Aetna MA/MAPD/DSNP Mastery Test with all Correct &
100% Verified Answers |Already Graded A+
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) ✔Correct Answer-
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? ✔Correct Answer-PPO plan
Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are
called MAPD plans. ✔Correct Answer-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.
✔Correct Answer-True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum. ✔Correct
Answer-False
Aetna Medicare Advantage HMO and PPO plans cover routine preventive care including an annual
wellness visit, screening mammograms, and prostate cancer screenings. ✔Correct Answer-True
A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard
pharmacy. ✔Correct Answer-True
All MAPD plans have a prescription drug component. ✔Correct Answer-True
Which of the following statements are true?
Select one:
a.
The Aetna Medicare PPO plans provide access to services from doctors in the PPO network at a lower
out-of-pocket cost.
b.
In the Aetna Medicare PPO plan, members can go to any Aetna Medicare Plan PPO network doctor
they choose for covered services without a PCP referral as long the doctor is a contracted PPO
doctor.
c.
All of the Medicare Advantage plans include free monthly fitness club memberships to any facility
participating within the SilverSneakers network.
d.
All of the above. ✔Correct Answer-All of the Above
You can find a quick list of tools for Aetna Medicare plans on
https://www.aetnamedicare.com/en/for-producers.html, which includes information about plans,
medications, and doctors. ✔Correct Answer-True
What is a Dual eligible Special Needs Plan (D-SNP)? ✔Correct Answer-All of the Above
100% Verified Answers |Already Graded A+
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) ✔Correct Answer-
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? ✔Correct Answer-PPO plan
Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are
called MAPD plans. ✔Correct Answer-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.
✔Correct Answer-True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum. ✔Correct
Answer-False
Aetna Medicare Advantage HMO and PPO plans cover routine preventive care including an annual
wellness visit, screening mammograms, and prostate cancer screenings. ✔Correct Answer-True
A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard
pharmacy. ✔Correct Answer-True
All MAPD plans have a prescription drug component. ✔Correct Answer-True
Which of the following statements are true?
Select one:
a.
The Aetna Medicare PPO plans provide access to services from doctors in the PPO network at a lower
out-of-pocket cost.
b.
In the Aetna Medicare PPO plan, members can go to any Aetna Medicare Plan PPO network doctor
they choose for covered services without a PCP referral as long the doctor is a contracted PPO
doctor.
c.
All of the Medicare Advantage plans include free monthly fitness club memberships to any facility
participating within the SilverSneakers network.
d.
All of the above. ✔Correct Answer-All of the Above
You can find a quick list of tools for Aetna Medicare plans on
https://www.aetnamedicare.com/en/for-producers.html, which includes information about plans,
medications, and doctors. ✔Correct Answer-True
What is a Dual eligible Special Needs Plan (D-SNP)? ✔Correct Answer-All of the Above
