Aetna medical plans - Study guides, Class notes & Summaries

Aetna Medical Plans Mastery Test Questions and Answers

HNO (HMO on ACAS) QPOS & HMO - -Nicknames: QPOS/HMO - PCP uses CAP ID and not PIN -PCP Required: Yes -Referrals Required: Yes -Levels of Benefits: QPOS - 2 ; HMO - 1 -Network: MHMO open choice / PPO - - Nicknames: OC; PPO -PCP Required: No -Referrals Required: No -Levels of Benefits: 2 -Network: MPPO managed choice - -Nicknames: MC -PCP Required: Yes -Referrals Required: Yes -Levels of Benefits: 2 Network: MCEPO open access elect choice - -Nicknames: OA EC -PCP Required: No -Ref...

Pharmacy Billing and Reimbursement PTCB Practice Test Questions and Answers Latest Rated A+. Which government insurance plans offers 4 different parts or areas of different coverage? A. MedicareB. Medicaid C. TRICARE D. CHAMPVA 2. DAW/DNS stand for which of the following? A. Dispense as written B. Distribute and work C. Distribution and working D. Dispense as well 3. Which of the following third party plans requires the patient to designate a primary care physician (PCP)? A. Health ...

Aetna Medical Plans question and answers already passed2024traditional choice - correct answer - Nicknames: TC; CMED; Indeminity; Major Medical; Basic -PCP Required: No -Referrals Required: No -Levels of Benefits: 1 -No networks open choice / PPO - correct answer - Nicknames: OC; PPO -PCP Required: No -Referrals Required: No -Levels of Benefits: 2 -Network: MPPO managed choice - correct answer -Nicknames: MC -PCP Required: Yes -Referrals Required: Yes -Levels of Benefits: 2 Net...

Aetna Medical Plans question and answers correctly answered to pass 2023traditional choice - correct answer - Nicknames: TC; CMED; Indeminity; Major Medical; Basic -PCP Required: No -Referrals Required: No -Levels of Benefits: 1 -No networks open choice / PPO - correct answer - Nicknames: OC; PPO -PCP Required: No -Referrals Required: No -Levels of Benefits: 2 -Network: MPPO managed choice - correct answer -Nicknames: MC -PCP Required: Yes -Referrals Required: Yes -Levels of Ben...

Aetna Individual MA/MAPD/DSNP Mastery Test WITH COMPLETE SOLUTIONWhich 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 ...

Each pharmacy component of an MAPD plan consists of a formulary, a pharmacy network and benefit designs (cost sharing and tier structure). Select one: True False - True 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 tailors benefits, provider choices, and drug formularies to meet specific needs of the groups they serve. c.An MA...

MHA 706 Midterm- Lord Exam Questions and Answers 100% Pass Proprietorships & Partnerships: Pros & Cons - Correct Answer ️️ -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 - Correct Answer ️️ -Pros: Unlimited life, easy transfer of ownership, limited liability, ease of raising capital. Cons: Cost of formation and reporting, double o...

Aetna MA-MAPD-DSNP Mastery Test Questions and Answers 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 Plan Which plan type allows members to see preferred doctors in-network, doctors out-of-network, and does not require referrals to a specialist? PPO plan Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they a...

Aetna WINDOW 1-5 question with complete solution latest 2024 Aetna Medicare plans HMO - correct answer Have INN benefits, PCP required, referral required, precertification, NO OUT OF WORK benefits Aetna Medicare Open Access HMO - correct answer Have INN Benefits , Pre-certification(select services), DO NOT have OON benefits, select a PCP, get a referral Aetna Medicare PlAn PPO(MAPD) - correct answer Can use any doctor out of network for a higher copay or coinsurance. Aetna ESA PPO - c...