Medicare Advantage Benefit Plan Attestation Agreement between WellCare of Georgia, Inc. and CMS
Summary
WellCare of Georgia, Inc. certifies that its Medicare Advantage plans for 2013, including WellCare Access (HMO SNP) and WellCare Value (HMO-POS), will provide the stated benefits to eligible members in the approved service area. The company confirms that its plan details and pricing are accurate and comply with all current and future Medicare regulations and guidance. This attestation is signed by an authorized official and is effective for the 2013 program year.
EX-10.7 8 h1112benefitattestation.htm H1112 BENEFIT ATTESTATION h1112benefitattestation.htm
Back to Form 8-K
Exhibit 10.7
Medicare Advantage Attestation of Benefit Plan
WELLCARE OF GEORGIA, INC.
H1112
Date: 08/29/2012
I attest that I have examined the Plan Benefit Packages (PBPs) identified below and that the benefits identified in the PBPs are those that the abovestated organization will make available to eligible beneficiaries in the approved service area during program year 2013. I further attest that we have reviewed the bid pricing tools (BPTs) with the certifying actuary and have determined them to be consistent with the PBPs being attested to here.
I further attest that these benefits will be offered in accordance with all applicable Medicare program authorizing statutes and regulations and program guidance that CMS has issued to date and will issue during the remainder of 2012 and 2013, including but not limited to, the 2013 Call Letter, the 2013 Solicitations for New Contract Applicants, the Medicare Prescription Drug Benefit Manual, the Medicare Managed Care Manual, and the CMS memoranda issued through the Health Plan Management System (HPMS).
Plan ID | Segment ID | Version | Plan Name | Plan Type | Transaction Type | MA Premium | Part D Premium | CMS Approval `Date | Effective Date |
006 | 0 | 6 | WellCare Access (HMO SNP) | HMO | Renewal | 0.00 | 17.90 | 08/20/2012 | 01/01/2013 |
027 | 0 | 7 | WellCare Value (HMO -POS) | HMOPOS | Renewal | 0.00 | 0.00 | 08/20/2012 | 01/01/2013 |
H1112 |
THOMAS TRAN | 8/29/2012 11:03:44 AM | ||
Contracting Official Name | Date | ||
8735 Henderson Rd | |||
Ren 1 | |||
WELLCARE OF GEORGIA, INC. | Tampa, FL 33634 | ||
Organization | Address |
H1112