Aetna MA/MAPD/DSNP Mastery Test Questions and Answers
(2022/2023) (Verified Answers)
1. 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✅✅✅ HMO
2. 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✅✅✅ PPO
3. Most Aetna Medicare Advantage plans are integrated with
prescription drug coverage, so they are called MAPD plans.
1/3
, True or False✅✅✅ True
4. Aetna case management consists of registered nurses, social workers,
be- havioral health professionals and pharmacists who help members
navigate the health care system and access services.
True or False✅✅✅ True
5. Aetna Medicare Advantage HMO and PPO plans have no out-of-
pocket maximum.
True or False✅✅✅ False
6. Aetna Medicare Advantage HMO and PPO plans cover routine
preventa- tive care including an annual wellness visit, screening
mammograms, and prostate cancer screenings.
True or False✅✅✅ True
7. A member's cost share at a preferred pharmacy will usually be lower
than cost share at a standard pharmacy.
True or False✅✅✅ True
2/3
(2022/2023) (Verified Answers)
1. 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✅✅✅ HMO
2. 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✅✅✅ PPO
3. Most Aetna Medicare Advantage plans are integrated with
prescription drug coverage, so they are called MAPD plans.
1/3
, True or False✅✅✅ True
4. Aetna case management consists of registered nurses, social workers,
be- havioral health professionals and pharmacists who help members
navigate the health care system and access services.
True or False✅✅✅ True
5. Aetna Medicare Advantage HMO and PPO plans have no out-of-
pocket maximum.
True or False✅✅✅ False
6. Aetna Medicare Advantage HMO and PPO plans cover routine
preventa- tive care including an annual wellness visit, screening
mammograms, and prostate cancer screenings.
True or False✅✅✅ True
7. A member's cost share at a preferred pharmacy will usually be lower
than cost share at a standard pharmacy.
True or False✅✅✅ True
2/3
