Aetna MA-MAPD-DSNP Mastery Test Questions and Answers
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Course
AEtna
Institution
AEtna
Aetna MA-MAPD-DSNP Mastery Test Questions and 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)
HMO Plan
Which plan type allows members to see preferred d...
Aetna MA-MAPD-DSNP Mastery Test Questions and 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) - answerHMO Plan
Which plan type allows members to see preferred doctors in-network, doctors out-of-
network, and does not require referrals to a specialist? - answerPPO plan
Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAPD plans. - answerTrue
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. - answerTrue
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum. - answerFalse
Aetna Medicare Advantage HMO and PPO plans cover routine preventive care including an annual wellness visit, screening mammograms, and prostate cancer screenings. - answerTrue
A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard pharmacy. - answerTrue
All MAPD plans have a prescription drug component. - answerTrue
Which of the following statements are true?
Select one:
a.
The Aetna Medicare PPO plans provide access to services from doctors in the PPO network at a lower out-of-pocket cost.
b.
In the Aetna Medicare PPO plan, members can go to any Aetna Medicare Plan PPO network doctor they choose for covered services without a PCP referral as long the doctor is a contracted PPO doctor.
c.
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