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Aetna MA/MAPD/DSNP Mastery Test Questions with Correct Answers

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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.

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Uploaded on
August 21, 2024
Number of pages
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Written in
2024/2025
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Aetna MA/MAPD/DSNP Mastery Test Questions with
Correct Answers
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.


True or False Correct Answer-True


All MAPD plans have a prescription drug component.


True or False Correct Answer-True

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