Aetna MA/MAPD/DSNP Mastery Test|A+ Graded
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 n...
Aetna MA/MAPD/DSNP Mastery Test|A+ Graded
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 MAPD plans.
True or False
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
True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum.
True or False
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
True
A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard
pharmacy.
True or False
True
All MAPD plans have a prescription drug component.
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