TRICARE Overseas Program (TOP) 2028 DRAFT Request for Proposal (RFP)

DoD, through the Defense Health Agency (DHA), is responsible for providing TRICARE health care services to eligible beneficiaries in locations outside the fifty United States and the District of Columbia. To accomplish this mission, the TOP contract supplements services that the direct care system provides to Active-Duty Service Members (ADSMs) and certain Active-Duty Family Members (ADFMs) in overseas military medical treatment facility (MTF) locations. While most TRICARE beneficiaries overseas receive care at MTFs, demand often exceeds MTF capacity, and many beneficiaries reside in remote locations without MTF access. The DoD uses the TOP contract to supplement MTF capabilities and provide healthcare in remote locations.

This mission currently is accomplished through the third-generation TOP contract (TOP 2021), which provides comprehensive health care support services, including developing and maintaining private sector networks; completing TRICARE eligibility verification and enrollment; providing customer service and call center support, clinical operations, beneficiary and provider education and marketing, claims processing and coding, medically necessary evacuations (medevacs) and translation services; and collecting medical documentation.

The DHA is contemplating a new single-award, predominately fixed-price TOP services contract. The DHA anticipates that the contract will include a 1-year base period for transition-in, eight 1-year option periods for health care delivery, a 1-year transition-out period, and a potential 6-month extension of services permitted per FAR Clause 52.217-8, Option to Extend Services, for a potential total allowable period of performance of 10 years and 6 months.

As part of ongoing market research (following Requests for Information from June 06, 2024, and July 26, 2024), potential offerors are invited to review the attached DRAFT RFP documents and submit questions or comments via email to Mr. Matt Anderson, Contracting Officer at matthew.l.anderson18.civ@health.mil and Dawn Ruther, Clinical Program Manager at dawn.r.ruther.civ@health.mil, not later than 4:00 pm MT, September 24, 2025. Please include the following in the subject line: DRAFT TOP HT9402-24-RFI-0219.

DHA seeks industry feedback and recommendations on its approach and description of the TOP requirements in the attached DRAFT RFP. DHA will consider industry’s comments to make revisions, ensuring the Government has realistic requirements and incorporates industry best practices, new technologies, innovative alternatives and potential capabilities into the final specifications and performance work statement.

DHA may incorporate industry expertise, best practices and incentives to ensure high-quality healthcare support services to TRICARE beneficiaries within the statutory and regulatory limitations governing this entitlement program.

Using the attached “TOP Draft RFP Questions” file, identify the DRAFT RFP document and cite relevant paragraphs to submit relevant questions or comments via email to Mr. Anderson by 4:00 p.m. MT on September 24, 2025. Please state "DRAFT TOP HT9402-25-RFI-0219" in the email subject line.

This notice is for information and planning purposes only and is NOT a solicitation. DHA makes no commitment to issue a solicitation and reserves all acquisition options. Do not submit proposals or contact other individuals about this notice or the TOP requirements. All information provided to DHA is strictly voluntary, without compensation, and at no cost to the Government.

If a solicitation is issued, DHA will conduct source selection per Federal Acquisition Regulation (FAR) 15, as supplemented, at the Managed Care Contracting Division (MCCD), in Aurora, Colorado.

Any future information on this acquisition will be posted on www.sam.gov. It is the responsibility of the prospective offeror to review this site regularly for updates and/or changes.