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Aetna Individual MA/MAPD/DSNP Quiz with Complete Solutions 2024
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Aetna Individual MA/MAPD/DSNP Quiz with Complete Solutions 2024
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Aetna Individual MA/MAPD/DSNP Quiz withComplete Solutions 2024
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) - ANSWER HMO plan
Which plan type allows members to see preferred doctors in network, doctors
out-of-network, and does not require referrals to a specialist? - ANSWER PPO
plan
Most Aetna Medicare Advantage plans are integrated with prescription drug
coverage, so they are called MAPD plans. - 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. - ANSWER True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum.
- ANSWER False
Aetna Medicare Advantage HMO and PPO plans cover routine preventive care
including an annual wellness visit, screening mammograms, and prostate cancer
screenings. - ANSWER True
A member's cost share at a preferred pharmacy will usually be lower than cost
share at a standard pharmacy. - ANSWER True
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