AETNA MA/MAPD/DSNP EXAM 2024-2025
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|AGRADE
Terms in this set (20)
Aetna case management True
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
The Aetna DSNP care True
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
, Aetna Medicare Advantage True
HMO and PPO plans cover
routine preventative care
including an annual
wellness visit, screening
mammograms, and prostate
cancer screenings.
True or False
Aetna Medicare Advantage False
HMO and PPO plans have
no out-of-pocket maximum.
True or False
Aetna offers a variety of B) HMO
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
All MAPD plans have a True
prescription drug
component.
True or False
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|AGRADE
Terms in this set (20)
Aetna case management True
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
The Aetna DSNP care True
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
, Aetna Medicare Advantage True
HMO and PPO plans cover
routine preventative care
including an annual
wellness visit, screening
mammograms, and prostate
cancer screenings.
True or False
Aetna Medicare Advantage False
HMO and PPO plans have
no out-of-pocket maximum.
True or False
Aetna offers a variety of B) HMO
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
All MAPD plans have a True
prescription drug
component.
True or False
