AETNA MA/MAPD/DSNP MASTERY TEST | 30
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS | UPDATED 2024
Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type
requires a person to use only network providers?
A) PDP plan
B) HMO plan
C) PPO plan
D) ESRD plan - ANSWER B) HMO
Which plan type allows members to see preferred doctors in network, doctors out
of network and does not require referrals to a specialist?
A) PDP plan
B) Cost plan
C) PPO plan
D) HMO plan - ANSWER C) PPO
Most Aetna Medicare Advantage plans are integrated with prescription drug
coverage, so they are called MAPD plans.
True or False - ANSWER True
, Aetna case management consists of registered nurses, social workers, behavioral
health professionals and pharmacists who help members navigate the health care
system and access services.
True or False - ANSWER True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum.
True or False - ANSWER False
Aetna Medicare Advantage HMO and PPO plans cover routine preventative care
including an annual wellness visit, screening mammograms, and prostate cancer
screenings.
True or False - ANSWER True
A member's cost share at a preferred pharmacy will usually be lower than cost
share at a standard pharmacy.
True or False - ANSWER True
All MAPD plans have a prescription drug component.
True or False - ANSWER True
Which of the following are true?
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