Aetna 2024 | Questions with 100% Correct Answers | Verified | Latest Update

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) - HMO plan Which plan type allows members to see preferred doctors out of network and does not require referrals to a specialist? - PPO Plan Most Aetna and Coventry Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAPD plans. - 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. - True Aetna Medicare Advatage HMO and PPO plans have no out-of-pocket maximum. - False Aetna Medicare Advantage HMO and PPO plans cover routine preventive care including an annual wellness visit, screening mammograms, and prostate cancer screenings. - True A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard pharmacy. - True