Aetna 2022 questions and answers 100% correct
Aetna offers a variety of Aetna and Coventry 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 out of network and does not require referrals
to a specialist? Correct Answer: PPO Plan
Most Aetna and Coventry Medicare Advantage plans are integrated with prescription drug coverage, so
they are called MAPD plans. Correct Answer: True
Aetna and Coventry 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 Advatage 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 are true? Correct Answer: All of the above.
You can find a quick list of tools on aetnamedicare.com/brokers 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
Low Income Subsidy (LIS) is a Mediare finacial program that helps to reduce prescription drug costs.
Correct Answer: True
The difference between LIS and the Medicare Savings Program (MSP) is LIS helps reduce prescription
drug costs and MSP helps with Medicare plan premiums, deductibles and copayments/coinsurance with
medical services. Correct Answer: True
Individuals can apply for Extra Help through: Correct Answer: All of the above.
A full dual eligible means an individual has Medicare, but is only eligible for assistance with Medicare
premiums and sometimes cost share through the Medicare Saving Program. Correct Answer: False.
LIS Medicare drug plan premium and deductible costs are based on income level. Correct Answer: True
Aetna offers a variety of Aetna and Coventry 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 out of network and does not require referrals
to a specialist? Correct Answer: PPO Plan
Most Aetna and Coventry Medicare Advantage plans are integrated with prescription drug coverage, so
they are called MAPD plans. Correct Answer: True
Aetna and Coventry 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 Advatage 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 are true? Correct Answer: All of the above.
You can find a quick list of tools on aetnamedicare.com/brokers 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
Low Income Subsidy (LIS) is a Mediare finacial program that helps to reduce prescription drug costs.
Correct Answer: True
The difference between LIS and the Medicare Savings Program (MSP) is LIS helps reduce prescription
drug costs and MSP helps with Medicare plan premiums, deductibles and copayments/coinsurance with
medical services. Correct Answer: True
Individuals can apply for Extra Help through: Correct Answer: All of the above.
A full dual eligible means an individual has Medicare, but is only eligible for assistance with Medicare
premiums and sometimes cost share through the Medicare Saving Program. Correct Answer: False.
LIS Medicare drug plan premium and deductible costs are based on income level. Correct Answer: True
