2010 plan year benefit attestation for Contract #H0712

Medicare Advantage Attestation of Benefit Plan

WELLCARE OF CONNECTICUT, INC.

H0712

Date: 09/01/2009

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 2010. 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 2009 and 2010, including but not limited to, the 2010 Call Letter, the 2010 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).

 

 

 

 

 

Centers for Medicare & Medicaid Services

ATTN: Marilyn Hunter/Medicare Advantage Benefit Attestation

Mail Stop C4-22-04

7500 Security Boulevard

Baltimore, MD ###-###-####