Aetna MA/MAPD/DSNP Mastery Test questions and Answers Latest Update Fully Solved 100%
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Course
Aetna MA/MAPD/DSNP Mastery
Institution
Aetna MA/MAPD/DSNP Mastery
A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard
pharmacy.
True or False - True
A) A type of MAPD plan designed to provide targeted care and services to individuals with specific needs.
B) A MA plan that tailors benefits, provider choices and dru...
Aetna MA/MAPD/DSNP Mastery Test
A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard
pharmacy.
True or False - True
A) A type of MAPD plan designed to provide targeted care and services to individuals with specific needs.
B) A MA plan that tailors benefits, provider choices and drug formularies to meet specific needs of the
groups they serve.
C) A MA plan for those who are eligible for Medicare and Medicaid.
D) A MA plan required to contract with a state Medicaid agency.
E) All of the above - E) All of the above
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 - C) PPO
Which are attributes of the Aetna's Model of Care:
A) An Interdisciplinary Care Team approach
B) Clinical Programs to improve health and well-being
C) Transition of Care Program
D) A and B
E) All of the above - E) All of the above
, Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called
MAPD plans.
True or False - True
The Aetna DSNP care manager and care team provide a single point-of-contact to help coordinate all
Medicare and Medicaid covered care and services that the member needs.
True or False - 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 - True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum.
True or False - 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 - True
All MAPD plans have a prescription drug component.
True or False - True
Which of the following are true?
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