AETNA MA/MAPD/DSNP EXAM 2024-2025
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|AGRADE
Terms in this set (20)
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
Which plan type allows C) PPO
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
, Most Aetna Medicare True
Advantage plans are
integrated with prescription
drug coverage, so they are
called MAPD plans.
True or False
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
Aetna Medicare Advantage False
HMO and PPO plans have
no out-of-pocket maximum.
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
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|AGRADE
Terms in this set (20)
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
Which plan type allows C) PPO
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
, Most Aetna Medicare True
Advantage plans are
integrated with prescription
drug coverage, so they are
called MAPD plans.
True or False
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
Aetna Medicare Advantage False
HMO and PPO plans have
no out-of-pocket maximum.
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
