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? (Excluding
emergency or urgently needed services) Correct Answer-HMO Plan
Which plan type allows members to see preferred doctors in-network,
doctors out-of-network, and does not require referrals to a specialist?
Correct Answer-PPO plan
Most Aetna Medicare Advantage plans are integrated with prescription
drug coverage, so they are called MAPD plans. 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. Correct Answer-
True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket
maximum. Correct Answer-False
Aetna Medicare Advantage HMO and PPO plans cover routine
preventive care including an annual wellness visit, screening
mammograms, and prostate cancer screenings. Correct Answer-True
, A member's cost share at a preferred pharmacy will usually be lower
than cost share at a standard pharmacy. Correct Answer-True
All MAPD plans have a prescription drug component. Correct Answer-
True
Which of the following statements are true?
Select one:
a.
The Aetna Medicare PPO plans provide access to services from doctors
in the PPO network at a lower out-of-pocket cost.
b.
In the Aetna Medicare PPO plan, members can go to any Aetna
Medicare Plan PPO network doctor they choose for covered services
without a PCP referral as long the doctor is a contracted PPO doctor.
c.
All of the Medicare Advantage plans include free monthly fitness club
memberships to any facility participating within the SilverSneakers
network.
d.
All of the above. Correct Answer-All of the Above
You can find a quick list of tools for Aetna Medicare plans on
https://www.aetnamedicare.com/en/for-producers.html, which includes
information about plans, medications, and doctors. Correct Answer-True
Correct Answers
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) Correct Answer-HMO Plan
Which plan type allows members to see preferred doctors in-network,
doctors out-of-network, and does not require referrals to a specialist?
Correct Answer-PPO plan
Most Aetna Medicare Advantage plans are integrated with prescription
drug coverage, so they are called MAPD plans. 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. Correct Answer-
True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket
maximum. Correct Answer-False
Aetna Medicare Advantage HMO and PPO plans cover routine
preventive care including an annual wellness visit, screening
mammograms, and prostate cancer screenings. Correct Answer-True
, A member's cost share at a preferred pharmacy will usually be lower
than cost share at a standard pharmacy. Correct Answer-True
All MAPD plans have a prescription drug component. Correct Answer-
True
Which of the following statements are true?
Select one:
a.
The Aetna Medicare PPO plans provide access to services from doctors
in the PPO network at a lower out-of-pocket cost.
b.
In the Aetna Medicare PPO plan, members can go to any Aetna
Medicare Plan PPO network doctor they choose for covered services
without a PCP referral as long the doctor is a contracted PPO doctor.
c.
All of the Medicare Advantage plans include free monthly fitness club
memberships to any facility participating within the SilverSneakers
network.
d.
All of the above. Correct Answer-All of the Above
You can find a quick list of tools for Aetna Medicare plans on
https://www.aetnamedicare.com/en/for-producers.html, which includes
information about plans, medications, and doctors. Correct Answer-True
