- Study guides, Class notes & Summaries

Which of the following is true for Low Income Subsidy? - All of the above 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 t...

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2 pages

Written in 2023/2024

Grade A+

boomamor2

Which of the following are true? A) The PPO plans provide access to services from doctors in the PPO network at a lower out-of-pocket cost. B) In the Open Access HMO plan, members can go to any Aetna Medicare Plan HMO network doctor they choose for covered services without a PCP referral as long as the doctor is a contracted HMO doctor. C) All of the Medicare Advantage plans include free monthly fitness club memberships to any facility participating within the Silver Sneakers network. ...

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4 pages

Written in 2023/2024

Grade A

rightsteps70

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 - 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 - C) PPO Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called M...

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5 pages

Written in 2023/2024

Grade A+

boomamor2

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) a. PDP plan b. HMO plan c. PPO plan d. ESRD plan - b. HMO plan What is a Special Needs Plan (SNP)? a.A type of Medicare Advantage Prescription Drug (MAPD) coordinated care plan that limits enrollment to people with specific diseases or characteristics. b.An MA plan that tailors benefits, provider choices, ...

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4 pages

Written in 2023/2024

Grade A+

boomamor2

Aetna MA/MAPD/DSNP Mastery Test 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 - 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 - C) PPO Most Aetna Medicare Advantage plans are integrated with prescription drug covera...

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3 pages

Written in 2021/2022

Grade A

Bri254