep 23, 2026 | Nov 5, 2026 5:00 PM GMT-0700 | Active | View on SAM.gov |
10 / NAICS and PSC Market Context
How large is the selected comparable market?
Classification codes organize the evidence; they do not prove that every contract in the broader NAICS or PSC market matches this requirement.
11 / Capture Signals and Risks
What should be validated before committing capture resources?
Capture signals separate verified procurement-family evidence from unresolved requirements and market-only indicators.
Direct procurement-family evidence
No direct award record found
Buyer proximity
1 comparable record(s) share the contracting office
Eligibility
No Set aside used
Unresolved requirement fields
6
12 / Who Should Pursue
When does this opportunity fit?
- Your team can demonstrate recent, relevant delivery in TRICARE Medicare Eligible Program Second Generation (TMEP2).
- Your company can document the stated eligibility conditions: The work relates to dual-eligible Medicare and TRICARE beneficiaries who receive medical services within the United States and specified U.S. territories (Puerto Rico, Guam, US Virgin Islands, American Samoa, Northern Mariana Islands).
- You can perform under the stated acquisition model: This is a full and open competitive source selection with a best value trade-off procedure (RFO FAR 15.2) for a Firm Fixed-Price contract.
- You can show credible past performance for DEFENSE HEALTH AGENCY or a closely related federal customer.
- Your technical scope fits, but you lack demonstrated history with DEFENSE HEALTH AGENCY.
- You need a specialist teammate to close unresolved staffing, security, or detailed-scope requirements before committing.
- You cannot satisfy or verify the stated eligibility conditions: The work relates to dual-eligible Medicare and TRICARE beneficiaries who receive medical services within the United States and specified U.S. territories (Puerto Rico, Guam, US Virgin Islands, American Samoa, Northern Mariana Islands).
- Your delivery model cannot support the stated contract vehicle or order-based work structure.
- The unresolved requirements shown above cannot be validated before committing proposal resources.