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