Aetna Mastery Test with all Correct Answer (Updated to Pass)

Aetna Mastery Test with all Correct Answer
(Updated to Pass)
A CMS group waiver allows Aetna to enroll retirees who live outside of the Aetna Medicare network
service area in a PPO-ESA plan if the majority of the plan sponsor's retirees (more than 51%) live
inside the network service area. ✔Correct Answer-True

For PPO and HMO plans, all medical expenses covered by Medicare Parts A & B apply toward the
Maximum Out-of-Pocket (MOOP) limit except hearing aid and eyewear reimbursements, and
Medicare Prescription drug coverage. ✔Correct Answer-True

Medicare Advantage plans can be integrated with prescription drug coverage. ✔Correct Answer-
True

PPO and HMO plans do not include medical management and care management. ✔Correct
Answer-False

Which plan allows members to seek non-emergency care, without a referral, from providers who are
in and out of the Aetna Medicare Advantage provider network? ✔Correct Answer-PPO

Which plan requires members to use only network providers? ✔Correct Answer-HMO

Aetna Medicare's PPO plans offer variable amount for the deductible and the Maximum Out-of-
Pocket (MOOP) limits. ✔Correct Answer-True

For Aetna Medicare HMO and PPO plans, some services like preventive care, emergency and urgently
needed care will not apply to the deductible. ✔Correct Answer-True

PPO and HMO plans cover many routine preventive services like annual physicals, mammograms,
and vaccines for flue and pneumonia at no cost. ✔Correct Answer-True

PPO and HMO plans cover: ✔Correct Answer-All of the above