2012 Medicare Advantage Benefit Attestation Agreement between WellCare of Florida, Inc. and CMS
Summary
WellCare of Florida, Inc. certifies to the Centers for Medicare & Medicaid Services (CMS) that the listed Medicare Advantage plans and benefits will be offered to eligible beneficiaries in 2012. The company confirms that plan details and pricing have been reviewed and comply with all applicable Medicare regulations and guidance. The attestation covers multiple plan types and ensures that WellCare will adhere to CMS requirements throughout the program year.
EX-10.6 7 attestationh1032.htm 2012 BENEFIT ATTESTATION TO CONTRACT H1032 attestationh1032.htm
Back to Form 8-K
Medicare Advantage Attestation of Benefit Plan
WELL CARE OF FLORIDA, INC.
H1032
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 above-stated organization will make available to eligible beneficiaries in the approved service area during program year 2012. 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 2011 and 2012, including but not limited to, the 2012 Call Letter, the 2012 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 |
| 002 | 0 | 6 | WellCare Choice (HMO- POS) | HMOPOS | Renewal | 31.00 | 4.60 | 09/02/2011 | 01/01/2012 |
| 008 | 0 | 5 | WellCare Choice (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| 012 | 0 | 6 | WellCare Choice (HMO- POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| 014 | 0 | 6 | WellCare Choice (HMO- POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| 025 | 0 | 6 | WellCare Choice (HMO- POS) | HMOPOS | Renewal | 46.90 | 2.60 | 09/02/2011 | 01/01/2012 |
| 032 | 0 | 6 | WellCare Dividend (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| 035 | 0 | 6 | WellCare Value (HMO- POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| 037 | 0 | 6 | WellCare Advance (HMO) | HMO | Renewal | 0.00 | N/A | 09/02/2011 | 01/01/2012 |
| 040 | 0 | 6 | WellCare Dividend (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| 061 | 0 | 6 | WellCare Select (HMO- POS SNP) | HMOPOS | Renewal | 0.00 | 18.10 | 09/02/2011 | 01/01/2012 |
| 073 | 0 | 6 | WellCare Value (HMO- POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| 079 | 0 | 6 | WellCare Value (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| 091 | 0 | 6 | WellCare Value (HMO- POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| H1032 |
| Plan ID | Segment ID | Version | Plan Name | Plan Type | Transaction Type | MA Premium | Part D Premium | CMS Approval Date | Effective Date |
| 101 | 0 | 6 | WellCare Select (HMO- POS SNP) | HMOPOS | Renewal | 0.00 | 23.80 | 09/02/2011 | 01/01/2012 |
| 124 | 0 | 6 | WellCare Access (HMO SNP) | HMO | Renewal | 0.00 | 19.20 | 09/02/2011 | 01/01/2012 |
| 131 | 0 | 8 | WellCare Dividend (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| 132 | 0 | 6 | WellCare Value (HMO- POS) | HMOPOS | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| 133 | 0 | 6 | WellCare Essential (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| 170 | 0 | 7 | WellCare Access (HMO- SNP) | HMO | Renewal | 0.00 | 23.80 | 09/02/2011 | 01/01/2012 |
| 173 | 0 | 7 | WellCare Essential (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| 174 | 0 | 7 | WellCare Essential (HMO) | HMO | Renewal | 0.00 | 0.00 | 09/02/2011 | 01/01/2012 |
| H1032 |
| THOMAS TRAN | 9/1/2011 10:35:08 AM | ||
| Contracting Official Name | Date |
| WELL CARE OF FLORIDA, INC. | 8735 Henderson Rd Tampa, FL 33634 | ||
| Organization | Address |
| H1032 |
