Summary Aetna MA/MAPD/DSNP Mastery Test (answered Summer 22/23)

Summary Aetna MA/MAPD/DSNP Mastery Test (answered Summer 22/23)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 - Correct 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 - Correct answer-C) PPO Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAPD plans. True or False - 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. True or False - Correct answer-True Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum. True or False - Correct 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 - Correct answer-True A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard pharmacy. A+ True or False - Correct ans