Aetna Actual Test Paper Full Questions And Accurate Answers Graded Aplus

AETNA ACTUAL TEST PAPER FULL
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS

●● What are Medicare Advantage plans required to cover?
Answer: All Medicare Advantage plans are required to cover at least all
of the same benefits that Original Medicare offers.


●● Do clients lose benefits when they join an Advantage plan?
Answer: No, clients do not lose benefits when they join and Advantage
plans.


●● How does one qualify for an MA/MAPD plan?
Answer: 1. Must be eligible for Medicare.
2. Must continue to pay the Part B premium.
3. Must pay the MA/MAPD monthly premium (if applicable.)
4. Cannot have ESRD (End-stage Renal Disease).


●● Medicare Advantage plans replace the _______________________
__________________ of Original Medicare.
Answer: benefit structure.

, ●● Medicare advantage plans are NOT __________________________
coverage.
Answer: supplemental


●● Medicare Advantage plans vary throughout the United States and
plans are available by ___________________.
Answer: county


●● There is ____________ underwriting for MA/MAPDs.
Answer: no


●● The only time a client can have both an MA and a PDP is a
________________ without drug coverage.
Answer: PFFS


●● Benefits of a Medicare Advantage plans.
Answer: 1. Lower copays, deductibles, and coinsurances.
2. Maximum limits for out-of-pocket expenses.
3. Might offer extra benefits, e.g. vision and dental.
4. MAPD plans include prescription drug coverage.


●● Types of Medicare Advantage Plans
Answer: -HMO, PPO, HMO-POS, PFFS, SNP (D-SNP and C-SNP)