Aetna Individual MA/MAPD/DSNP Mastery Test Verified Questions And Answers With Verified Updates

Aetna Medicare Case Management has teams of registered nurses, social workers, behavioral health professionals, and pharmacists who help members navigate the health care system and access services. - True What is a Special Needs Plan (SNP)? - All of the above or A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics. Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only network providers? (Excluding emergency or urgently needed services) - HMO Which are attributes of the Aetna's Model of Care? - All of the above Which plan type allows members to see preferred doctors in network, doctors out-of-network, and does not require referrals to a specialist? - PPO Which of the following statements are true? - All of the above You can find a quick list of tools for Aetna Medicare plans on includes information about plans, medications, and doctors. - True Low Income Subsidy (LIS) is a Federal program that helps eligible beneficiaries with their Part D drug costs. - 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, as well as deductibles, copayments and coinsurance associated with medical services. - TrueD-SNP plans are for only Medicare beneficiaries that need help with Medicare premiums - False LIS Medicare drug plan premium and deductible costs are based on income level. - True Individuals and families who earn less than the federal poverty level by up to 150% may qualify for Extra Help. - True One of Aetna's Model of Care goals is to improve use of preventive health services. - True Which of the following is true for Low Income Subsidy? - All of the above The DSNP care team helps to coordinate all Medicare and Medicaid covered care and services that the member needs. - True Aetna Medicare Advantage 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