Aetna MA/MAPD/DSNP Mastery
Test Questions & Answers |
Latest Already 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—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, so
they are called MAPD plans.
True or False—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.
True or False—ANSWER--True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum.
True or False—ANSWER--False
Aetna Medicare Advantage HMO and PPO plans cover routine preventative care including an
annual wellness visit, screening mammograms, and prostate cancer screenings.
True or False—ANSWER--True
A member's cost share at a preferred pharmacy will usually be lower than cost share at a
standard pharmacy.
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
Test Questions & Answers |
Latest Already 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—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, so
they are called MAPD plans.
True or False—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.
True or False—ANSWER--True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum.
True or False—ANSWER--False
Aetna Medicare Advantage HMO and PPO plans cover routine preventative care including an
annual wellness visit, screening mammograms, and prostate cancer screenings.
True or False—ANSWER--True
A member's cost share at a preferred pharmacy will usually be lower than cost share at a
standard pharmacy.
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
