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Aetna 2023 MA/MAPD/DSNP Questions with Correct Answers
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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 Correct Answer-b. HMO plan What is a Special Needs Plan (SNP...

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  • August 21, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • aetna 2023 mamapddsnp questions with correct ans

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Aetna 2023 MA/MAPD/DSNP Questions with Correct
Answers
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 Correct Answer-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, and drug
formularies to meet specific needs of the groups they serve.
c.An MA plan for those who are eligible for Medicare and Medicaid.
d.A MA plan required to contract with a state Medicaid agency.
e.

, All of the above Correct Answer-e.
All of the above


Which of the following is true for Low Income Subsidy?
a.Beneficiaries pay no more than $3.95 for a covered generic and $9.85
for each brand name drug
b.There is no coverage gap
c.There is no Late Enrollment Penalty
d.All of the above Correct Answer-d.All of the above


Which are attributes of the Aetna's Model of Care?
a.An Interdisciplinary Care Team approach
b.Clinical programs to improve health and well-being
c.Transition of Care Program
d.A and B
e.
All of the above Correct Answer-e.
All of the above


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.

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