Answers.
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 - Correct Answer 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 - Correct Answer C) PPO
Most Aetna Medicare Advantage plans are integrated with prescription drug coverage,
so they are called MAPD plans.
True or False - 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.
True or False - Correct Answer True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum.
True or False - Correct Answer 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 - Correct Answer True
A member's cost share at a preferred pharmacy will usually be lower than cost share at
a standard pharmacy.
True or False - Correct Answer True