AETNA MA/MAPD/DSNP MASTERY EXAM WITH QUESTIONS AND ANSWERS Aetna provides a diverse selection of Medicare Advantage plans. Which plan variety necessitates that an individual exclusively make use of networ k providers? A) PDP plan B) HMO plan C) PPO plan D) ESRD plan - ANSWER B) HMO Which plan type permits members to consult with their preferred physicians within the network, as well as those who are not in the network, with out the need for referrals to a specialist? A) PDP plan B) Cost plan C) PPO plan D) HMO plan ANSWER: C) PPO The majority of Aetna Medicare Advantage plans are referred to as MAPD plans because they are integrated with prescription drug coverage. True or False - ANSWER: True Aetna case management is comprised of registered nurses, social workers, behavioral health professionals, and pharmacists who assist members in navigating the healthcare system and obtaining services. True or False - ANSWER: True There is no out- of-pocket maximum for Aetna Medicare Advantage HMO and PPO plans. True or False - ANSWER: False
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