Aetna medical plans - Study guides, Class notes & Summaries

Which statement describes a medically necessary service? - correct answer a. Performing a procedure/service based on cost to eliminate wasteful services. *b. Using the least radical service/procedure that allows for effective treatment of the patient's complaint or condition.* c. Using the closest facility to perform a service or procedure. d. Using the appropriate course of treatment to fit within the patient's lifestyle. Which code...

Which of the following is true for Low Income Subsidy? - All of the above What is a Special Needs Plan (SNP)? - All of the above or A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics. Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? (Excluding emergency or urgently needed services) - HMO Which are attributes of t...

MHA 706 MIDTERM- LORD 2024 EXAM WITH COMPLETE SOLUTIONS GRADED A+ Proprietorships & Partnerships: Pros & Cons - ️️ -Pros: Ease of Information, Subject to a few regulations, no corporation income taxes. Cons: Limited life, difficult to transfer, unlimited life, difficult to raise capital. Corporations: Pros & Cons - ️️ -Pros: Unlimited life, easy transfer of ownership, limited liability, ease of raising capital. Cons: Cost of formation and reporting, double or triple taxes must be ...

A ________ is health plan that is sponsored by employer or employee organization to provide health care to the employees, former employees and their families. Group health plan Who manages the group health care plan benefits, negotiating with payers and selecting a number of plans for the employer and employees? Human resources Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen What is a document modifyin...

Aetna Questions and Answers (2022/2023) Graded A+ Aetna offers a variety of Aetna and Coventry Medicare Advantage plan types. Which plan type requires a person to use only network providers? (excluding emergency or urgently needed services) HMO plan Which plan type allows members to see preferred doctors out of network and does not require referrals to a specialist? PPO Plan Most Aetna and Coventry Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAP...

Aetna 2023 MA/MAPD/DSNP Already Passed Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? (Excluding emergency or urgently needed services) a. PDP plan b. HMO plan c. PPO plan d. ESRD plan b. HMO plan What is a Special Needs Plan (SNP)? a.A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics. b.An MA plan that tai...

Aetna MA/MAPD/DSNP Mastery Test Questions and Answers Graded A+ 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 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 C) PPO Most Aetna Medicare Advantage plans are integrat...

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, s...

Aetna WINDOW 1-5 question with complete solution latest update 2023Aetna Medicare plans HMO Have INN benefits, PCP required, referral required, precertification, NO OUT OF WORK benefits Aetna Medicare Open Access HMO Have INN Benefits , Pre-certification(select services), DO NOT have OON benefits, select a PCP, get a referral Aetna Medicare PlAn PPO(MAPD) Can use any doctor out of network for a higher copay or coinsurance. Aetna ESA PPO Benefits are identical, INN and ...

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 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 C) PPO Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they a...